HomeMy WebLinkAbout2008-P11808 - gas fireplace � - PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: p11808
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
1/15/2008
SITE ADDRESS: 2695 Deer Run Tr E Unit#
Long Lake, MN 55356
PID: 04-117-23-13-0012
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Perinit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAI LS:
Approvcd per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 va�uation: $ 2,000.00
State Surcharge Fee: $ 1.00
rroT.aL FEE: $ 36.00
APPLICANT: Practical Systems OWNER: Arthur&Katherine Bemian
4342B Shady Oak Rd 2695 Deer Run Tr E
Hopkins,MN 55343 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.
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� APPLICANT PERMITEE S[GI�ATUR[ ISSUED BY SIG:VATI;RG
Copies: 1-File(Signatures Required), 1-Applicant, I-Monthly Reports, 1-Assessing,(If Septic, I-Scptic) Page 1
� F'OK CITY USE ONLY
Q City of Orono
� ;O� �O',i� P.O.Box 66 Datc Reccived: Pcrmit� .—
�� 27�0 Kcllcy Parkway
a r. Crys[al Bay,MN 5�323 ApproveJ By: Amount$:
`'����.r°^�:- t���� (952)249-4600 --
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits mutit br approved by the Building Official or Inspector�nd/or Fire Marshalll
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a pern�it will be issued witliin two w�orking day5.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEG1N UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns -Complete calculations,details and specifications are required for each
heating,ventilation,humidification-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 form provided.
4. When any new construction or remodeling is involved,a separate building pennit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call (952)249-4600.
(Z4-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That A 1 )
�Residential ❑Commercial(Approval Required)
❑ New �Aclditional ❑Repairs ❑ Replace
Job Site/Owner Information:
Site Address: ,�1.(/ �� I ),P�� +�-�-� �� �
Owner: r�Y �" �.e�(Y�L�=1'� Mailing Address: ��'►'t-e
City: Zip: `�r�3 �J�
Home Phone: ����r `�'�(1✓����5 Alternate Phone:
Contractor Infor�nation:
Kline Corp.
Contractor: DBA: Practical Systems t Person:
4342B Shady Oak Road �z,���
Address: Hopkins, MN 55343 ond#: �J--�
952-933-1868
City: �,Y. �,.Y..,,�ion Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
MECHANICAL SYSTEMS BEING 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:�1���� Model No.: �(/�/0/5
VENTILATION
❑ No. Kitchen Exhaust _ duct recirculating _cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGF,(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Remova]
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
. . .
.
� PERMIT FE�CALCULATION(S) �
BASED OFF - 2002 STATE STATUF,
❑ Yes,this section applies
The replacement of a Residential tixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of 5500.00 or less,excludin<�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 Permit � 15.00
State Surcharge � .50
Mail-In Fee(If Applicable) $ I.50
Total Permit Fee $
PERMIT FEE GALCULATION(S) -JOBS 4VER$500.00
If above does not apply;follow guidelines bclow:
I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
�� � r .0125�__ �� "Uv
(contract pricc) (minimum$3�.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
�/n�� l � U 1
vuv x .0005 $ � �
� (contractpricc) (minimum$ .SO)
3. POSTAGE& HANDLING (Only on Mail-In Applications) � 1.50
4. TOTAL PERMIT FEE(Add Lines I-3 Above) $ ��- �
• * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor, profit, and other tixed 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 permit fee purposes. 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 contract.
■ **The STATE SURCIIARGE is.0005 of the Building Departinent 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 and
correct.
Applicant's Signature: � Date: �/���
Reset Form
3
� !� �
� DATE TIME
CI Y OF ORONO CALLED IN � Z �
INSPECTION N TICE �j SCHEDULED � ' �
PERMIT N0. �/ O COMPLETED
ADDRESS a� 9J`� «%�-�L- �u--1�1 �� �Q��
OWNER CONTR. T�UZ� �t�15��
TELEPHONE NO. �J`�� - �J?.� - ` ��o�
� DESCRIPTION Q�� �j� ��'GL_� �-�
�
� ❑ FOOTING ❑ MEC NICAL RI EXCAV/GRADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
Q ❑ 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
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED _ PROJECTCOMP�ETE
� .O CORRECT WORK&PROCEED _i ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL{NSPECTOR '-� CITATION ISSUED
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance. (952� 249-46�0
Owner/Contrac
Inspector.
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