HomeMy WebLinkAbout2005-P09171 - gas fireplace PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09171
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952) 249-4600 Date Issued: 9/14/2005
SITE ADDRESS: 930 Cox Farm Rd Unit#
Long Lake,MN 55356
PID: 27_118-23-33-0013
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: Permit Fee: $ 35.00 Valuation: $ 2,300.00
State Surcharge Fee: $ 1.15
TOTAL FEE: $ 36.15
APPLICANT: Hearth&Home Technologies Inc. OWNER: Mr. &Mrs.Killingstad
DBA: Fireside Hearth&Home 930 Cox Farm Rd
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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APPLIC T PERMITEE SIGNATURE ISSUED BY S[GNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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� . FOR CITY USE ONLY
� • O,���O City of'Orono
P.O.Box 66 Date Received: Permit#
�,;;4i 2750 Kelley Parkway
a ',��t:�;�'�,_ �. Crystal Bay,MN 55323 Approved By: Amount$:
� �(��`�i�a` (952)249-4600
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CITY OF ORONO —MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Ofhcial or Inspector and/or Fire Marshall)
�JENERAL INFORMATION
1. You may apply for mechanical pernuts by inail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Pernut cards will be sent by return mail after a review is completed. PER�VIITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—Complete calculations,details and specifications are required for each
heating,ventilation,hunudification-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 fornl provided.
4. When any new construction or remodeling is involved,a separate building pernut must be
obtained.
5. All work must be done in accordaiice with the Uiiiform 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 Appl )
�Residential ❑ Corrunercial(Approval Required)
❑ New ❑ Additional ❑Repairs �Replace
Job Site/ Owner Infornlation: �
Site Address: %,3� C- �X ����� ��9` �
Owner: �an S ������, 5�<<<� Mailing Address: S ``�`t
City: � fUn d Zip:
Home Phone: /So7-7�/S- 9a�� Alternate Phone:
Contractor Information:
iMirM��Ilo�Tis��olooi�s Inc.
Contracior: d�,.FkMid� M��c�1�r��lt�ierson:
�10� �tZ000
2700 N. FMnri�w Aw.
Address: Roa�.�ssCt�tte Bond #:
2set
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance— Cunent:
1
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MECHANICAL SYSTEMS BEING 1NSTALLED ' , ��
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES �_ ��.�5 �� S /
y C.�c�$ �,`� e �, x;s�,`�.,J
❑ Gas Factory Fireplace
❑ Wood Buining Fireplace
❑ Wood Stove
❑ Wood Stove With Flue C w L -��-NL' � �
Brand Name: I�e`Y��'` L' � a Model No.: S�wL �'2���� �
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhatiist(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FtiEL STORAGE (.�VIUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ I�h��.>�a��.fi�i�oF1��f
yr�rl�� Y �','7fi'� �b'ilR►i� !�
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Fuel Oil: gallons .�,,��i�e�"�lnd ❑ Inside ❑ Outside
LP Gas: gallons ' �`c=�*� ,+�ay�r ;t�
Otl�er: ��.:��.�.�,�, ::.�
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this secrion applies
Tl�e replacement of a Residential fixture or appliance that meets all tlu�ee of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludinQ 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 Peinut $ 15.00
State Surcharge $ .50
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 with a(Minimum Fee of$35.00)
�3�' � x.0125 $
(contract price) (minimum�3�.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .�0)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT 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 fiunished 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 fllat 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.
m **The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
The wldersi��ed hereby applies to the City for issuance of a Mechanical Pennit, agrees to do all
worlc 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.
Applicant's Signature: ! Date: � /5� ��
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CITY OF ORONO ��� CALLED IN ���� �
INSPECTION NOTICE SCHEDULED �� �CZ
PERMIT NO. � ���� � COMPLETED
ADDRESS 7 �(l C /� X �G��2/12�
OWNER CO TR. �.✓����
TELEPHONE NO. �� - � 0 ��
� DESCRIPTION ��� Q��� `
� 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTA�L. 22 FOLLOW-UP
T09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU. YES_NO
� COMME TS: _ �
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W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W �CeRRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑ INSPECTIONREQUIRED.CAL�TOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
/ �
Inspector. ( �,�f—/� �
White Copyllnspector's File Canary CopylSite Notice