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HomeMy WebLinkAbout2005-P08948 - wood fireplace s ,� PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p08948 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 7/11/2005 SITE ADDRESS: 270 Crestview Ave Unit# Long Lake,MN 55356 P��� OS-117-23-14-0063 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Wood Fireplace DETAILS: Approved perresolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 52.50 valuation: $ 4,200.00 State Surcharge Fee: $ 2.10 TOTAL FEE: $ 54.60 APPLICANT: Hearth&Home Technologies Inc. OWNER: Lewis&Leslie Bautista DBA: Fireside Hearth&Home 270 Crestview Ave 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. ���Y��'" —� �'•� ��� -, � _ � . �,'�_ � �;�,��---�'��-� APPLICANT PERMITEE SIGNATURE � ISSUED BY SIGNATURE Copies: 1-File(Sig�:atures Reguired), 1-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � * . FOR CITY U5E ONLY � City of Orono �i , �j� Q - � � P.O.Box 66 Date Received: �"�(��, Permit# �O ��u ��;;;;...�,, � 2750 Kelley Parhway a '''`'3� '" � Cr stal Ba MN 55323 A roved B "':�� Amount$: ��� �� 9 1���:ti�'';:�o` (952)249-4600 PP Y� � �, ��r u < ,�?i,; � '�sexo$ � CITY OF ORONO —MECHANICAL PERMIT (Al(Commerciai pennits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within rivo working days. 2. Pernut cards will be sent by retuin mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK AIUST NOT BEGIN UNTiL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations, details and specifications are required for each l�eating, ventilation,humidification-dehtmudification, and air conditioning installation iucluding heat loss/heat gain calculation, design temperahu-es, 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 pernut must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work mtist be iilspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be subinitted before final. TYPE OF PERMIT (Check All That Apply) �Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: Site Address: ��� �(GS �'�; e�•� �4 e /yt�yol cG�n�C Owner: �.ew�s �o.�.�:s�-� Mailing Address: �7G 5� ���J'�K I��. /»n_ � City: �f��C Zip; S5'�a/r Home Phone: �L'��'���' J(,��D Altei-�zate Phone: �D1�- (Q7b �(�� �� Contractor Information: aba Fk..w.MMrth a Contractor: ��� ��� Contact Person: Ros�vlll�.MN S61 t� � 95t/e33•2se� State Bond #: Address: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 � * M MECHANICAL SYSTEMS BElNG INSTALLED HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES � Gas Factory Fireplace Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: � � '�� Model No.: �� L'� �2�t:c t�c. VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ I`To. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHALL) , .�..� _. + . ❑ Installation ❑ Removal 'r ' ` �� ��`� ", � � '�"r: . . . . Fuel Oil: gallons ❑ U�dAPgi�ound ❑;Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: � , � . � PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all tluee of the following requirements: 1. Does not require modification to elech�ical or gas seivice. 2. Has a total cost of$500.00 or less; excludin�the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the i�omeowner or licensed contractor. Skip next section, if this applies; Cost of Pernut $ 15.00 State Surcharge $ .�0 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 conn•act price with a(Minimum Fee of$35.00) 1�L�' ,C:�� x.0125 � (contract price) (minimum S35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) x .0005 $ (contract price) (minimum$ .50) 3. POSTAGE &HANDLIIvTG(Only on Mail-In Applications) $ 1.50 4. TOTAL PERIVIIT FEE (Add Lines 1-3 Above) $ ■ * CONTR.ACT PRICE or JOB COST means the actual or estimated dollar amoLmt charged for the permitted 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 funiished by the owner, tenairt 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 subnussion of a signed copy of the actual contract. ■ ** The STATE SURCHARGE is .0005 of fl1e Building Deparhnent at(952) 249-4600 for the price. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Pernlit, 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 and correct. Applicant's Signature: '`'�J Date: �/��/�' � 3 �� CJ ' DA E TIME v CITY OF ORONO CALLED IN �'� INSPECTION J� SCHEDULED __� r PERMIT NO. r COMPLETED ADDRESS O OWNER �D,Gcl�fiJ ��� �, CONTR. TELEPHONE NO. �/ l� �ZS� 70�9 � 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 Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � � ; W � � , Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CA�I FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL T ARRANGE ACCESS. Call for the ne t in ection 24 hours in advance. (952� 249-46�� OwnerlContr on sit : Inspector. White Copyll�spector's File Canary CopylSite Notice � � � /�// DATE TIME CITY OF ORONO CALLED IN J v �' INSPECTION NOTI SCHEDULED � PERMIT NO. COMPLETED ADDRESS �� �Q ���T�j�-�� � OWN ER �,,4,�„�j��'f1�c-140NTR. TELEPHONE NO. ��^I� '� � � ���_ �- DESCRIPTION � � ��� � � 01 FOOTING CH NICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � ALL BD� 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 5 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTAL�. 22 FOLLOW-UP � 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL � 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU YES_NO � COMMENTS: � W a � �c� gQ�b 0 a � 0 � w � Q � � W � W � � d W WORKSATISFACTORY:PROCEED [; PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED �:. ISSUE CERTIFICATE OF OCCUPANCY W Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContrac sit . Inspector. � White Copyllnspector's File Canary CopylSite Notice ��`� �'� ? � DATE TIME CITY OF ORONO CALLED IN ��J INSPECTION NQ,T���p. SCHEDULED lD-S-OS 3.'�o PERMIT NO.� 0 COMPLETED ADDRESS a70 �� . OWNER CONTR. TELEPHONE NO. �P`o� 9l9 a �7�" � DESCRIPTION � — ������'2i�� �T � � 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 Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-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: � W � , o l��1� � f�'1 V�11 �frd(��1� a � ` . ° Gl�1c �v'\. .� � �5 <����,e � � w � Q � z W � W � � d W RK SATISFACTORY:PROCEED f� PROJECT COMP�ETE � ❑C RRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � CORRECT WORK,CALI FOR REINSPECTION TEMPORARY ' � ORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN � CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContrac ite: . Inspector. White Copyllnspector's File Canary CopylSite Notice