HomeMy WebLinkAbout2007-P11072 - gas fireplace _ . PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11072
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued:
6/5/2007
SITE ADDRESS: 744 Brown Rd N unit#
Long Lake,MN 55356
P��� 34-118-23-12-0005
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 2,400.00
State Surcharge Fee: $ 1.20
TOTAL FEE: $ 36.20
APPLICANT: Hearth&Home Technologies Inc. OWNER: T Schultze&M Steil
DBA: Fireside Hearth&Home 744 Brown Rd N
2700 Fairview Ave Long Lake MN 55356
Roseville, MN 55113
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
.
� �� � 1.
APPLICAN PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
' ` FOR CITY USE ONLY
��� City of Orono
P.O.[3ox 66 Date Received: Permit#
w ���,.,y,s � 2750 Kellcy Parkway
, a '��'��`� �* Crystal 13ay,MN 55323 Approved[3y: Amount$:
t ��};�'�j�u�i��o'` (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(Ail Commercial pennits must be approved Uy the Building Ofticial or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications wili
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by rehirn mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIV�A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON 7'HE JOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures, equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on fonn provided.
4. When any new constniction or remodeling is involved, a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(9S2)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be subnutted before final.
TYPE OF PERMIT
� (Check All That Apply) � �
�Residential ❑ Cominercial(Approval Required)
❑ New ❑Additional ❑ Repairs ❑ Replace
Job Site/ Owner Information: .
Site Address: ��r� �rcw n �� �� .
Owner: /`nt.,t'-./ Sc(� u�z L Mailing Address:
City: ��'v n c^ Zip:
Home Phone: �Sr�- �/�/g'- D3s�' Alternat� Ph�ne;
Contractor Information:
�t�n a f+oaM��w�L►1�►
Contractor: dt,. �;r�i,ir i,�is��� Contact Person:
Lfc� lOi1�w
2700 N. F��
Address: Ro�.1M1 ON1 State Bond #:
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance— Current:
1
, .
MECHANICAL SYSTEMS BEING TNSTALLED
w
HEA`CING SYSTEMS .
J
Quantiry:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs: �
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tous:
H.Power _
FIREPLACES
� Gas Factory I'ireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: �{c.�,r� (,�rp Model No.: �����• �
VENTILA'CION �
�1��s�,'�.� (��+s I`��
❑ No. Kitchen Exhaust_ duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations _ cfm
FUEL STORAGE(MUS1'}3E APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal ��T��li Ji d��'
��1�1Nt1�1 t..'
Fuel Oil: gallons ❑ U � ��'�� ❑ Outside
LY Gas: gallons 1 MM�,�Illv�a+��
Otltcr: t'at'S-R.Ba��r`
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:_
2
, ,
PERMIT FEE CALCU LATION(S}
- BASED OFF - 2002 STATE STATLTE
E
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all tlu-ee of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludin�the cost of the fixhire or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Pernvt $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCULATION(S) —JOBS OVER$500.00 —�
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of conh�act price with a(Minimum Fee of$35.00)
p���L��. �� x.012 5$
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Sttrcharge(Minimum Fee of$.50)
x .0005 $
(contract price) (minimum$ .�0)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TO'TAL PERMI'1 FEE(Add Lines 1-3 Above) $
■ * CONTRAC"C PRICE or JOB COST means the actual or estimated dollar amotmt charged for the
permitted work including materials, labor,profit, and other fixed costs. It is the amount to be charged
to the customer for flie work done. If any material, equipment, labor or installations are fiunished by
the owner, tenant or any other party, the reasonable market value of such items must be added to the
estimated cost or contract price for permit fee pu�poses. In the event that fliere is a dispute on the
SiT'ivi.iiii vf iiiC�vv COSi, it:e �itj� i7:3j/ :equest the SUtiJiTllSSiOIt Of'� S1bP.e� CO�� Of t}1? 3rrial rnpti�art,
■ ** The STATE SURCHARGE is .0005 of the Bui(ding Department at(9S2)249-4600 for the price.
MECHANICAL PERMIT APPLICATIQN AGREEMENT
The undersigned hereby applies to.'tlie';C1fy for issuance of a Mechanical Permit, agrees to do all
work in strict accordance witl� the �ordinances of the City and thc regulations of the State of
Minnesota, and certifies that all� statements made on this application are complete, t��ue and
correct.
Applicant's Signature: Date: _��� �
l —
3
( �� ��,�- ;�,�� (Ir`-� ��f � �
,/] 1 �D�E /� TIME
v�CITY OF ORONO �� CALLED IN � 3 �
INSPECTION ICE SCHEDULED � �1 ��t
PERMIT NO. COMPLETED
ADDRESS �� 1 �"� ��(Z='�t�.��..���� I��
OWNER CONTR. ���C������I�q
TELEPHONE N0. � �� � ��� 41�`�
� DESCRIPTION � r I �
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL � 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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GW �ORK SATISFACTORY:PROCEED C� PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR W4LL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-4600
OwnerlContractor on sit�: � �
Inspector. c�, ��'/r��
White Copyllnspector's File Canary CopylSite Notice