HomeMy WebLinkAbout2006-P10065 - gas fireplace PERMIT
CITY�OF ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 P10065
Crysaal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued:
7/5/2006
SITE ADDRESS: 20 Brown Rd S Unit#
Long Lake,MN 55356
PID: 03-117-23-12-0008
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Pernuts Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 37.50 valuation: $ 3,000.00
State Surcharge Fee: $ 1.50
TOTAL FEE: $ 39.00
APPUCANT: DJ'S Heating&Air Conditioning OWNER: Mary Dunn
6060 Labeaux Ave 20 Brown Rd S/PO Box 77
Albertville,MN 55301 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIF[ED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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PLICANT PERMITEE SIGNATURE 7SSUED BY SIGNATURE
Copies: ]-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, l-Septic) Page 1
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• " FOR CITY USE ONLY
,�` City of Orono
¢�`►' P.O.Box 66 Date Received: Permit#
� �• � 2750 Kelley Parkway
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� �f'"�;�`'' �* Crystal Bay,MN 55323 Approved By: Amount 5:
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t� �;i�;;j��;�.�o (952)249-4600
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CITY OF ORONO-MECHANICAL PERMIT
(All Commercial pennits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERNIIT CARD IS POSTED ON THE 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 fomz provided.
4. When any new consh-uction or remodeling is involved, a separate building pernut 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 ulspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record inust be subnutted before final.
TYPE OF PERMIT
(Check All That A ly)
Residential ❑ Commercial(Approval Required)
❑ New .�Additional ❑ Repairs ❑Replace
Job Site/ Owner Information:
Site Address: ��� S- �f��.,J„� �icl -
Owner: ���w� pv��►/ MailingAddress: �U .�.fG� f���-,�.�....,� �eJ
City: �7✓'�•v�y> Zip: -S�' 3 .��
Home Phone: E�-'S� - �!7� �.j�� Alternate Phone:
Contractor Information:
Contractor: J �� � �� � /,�fC Contact Person: To��c L��.;.�E"(
Address: G46L� ���f-.���- �✓� State Bond #: ��/�� 7 6
City: /�r.���. ��C Zip: sf3� � Expiration Date: (, �3D �D�
Phone: 76�� -��-�17�;Z-f,'G� Alternate Phone:
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❑ Insurance-Current:
1
1 �
MECHANICAL SYSTEMS BEING INSTALLED
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
,� Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: �j�,���,:� � Model No.:g/( �,i�
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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� PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ 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 elecn-ical or gas service.
2. Has a tota]cost of$500.00 or less; excludinQ tl�e cost of the fixture or appliance: and
3. Is improved,installed or replaced by the homeov�nier or licensed contractor.
Skip next section, if this applies, Cost of Pernut $ 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)
�� C�
3��c? "� x.0125 $
—� (contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
c��/
3���. ' x.0005 $
(cont�•act price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pemutted 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 instaiiations are furnished by
the owner, tenant or any other party, the reas�nable mai�ket value of such items must be added to the
estimated cost or contract price for pernut fee purposes. In the event that there is a dispute on the
amount 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 Building Department at(952)249-4600 for the price.
MECHArIICAL PERMIT APPLICATION AGREEMENT` ''
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: `�T,. �y,,,����g,�����/ Date: 7,� � G'
3
� � DATE /� TI
CITY OF ORONO CALLED IN 7 �7 ��/�P
INSPECTION NOT CE SCHEDULED `�/l� •U(p ��'I�
PERMIT NO. l�O(o COMPLETED
ADDRESS z�� �1�%Wn �ue S .
OWNER CONTR. /J.� �S
TELEPHONE NO. �C��� �-I Ct �Z :� �a � l
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� DESCRIPTION �s'L-e�-�c
� 01 FOOTING �HANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 13 HANICAL FINAL = 19 LAKESHORE/WETLANDS
y 03 INSULATION 25 WOOD B ER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOO - 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED ROJECT COMPLETE
� CORRECT WORK&PROCEED CC ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. L; pHOTO TAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the ne t inspection 24 hours in advance. (J52� 249-4600
OwnerlContra n te:
Inspector.
White Copylinspector's File Canary CopylSite Notice