HomeMy WebLinkAbout2007-P11722 - gas fireplace PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11722
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
11/29/2007
SITE ADDRESS: 2630 Countryside Dr W Unit#
Long Lake,MN 55356
PID: 04-117-23-12-0015
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: � 43.75 valuation: $ 3,500.00
State Surcharge Fee: $ 1.75
TOTAL FEE: $ 45.50
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.
�
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A PLICANT PERMITEE SIGNAT�R[ S UED BY SIGIATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Asscssing,([f Septic, 1-Septic) Page 1
FOR C[TY LSE O�LY
� �
A� Cit� of Orono
��O`w\� P.O.Box 66 Date Raceived: _ Pzinii[� —
��� '� ����� _��0 Kalley P�rkway
Ia p �-'. �! Ciystal Bay.ti1N;�;�3 Approved By. Amount�:
��,�!t�`�j$�•7 i9��1 '_49-4600
\4R��A�:
CITY OF ORONO —��IECHANIC:�L PER�IIT
(:111 Commercial pern�its must be approved by�he Buiiding Official or Inspactor and-�or Fire�larshall�
GENERAL I'_�'FORiVIAT'ION
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.
?. Permit cards will be sent by return mail after a review is compieted. PER�t►TS ARE NOT
VALID U'VTIL YOU RECEIVE A PEILtiI[T. W'ORK �IUST NOT BEGIY l i�iTIL THE
PER�iIT C�RD [S POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations, details and specifications are required for each
heating, ventilation, humidification-dehumidification, and air conditionin� installation including
heat lossiheat�ain calculation, design temperatures, equipment ratings and idenCification as to
type, manufacturer and modeL Data shall be presented on form providzd.
4. W hen any new construction or remodeling is invoived, a separate building permit must be
obtained.
�. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. .�11 work must be inspected(rough-in and final). Call (9�2) 249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before tinal.
TYPE OF PER�tiiIT
(Check All That Apply)
�Residential ❑ Commercial(Approval Required)
�'`�Iew ❑ �dditional ❑ Repairs ❑ Replace
/
Job Site / Owner Information:
Site Address: � � �� V"�'n�n��� "�- � � ` ��� •
�
Owner: ��r��� �✓L� �5� I�lailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: Contact Person: �,Inc.
dba FinskN FNaRh d Homo
�ddress: State Bond �: ���� ���
R�1N�1AN b6113
851Ia33-Z5a1
City: Zip: Expiration Date:
Phone: �lternate Phone:
❑ Insurance — Current:
1
� i�1ECH�NIC�L SYSTE�IS BEI�G I�ST�LLED
HE.aTl1G S�'STE�IS
Quantity:
�takz:
I�Iodel:
FueL
Flue Size:
Input BTlis:
Output BTUs:
CFI�L
COOLI�G Sl'STE�IS
Quantity:
�take:
I�todel:
Tons:
H. Power
FIREPLACES
� Gas Factory Fireplace
❑ w'ood Burning Firzplace
❑ Wood Sto��e
❑ Wood Stove With Flue
Brand�1ame: ��� � �`� i�todel No.: _���� � �C�I�
��E�T[L.aT[O�
❑ No. Kitchen Exhaust duct recirculatin� cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FL;EL STORaGE('�tUST BE APPROVED BY FIRE ?�t.aRSH.aLL)
❑ [nstallation ❑ Removal
��a��c��i:.nc!.;41 urr;,u n ...:
ymoH ,� dh�eh� ���}��:t.��,. gallons ❑ CJnderQround ❑ [nside ❑ Outside
c�OS►�L�:G��ne_�=:gallons
arrA w��r�•s `�r1 OQ'"T--
"`f�'? 1t�th�lcirveac."
����'i ":�^_A�t::. .
c.as Li�rE o����
❑ Outdoor Grill ❑ Other ' List W'hat& W'here:
2
� PER�'��tIT FEE CALCUL�TION(S)
� B�SED OFF - 2002 STATE STATUE
❑ Yes, this section appfies
The replacement of a Rasidential fisture or a�pliance that meets all three of the following requirements:
1. Does not require modification to electrical or eas service.
2. Has a total co�t ot 5�00.00 or less; excludina 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 appli�s; Cost of Permit � I�.00
State Surchar�e $ .�0
I�tail-In Fee(If Applicable) $ 1.50
Total Permit Fee �
i PERNIIT FEE CALCULATION(S) —JOBS OVER $�00.00
If abo�e does not apply; fo(low guidelines below:
1. CO�ITR.aCT PRICE * is 1?�°�0 of contractprice with a(1linimum Fee of�35.00)
3 � J
sZv � � vX .o>>> � � � �� 5
(contract price) (minimum�>>.00)
2. STATE SLRCH.aRGE ** .add the State Bldg Code Div. Surcharge(�tinimum Fee of�.�0)
'��Q(J . U�ZJ x .000� � l • � S—
(contracc pnce) (minimum� 50)
3. POSTAGE & HANDL[NG(Only on Ntail-In Applications) $ 1.�0
�. TOTaL PE2vI[T FEE (:�dd Lines 1-3 Above) � C� • �
• * CONTRACT PRICE or JOB COST means the actua( or estimatzd dollar amount char�ed for the
permitted work including materials, labor, profit, and other fired 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. [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.
■ ** �['he ST.aTE SURCH,�RGE is .000� of the Building Department at(9�2)249-4600 for the pnce.
MECI�ANICAL PERi'�IIT APPLICATIOiV AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, a�rees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
�Iinnesota, and certifies that all statement� made on this application are complete, true and
correct.
��pplicant's Si�nature:`f� � Date: l � � v�� ' G�
3
�� "� DATE TIME �
' CITY�F ORONO LL iN
INSPECTION NOT E SCHEDULED ��� 7__���
PERMIT NO. connP�ETEo _�
ADDRESS r L� �
OWNER CONTR. (,(�
r
TELEPHONE N0. �
� DESCRIPTION d�/ �-� �`��
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
� ❑ WALL BD.
Z ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINA� ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU�YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED CT COMPLETE
W ❑CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne�ct inspection 24 hours in advance. (J52� 24J-4600
OwnerlCo c r rn�ite:
,,
Inspector. �
White Copyllnspector's File Canary CopylSite Notice