HomeMy WebLinkAbout2008-P11976 - gas fireplace PERMIT
CITY OF ORONO
, 2750 Kelley Parkway - PO Box 66 Permit Number: p11976
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
4/11/2008
SITE ADDRESS: 2655 Countryside Dr W Unit#
Long Lake, MN 55356
PID: 04-117-23-13-0006
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approvcd per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 96.25 Valuation: $ 7,700.00
State Surcharge Fee: $ 3.85
Misc. Fee: $ 1.50
TOTAL FEE: $ 101.60
APPLICANT: Advanced Air&Fire OWNER: Neail&Irene Levy
6724 Kingston Dr. 2655 Countryside Dr W
Eden Prairie, MN 55346 Long Lake MN 55356
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.
t
_ l✓l�-�'l, v►'l.
APPLICANT Pf?RMITEE SIGNATURE SUGD BY SIGNATURE
Copies: 1-File(Signatures Reqitired), 1-Applicant, 1-Monthly Reports, I-Assessing,(If Septic, 1-Septic) Page 1
�1 r �v", �C`!� FOR CITY USE ONLY
1�
`'Q City of Orono ,�
� � ' P.O.Bos 66 �1�' Date Received: Pemi it 31
�n --- --
� � � ���� 2750 Kclley Parkway �y I�
a� iis� h; Crystal Bay,?�LN 55�2; � Approti�ed F3��: __ Amount$ - ----
� � G`; (952)249-4600
���g0.:
CITY OF ORONO- MECHANICAL PERMIT
(All Commereial permits must be approved by the Building Officiai or Inspector andlor Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City oftices. Applicati�ns will
be reviewed and a pennit will be issued within rivo working days.
2. Yermit cards will be sent by return mail after a review is completed. PF.RNIITS ARI?N(�T
VALID iJNT"IL YOU RECI�IVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB S1TE.
3. Meehanical Desiens—Complete calculations,details and speciYications are required lor each
heating,ventilation,hutnidi6cation-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identitication as to
t�pe,manufacturer and model. Data shall be presented on form proF�ided.
4. When any new construction or remodeling is involved,a separate building pernlit must be
obtained.
�. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requiremenLs.
6. All work must be inspected(rough-in and tinal). Call(952)249-4600.
(2-1-�8 hour notice required)
7. T Iouse Heating'I�est Record must be submitted before final.
TYPE OF PERMIT
� (Check All That A i �)
�Residential ❑Commercial(Approval Required)
❑ New ❑Additional ❑Repairs '�f2eplace
Job Site/O«mer Information:
Site Address: D��J S� �UU���I/;S i�� �J�1(/`�- �'�
O�vner: ��� Mailing Address: �C�-yYL�.,
City: ��� (�� L7 Zip: ��j �J �'
Home Phone: ��Z%`� 7 �`7'7QC� Alternaie Phone:
Contractor Information:
n,�'/� ,��L-- -
Contractor: V�rii � �� �� �ontact Person: �t,(;.�� �Lk,
Address: �1�1ul���n p���" State Bond#: �j � �(� ���L
���: �� p�a��i�e Zip:��rpiration Date:
Phone: G52-�1`�J�`�t�lU l Alternate Phone: ��Z O'��7 �L��
❑ Insurance-Current:
1
, N���.AN�CAL��S'�`E1ti�S B�II�����T,t1;��.�I3 :
HEATING SYSTEMS
Quantiti�:
Make:
Model:
Fucl:
Fhie Size:
Input BTUs:
Output 13TUs:
CPM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
}I. Power
FIREPLACES ��� �j��QQ�-i'l)-(7l0 rn
�h
3.-u�('� � Gas Factory Fireplace �5 d Q o "�"`��� ��
❑ Wood Bur�uilg I�ireplace �
��/ ❑ Wood Stove
❑ Wood Stove With Flue
\ i
I3rand Na�i`�J rn�n�d� �X v ��del No.: D�U" y�j
VENTILATION
❑ No. Kitchen E�haust duct recitculating cfm
❑ No. Bath Exhaust(must bave duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BF,APPRUVED BY FIRE Mf1ItSHf�I.,I,)
❑ lnstallation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
, ' P��ti-i��r ��� C,�L�'U�,�ZtO�ts)
���'� �� a,����v o��� -�r�������TAT� s�r�a��L�� � � �
❑ Yes,this section applies
The replacement of a Residential fiature or appliance that meets all three of the following requirements:
I. Does not require modification to electrical or gas service.
2. Has a total cost oY$�00.00 or less;excludin�the cost of the fixture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed conVactor.
Skip ne.r-t section,if this applies; Cost of Yermit $ 15.00
State Surcharge $ SO
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
: I�E�#.I'�IT�E�C���Lzak'FIf��T� -.TOB�'(���R��00:�
If above does not apply,follow guidelines below:
1. CO1VT'RACT PRICE ' is 125%of c�ntract price�tiith a(Minimum Fee of$35.00)
��S
�1 x.o12s$ �� =
contract price) (minimum$35.00)
2. STATE SURCHARGE •x Add the State Bldg Code Div. Surcharge(M;nimun►Fcc of 5.50)
� �� x.0005 $ �- ��
' (c ntract price) (minimum� .�0)
3. POSTAGE 8i HANDLING(Only on Mail-In Applications) $ 1.50
�
�. TOTAL PERMIT FEE(Add L,ines 1-3 Above) ����
■ * CONTRACT PI210E or JOB COST means the achaal or estimated dollar amotu►t charged for the
pennitted�rork including materials, labor,profit,and other fised 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 patty,the reasonable market value of such items must be added to the
estimated cost or contract price for pecmit fee purposes. In the event that there is a dispute on the
amount of the job cost, the Citv may request the submission�f a signed copy of the actual contract.
■ '"*The STATE SiJRCHARGE is.(x1U5 of the}3uildnlg Depart�nent at(9�21?49-�fi00 for the price.
��Ck�I�I�C��E��IIT t�'PI�ICI�TI�}N.'ACr�E�MEI�'
The undersigned hereb_y applies to the City for issuance of a Mechanical Permit, agrees to do all
��ark in strict accordance with the ardinances of the Cit� and the regulations of the State of
Minnesota_ and ccrtifies that all statemcnts madc on this application are complete, truc and
correct.
Applicant's Signature: � Date:������ �
_
_.. _
Reset Forrt�
3
C�_� �- ✓
DATE TIME
CITY O ORONO CALLED IN / O
INSPECTION/N�OTICE SCHEDULED � C1:41�
PERMIT NO./"��9 7� COMPLETED
ADDRESS S.� ��� r�
OWNER CONTR��t/ [�.1/�- y
TELEPHONE NO.���{�T'_:1�C,�i����ti�l.�K� `��Gai�✓"��ol"�'�ID qS�
�3
� DESCRIPTION � � �Z���
� ❑ FOOTING ❑ ANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
� .
W
a
�
J
O
>.
�
O
�
W
�
Q
�
Z
W
�
W
�
�
�
d
� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED [�� ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-4600
OwnerlContractor on site:
Inspector. l.a✓�r�f✓.5��
White Copyllnspector's File Canary CopylSite Notice