HomeMy WebLinkAbout2005-P08484 - gas fireplace - . PERMIT
CITY� OF ORONO Permit ►vumber:
2750 Kelley Parkway - PO Box 66 P08484
Crystal Bay, Minnesota 55323 Per'mit Type: Mechanical Permits
(952) 249-4600 Date Issued: 3i3�2oos
SITE ADDRESS: 781 Boulder Dr
L,ong Lake,MN 55356
PID: 33-118-23-11-0008
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Set&Vent only-gas by others
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,000.00
State Surcharge Fee: $ 1.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.50
APPLICANT: Condor Fireplace&Stone Co. QWNER: 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 IMPROVENIENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND SI'ATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(Sienitures Required). 1-Applicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1
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FOR CTI'Y USE ONLY
` x` City of Orono
4�`Y\���" P.O.Box 66 Date Received: Permit#
`A Q��' 2750 Kelley Parkway
� }�� ��. %� Crystal Bay,MN 55323 Approved By: Amount$:
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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 witl 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
PERMIT 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 form provided.
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 Buiiding 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)
�New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
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Site Address: ���f
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Owne . . �L- ����-'�-� � Mailing Address:
City: ZtP:
Home Phone: Alternate Phone: J� ��� � 3��'�� ���
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Contractor Information:
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Contractor: U�'����'�=- , '��'���"��ntact Person: �
Address: �����'''�'L'^- �` n� State Bond#:
City: y V'�� Zip�7 3�Expiration Date:
Phone: ��'3��g�'� ���' Alternate Phone:
❑ Insurance—Current:
1
` > : ' 11�CHAI�CAL SYSTEMS BEFNG INSTALL�D �.,' ' '
HEATING SYSTEMS �
Quantity: i- - ---
Make: �
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
' Make:
Model: •
Tons: �
H.Power
FIREPLACES ���"J' '� ' /�� '���, ��"`"�.
V L�
�' Gas Factory Fireplace /,, ,� .L,"��,
❑ Wood Burning Fireplace �� �'�-'�( ��
� ❑ Wood Stove �� v
❑ Wood Stove With Flue
Brand Name. ���(�� Modei No.: (��Q l�l�v C� .
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) ��
❑ No. Other�'ans: 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 GALCULATI�N(S} ��� �
BASFD OFF -2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets a(1 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. Is 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-In Fee(If Applicable) $ 1.50
Total Permit Fee $
' PERMIT FEE CALCLIL�,'�"��� �; �B����R.$SOd:Q4
If above does not apply;follow guidelines below:
T. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
c.'� �`��_
��(/�';�� x.0125$ ��_> �1v
(coniract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surchazge(Minimum Fee of$.50)
x.0005 $ �� O�
. (contract price) (minimum$ .50)
3. POSTAGE&HANDLING(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 mazket 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(952)249-4600 for the price.
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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.
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Applicant's Signature: Date: ���" Q�
Reset Form
3
DATE TIME �
CITY OF ORONO CALLED IN �
INSPECTION NOTIC SCHEDULED 3" "� '
PERMIT NO. COMPLETED
ADDRESS 7�� �B"1.��� �
OWNER CONTR. `
TELEPHONE NO. ��3 7CS�� �-3 ��
� DESCRIPTION �r �--�
l� 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PlUM81NG FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CQRRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
D INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next i spection 24 hours in advance. (952� 249-4600
Owner/Contracto
Inspector. �
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