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HomeMy WebLinkAbout2005-P08796 - gas fireplace PERMIT CITI�'� OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p08796 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts (952) 249-4600 Date Issued: 6/1/2005 SITE ADDRESS: 754 Boulder Dr Unit# Long Lake,MN 55356 P��� 33-118-23-11-0014 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: Set and vent only-gas by others FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 1,750.00 State Surcharge Fee: $ 0.88 Misc.Fee: $ 1.50 TOTAL FEE: $ 37.38 APPLICANT: Condor Fireplace&Stone Co. OWNER: Dahlstrom Development LLC 8282 Arthur St NE 7745 Polaris Lane Spring Lake Park,MN 55432 Maple Grove,MN 55311 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 APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � . . � ' FOR CTTY USE ONLY ' ��i` City of Orono /� `Y\� P.O.Box 66 Date Received: Permit# Q.; Q\= 2750 Kelley Parkway � �� �• �� Crystal Bay,MN 55323 Approved By: Amount$: ,,.� �� �.,, � � ;.0`,5% (952)249-4600 \t*t�o�c,; CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official 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 will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—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,rnanufacturer and model. liata shall be presented on form provideu. 4. When any new construction 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(952)249-4600. (24-48 hour notice required) � 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 '�Residential ❑Commercial(Approval Required) �Iew ❑Additional ❑Repairs ❑ Replace Job Site/Owner Information: � Site Address: ��7 /kl Owner: ��G[�x��Q Mailing Address: � , City: Ztp: Home Phone: ���0�—��3/A`7/ Alternate Phone: Contractor Information: ( ���� (�`���I�t�x Contact Person: � 8282 Arthur Street NE State Bond#: ���J����O Spring Lake Park, MN 55432 /p �� S ( 763-786-2341 Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 � . � .. ,' , �A�,,:��.. �BEING INSTALLEI� � � v., yH �: 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 (v—' �V`-'`"—" � U 'u Wood Burning Fireplace �s' _ ❑ Wood Stove �iC�C� . ❑ Wood Stove With Flue Brand Name. Model No.: VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfin ❑ 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: 2 ! • ' � PERMIT FEE CALCULATION(�) � ���� � BASED OFF -2002 STATE STATt1E � ❑ 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;excludine the cost of the fixture or appliance:and 3. [s improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-[n Fee(If Applicable) $ 1.50 Total Permit Fee $ y�.. �^t��� y�"� [Y ; G���'����� ., ;-: ' s,"" � . f �„ ��:C�������Lr, .+,; _:.: ,.'"..�.�!� 4J ,r� '� If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) ��� � x.0125$ ���� � (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50) (�.,r� '� x.0005 $ • l� O (contract price) (minimum$ .50) 3. POSTAGE&HANDL[NG(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��• 3� ■ * 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 installations are 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 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(9�2)249-4600 for the pr;ce. MECHANICAL PERMIT APF ;, ,,,�.,,,��A�a`rREEMENT 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: Date: ' � Reset Form 3 ' �� . _ . � � � � � � DATE TIME CITY OF ORONO CALLED IN INSPECTION O ICE SCHEDULED _� -�� PERMIT NO. COMP�ETED ADDRESS 7.�i �-� �u-Ld'��`' I�2 OWNER CONTR.�.cJj�t c� o�' �P TELEPHONE N0. 7�p �J���CO- o���� � � DESCRIPTION �1-- �� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS � � O 03 INSULATION 24/25 WOOD BUR FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � o � � (�(.Jn �—f-61 ,' �S '(`. �• � � �f��C�l�..� 0 � W � Q � Z W � W � j GW �RKSATISFACTORY:PROCEED [� PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice