HomeMy WebLinkAbout2007-P10930 - gas fireplace PERMIT
� CITY OF ORONO
Permit Number:
2750 �Kelley Parkway- PO Box 66 P1093o
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Pernuts
(952j249-4600 Date Issued: 4/26/2007
SITE ADDRESS: 2650 Countryside Dr W Unit#
Long Lake,MN 55356
PID: 04-117-23-12-0014
DESCRIPTION:
Proposed Usc: 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: $ 35.00 valuation: $ 1,800.00
State Surcharge Fee: $ 0.90
TOTAL FEE: $ 35.90
APPLICANT: Advanced Air&Fire OWNER: Robert Jorgenson
Eden Prairie,MN 55346 2650 Country Side W
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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�,A LICA�} PF,RMITEE SIGNATURE ED BY SIGNATURE
Copies: 1-File(Signa[ures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR CITY USE ONLY
� ���,��` City of Orono
�� `�'O P.O.Box G6 Date Received: Permit#
,,,,� 27�0 Kelley Parkway A roved B Amount$:
a �1���,�;;'-. � Crys•tal[3ay,MN 55323 PP Y�
` �.� ��?�-v�-;a. o` 9�2 249-4600
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CITY OF ORONO -MECHANICAL PERMIT
(All Commercial permits must be approved by the Building OCticial or Inspector and/or Fire Marshall)
GENERAL 1NFORMATION
1. You may apply for mechanical pennits by mail or in person at tl�e City offices. Applications will
be reviewed and a pernut will be issued within two working days.
2. Pernut cards will be sent by retuin mail after a review is completed. PERMITS ARE NOT
VALID UI`TIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desioi7s—Complete ealculations, details and specifications are requn�ed for each
heating,ventilation, hlmiidification-dehumidification, and air conditioning installation including
heat loss/heat gain calculation, design temperahu-es,equipment ratings and identification as to
type, manufacturer and model. Data shall be presented on forni provided.
4. When any new conshliction or remodeling is involved, a separate building pernut must be
obtained.
5. � All work must be done iii accordance�vith 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 subnutted before final.
TYPE OF PERMIT
(Check All That A ly)
❑ Residential ❑ Coinmercial(Approval Reqtiired)
❑ New ��Additional ❑ Repairs ❑ Replace
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Job Site/ Owner Information:
Site Address: ���� ��`� r S�� ��' �`
Owner: ��l��U^� J`� � .�� Mailing Address: z�'S� �� �� S"'�' ��' �-
��ty: �� � Z�p: -�5`�3�d
� � _ _�o, cy
Home Phone: Alternate Phone: +C �2 � �� (�
Contractor Information:
�) — '
Contractor: 1� C V � �Contact Person: � l�S l�-
�J , /�
Addr�s�:� (n �`' � State Bond #: �
Gity. �F� ��V� Zip:�J �Expiration Date:
Phone: ��Z ' ��Z� �7 `'17S Altei�late Phone:
❑ Insurance- CurYent:
1
4 • MECHANICAL SYSTEMS BEII�TG INSTALLED j
� HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
� Gas Factoiy Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: % ' �'f__��=' Model No.: � �^ �� /
VENTILATION
❑ No. Kitchen Exhaust duct recirctilating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FLiEL 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 fixnire or appliance that meets all tluee of the following requirements:
1. Does not require modification to elech-ical or gas service.
2. Has a total cost of$500.00 or less;excludin�the cost of the fixttire or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Sl:ip next section,if this applies; Cost of Pernut $ 15.00
State Surcharge $ .SO
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 contract price�vith a(Minimum Fee of�35.00)
���
; Q �
x .0125 $
contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(n4inimum Fee of$.50)
x .0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HAI�TDLII�TG(Only on Mail-In Applications) $ 1.50
4. TOTAI,PERIVIIT FEE(Add Lines 1-3 Above) �
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pernutted 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 pernut fee puiposes. 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 conh�act.
■ ** 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 Pennit, 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 ana
correct. ,
� �
Applieant's Signature: Date: � �
�
�
,
�= TIME ✓
CITY OF ORONO CALLED IN
INSPECTION TI SCHEDULED -' '"�
PERMIT NO. ��� COMPLETED
ADDRESS 4�d�� �'1� l.t�
OWNER CONTR.�A��f/ FULQ "� �U"
TELEPHONE NO. `7��- �`�'a' ����
� DESCRIPTION ���'`� �� �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTAL.L. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED f� PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED r, ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. J PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR u CITATION ISSUED
C INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContr_ n 1�i�e:
Inspector. -- V
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