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.
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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� �
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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
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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:
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� ❑ 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
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/�// 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
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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:
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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:
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� 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