HomeMy WebLinkAbout2005-P08351 - gas fireplace ITY F R NO PERMIT
C � O O
2750 Kell.�y Parkway - PO Box 66 Permit Number: Pos3si
Crystai Bay, Minnesota 55323 Permit Type: Me�hani�al Pe�tS
(952) 249-4600 Date Issued: lilii2oos
SITE ADDRESS: 849 Brown Rd N
Long Lake,MN 55356
PID: 27-118-23-34-0011
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Pernzit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 75.00 Valuation: $ 6,000.00
State Surcharge Fee: $ 3.00
TOTAL FEE: $ 78.00
APPLICANT: Larry's Heating OWNER: Hossnpat Construction, Inc.
2340 Maxwell Lane 18105 31 st Avenue N
Chaska,MN 55318 Plymouth,MN 55447
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPL[CANT�1v11TE SIGNATURE ISSUEDBYSIGNATURE
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Copies: 1-File(Sienitures Required), 1-Applicant, 1-Monthlv Reoorts. 1-Assessine, 1-Finance Page 1
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� CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical permits Uy mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will Ue sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTII.YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi ris -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 form provided. Identification of and specifications for water heating
equipment shall also Ue provided.
4. When any new construction or remodeling is involved, a separate building permit must Ue obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must Ue inspected (rough-in and final). Call (952)249-4600. 24-hour notice required.
7. House Heating Test Record must Ue suUmitted Uefore final.
Instructions
Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one:�Tew ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial
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JOB SITE: �y`� '�rc�,,;�. Rc�. (Ue, ��. Zip:
Owner's Name: ��,�., Gt,1i�.Sr•� Phone Number: ��3- y r�S'-- /b' -� �7
MailingAddress: /�j�,�, �j s 1����_ /1,�. City: �'/„�ho;�-t, Zip: S�y�/!7
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Contractor's Name: 5 /-� � Phone Number: y�a ��� ��d Z
Mailing Address: �3yo trVla.>c�.�.��-� L�— City: ��� /�Zip: S53��
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SYSTEM DESCRIPTION •
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power li
FIREPLACES GAS LINE ONLY
� Gas factory fireplace C5� ❑ Installing a Gas Line Only
,_, W�JOd�JUrnina fa�.tnry_fi_replgrP with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name V�Gl�n91 a�v� Model No. �l V 3� N�
VENTILATION U V y z�5
v v 3� /�-�
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture or appliance that meets all three 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 fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines Uelow:
1. Contract Price* is .0125%of joU with a Minimum Fee of($35.00)
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� �� � C� � x .0125 $ � �
(c ntract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50)
�_�"� x .0005 $ � � �'U
(contract price) (minimum$.50)
3. Postage and Handlin� (Only nzail-in applicatio�zs) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 aUove) $ �f l ` ' `S—�
*CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including
materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material,
equipment,labor,or installation is furnished 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 purposes. In the event that there is a dispute on the ainount of
the job cost,the City may request the submission of a signed copy of the actual contract.
' **The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For valuations over
$1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Pernvt,agrees to do all work in strict accordance with
the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this
application are complete,true and correct.
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Applicant's Signature: '' � Date: /� �r d�
Approved By: Date:
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¢0 j�-�� City of Orono FOR CTTY USE ONLY
O. `rO�` P.O.Box 66 Date Received: � �—� �� � � Permit# -�I,,� %;- J'_'
ti;,; � 2750 Kelley Parkway Z77—'7�' �
� �' , Crystal Bay,MN 55323
�+'���.xato�i (952)249-4600
Amount: $ C.U.P Filed:
Approved By: Site Plan:
Recommends: A roval ❑ Denial ❑
CITY OF ORONO-USER DEFINED/GENERAL PERMIT
(All penniu must be approved by the Building Official and/or Zoning Department)
Job Site/Owner Information:
Site Address: U� I �W� ��� '`��.TV' , DI�1��
Owner: MAI��� l,.rU'I.S �VI w a�CZIMQ�I� Mailing Address: Z�D UnG�A INOd�1 �-l1�
ay� M �-���
c��y: z�p:
Home Phone: `�I�2' �1�•� i�� Alternate Phone:
Contractor/Applicant Information: ��0� �'��
Contractor/App.: �le NG�1I?i b�?1U� Contact Person: �y ���1�1 m
Address: � w 'V � S� Sl�l��� State License#:
City: IV I �S Zip: �'1�� Expiration Date:
Phone: �I� ��'� �`�� Alternate Phone: �vIZ• I I�•�� I - SCQ I�
TYPES OF USER DEFINED PERNIITS
❑ Stairwav to Lake � Retaining W�lls ❑ Temporarv Trailer
General—User Defined Surcharge General—User Defined Surcharge General—User Defined
*(Per UBC) *(Per UBC) `�--. � ��� *$30.00
*Estimated Cost: $ * Estimated Cost:
VM V a� f—� Docks-42"or Greater � Land Alteration ❑ Zoning Review
1nA�W i w �,� General—User Defined Surcharge General—User Defined General—User Defined
�V�� F� ❑ Commercial-(Per UBC) '� 0-500 Cubic Yards *Fora75'Zone-$30.00
Mln�. �K *Est(mated Cost: $ $50.00(Needs Site Plan)
Wa�ersl�ud General-User Defined ❑ 501+Cubic Yards
❑ Residential- $30.00 $50.00(Needs c.U.P.)
��SJ"�� e ova
�� I,�l�• e eral U er fine
iPi * � �n ° -$ o 0
��� n���L �u�-�c�, n o -�S
���r�k�� I herby apply for a User Defined Permit and I acknowledge that the information above is complete and
accurate;that the work will be in conformance with the Ordinances and Codes of the City and with the State
Building Code;that I unders this is not a permit and work is not to start without a permit; and that the
w 'll be in a c r e ith the approved plan.
'�_ (�.�-05
ica t Date
Reset Form N��'°`dpa'°"'"�,°"
� I � DATE TIME �
CITY OF ORONO < CALLED IN �/
INSPECTION NOTICE SCHEDULED f/i3/�� /D.'C��I;n�
PERMIT NO. /�d �'�J s � COMPLETED
ADDRESS ����'I L,. �C��,c �,i�l �,�� A�_
OWNER CONTR. �Z�Y�1./I 1-f���
TELEPHONENO. � /�o� - ��/� —S�%C�Z.
� DESCRIPTION �J`= ��' �'
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YO�YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED C� PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED L-! ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
'� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �952� 249-46QQ
Owner/Contract��ite:
Inspector.
White Copyll�spector's le Canary CopylSite Notice