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Home My WebLink About2007-P11597 - gas fireplace PERMIT CITY OF ORONO Permit ►vumber: 2750 Keiley Parkway- PO Box 66 P11597 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts (952) 249-4600 Date Issued: 10/19/2007 SITE ADDRESS: 2630 Countryside Dr W Unit# Long Lake,MN 55356 P�� 04-117-23-12-0015 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: Pernut Fee: $ 46.25 Valuation: $ 3,700.00 State Surcharge Fee: $ 1.85 TOTAL FEE: $ 48.10 APPLICANT: Hearth&Home Technologies OWNER: Todd&Katherine Urness DBA: Fireside Hearth&Home 2630 Countryside Drive W. 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. � ,� � l � -�-- f�('�- C�_ , '�. APPLICANT PERMITEE SIGNATURE S ED BY SIGNATURE V Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 FOR CITY I;SE ONLY � �� City of Orono '�4 �� P.O.Box 66 Date Rzceivzd: Pem�it# � , ;�� '` �"50 Kelley Parkway ---- � �� -�`; �� Crystal Bay,'v1N 55323 Approved By: Amount$: �y, Il <•�R�A4o�$G� (9�2)�39-4�0� CITY OF ORONO - �IECHANIC:�L PERIIIT (,111 Commercial pem�its must be approved by the Building Otficial or Inspector and br Pire�vtarshall) 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 L'NTIL YOU RECEIVE A PER�titIT. WORK:�IUST NOT BEGIN UNTIL THE PERI�IIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical DesiQns—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 l�techanical CodeiState 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 Apply) �esidential ❑ Commercial (Approval Required) �ew ❑ Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: Site Address: �� 1'�-1 � ,�4 I-'< �V-C W • Owner: ��.�C��► � �►�l,�i� Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: i1M�M�i i�TiabiolodM��• f ' Contractor: �fN'�M�h a�� Contact Person: � U(�_ �� I �� l700 N.f�briwr Aw• pp�vip�,liAN lf31 t� Address: a�11s�.Zist State Bond#: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance-Current: 1 MECHANICAL SYSTEMS BEIivG INSTALLED HE:�TI�G SYSTE�1S � Quantity: 1 Make: l.� Model: � `L��►�/ Fuel: ( � Flue Size: �'S Input BTUs: `�.C� . (j�Z Output BTUs: CFM: COOLIVG Sy'STEMS Quantity: Make: Nlodel: Tons: H. Power FIREPL.aCES � Gas Factory Fireplace Wood Burning Fireplace Wood Stove � � ❑ Wood Stove With Flue �-' � Brand Name: 5� Model No.: VENT[L.aTION ❑ No. Kitchen Exhaust duct recirculating efm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FL'EL STOR.aGE(NtUST BE APPROVED BY FIRE NIARSHALL) %rl .,�ti++D�w�rT f+�pM!R;ti/�►i ❑ Installation ❑ Removal �t! • r�t,� �pa�l,�� OAOS�°:!� �„� Fuel Oil: gallons ❑ Under��*��Outside LP Gas: gallons � ��ag.�;t� ,;p Other: GaS L[NE OtiGY ❑ Outdoor Grill ❑ Other i List What& Where: 2 PERMIT FEE CALCULATION(S) ' ' � � BASED OFF - 2002 STATE STATUE ❑ 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$�00.00 or less;excludina the cost of the fixture or appliance: and 3. Is improvcd, installed or replaced by the homeowner or licensed contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Ntail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ PERMIT FEE CALCULATION(S)—JOBS OVER $500.00 lf above does not apply; follow guidelines below: 1. COVTRaCT PRICE * is 1.25%of contract pnce with a(;�linimum Fee of$35.00) ��7�Z , uZU X .o i�s � � (� �� (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(llinimum Fee of�.i0) �� ) 7�� CIZ x .0005 $ I �0 � (contract pnce) (mmimum$ .50) 3. POSTAGE & HANDLING(Only on iv1ai1-In Applications) $ 1.50 4. -['OTAL PER1�i[T FEE(Add Lines 1-3 Above) $ �1 � � � • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount char�ed for the permitted work including materials, labor, profit, and other fixed costs. [t 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. [n 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. MECHANICAL 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 certiftes that all statements made on this application are complete, true and correct. Applicant's Si;nature: Date: �U � � � � 3 t /�� P T � O^l TIME V CITY OF ORONO CALLED IN +0�� INSPECTION NOTICE SCHEDULED � �� PERMIT NO. � COMPLETED ADDRESS �� 0 0 S OWNER CONTR. �— �� -� --�F�r'� r�f�'� TELEPHONE N0. J � � �>�' `,�J�� DESCRIPTION � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPT C FINAL ❑ HARD COVER REMOVAL J ❑ P�UMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d W� ORK SATISFACTORY:PROCEED I,, PROJECT COMPLETE W ❑ RRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR W{LL RETURN �STOP ORDER POSTED.CALL{NSPECTOR r CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. ��t /�I-'/� l5 � White Copyllnspector's File Canary CopylSite Notice