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HomeMy WebLinkAbout2003-P06497 - gas fireplace CITY OF R N PERMIT O O � Permit Number: 2750 Kelley Parkway- PO Box 66 P06497 Crystal P�ay, Minnesota 55323 Pet'mit Type: Mechanical Permits (952) 249-4600 Date Issued: �ii�2oo3 SITE ADDRESS: 2740 Deer Run Tr E L.ong Lake,MN 55356 PI D: 04-117-23-13-0010 DESCRIPTION: Proposed Use: Residential Pernut Class: General Permit Type: Mechanical Permits Permit Sub-rype(s): Gas Fireplace DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: PernutFee: $ 79.44 Valuation: $ 6,355.00 State Surcharge Fee: $ 3.18 TOTAL FEE: $ g2,(2 APPLICANT: Automatic Garage Door&Fireplace OWNER: Mary Stuart Fox 9210 Wyoming Ave.No. 2740 Deer Run Tr E Brooklyn Park,MN 55445 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 SfATE OF MINNESOTA BUILDING CODE REQUIREMENTS. i� ��- �'� '(+ ' , � �- t � C ���� � � /'1 G�� APPLI ANT PERM[TEE SIGNATURE ISSUED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1 CITY UF ORONO APPLICATION FOR MECHANICAL PERMI: Box 66 (2750 Kelley Parkway} Crystal Bay, MN 55323 GEIVERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications wilI be reviewed and a permit will be issued within two working days. 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 BEGIN UNTIL THE PERNIIT CARD IS POSTED ON TI-�JOB SITE. 3. Mechanical Desi�-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. Identification of and specifications for water heating equipment shall also be provided. _ 4. When any new construction or remodeling is involved, a separate building permit 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�600. 24-hour notice required. 7. House Heating Test Record must be submitted before final. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call (952) 249-4600. Please check one: �New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial JOB SITE: rl � � . Zip: �,�,3q J Owner's Name: Phone Number: C15a—9S/�/-9y99 Mailing Address: / City: � Zip: ,>r'S�c,i� _ ��� Contractor's Name: ,[b�-�{��,�,,Q,,��„e.p� Phone Number: '7(03-3/5=7SUd Mailing Address:�`-f' _ � (}.,P �i3. City:l�v�.��..��ip: �` �,/y5_' . . __ � . :; : . _ _ : 1 SYSTEM DESCRIPTION • HEATING SYSTEMS Quantity: � � I Make: �pv�r�J-�'�Cv,-�-c�.� (�"� Model: �,;3�n����' �j��� c� SD� (�y�''� Fuel: _ .���_.p�- rr:i�.c�-� Flue Size: Input BTCJs: Output BTUs: ' CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIltEPLACES [� Gas factory fireplace � Wood burning factory fireplace with flue Wood Stove ❑ Wood stove with flue Brand Name GLc.-�� ����'� - Model No. �7��(o/3D0�'� . VENTILATION � -=�''s—��. . . 5[j����-I/�'1 _ No. Kitchen Exhaust duct recalculating cfin No. Bath Exhaust(must have duct outside) cfm No: Other Fans: Locations cfin FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL) ❑ Installation or ❑Removal ❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside , ❑ LP Gas: gallons � ❑ Other Gas opening 2 s w PER:'�IIT FEE CALCULATION(S) 2002 State Statute ❑ Yes This Section Applies The replacement of a Residential fiYture or appliance that meets all three of the following req�iirements: 1) Does not require modification to electrical or gas service. 2) Has a total cost of$500.00 or less; escludinQ the cost of the fi:cture or appliance: and 3) Is improved, installed or replaced by the homeo�vner or licensed contractor. Skip next section; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee $ 1.50 If above does not apply, follow guidelines below: 1. Contract Price* is .0125% of job with a vlinimum Fee of(�35.00) �0"�5�, Y .ol2s $ �`1�i,�-I� (contract price) (minimum$3�.00) 2. State Surcharae. ** Add the State Building Code Division a Minimum Fee of($ .50) �n3��� Y .0005 $ '� ,�g (contract price) (minimum�.�0) 3. Postaae and Handlin�(Only mai[-in npplications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �{`��p� *CONTR�CT PRICE or JOB COST means the actua]or estimated dollar amount 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, equipmen� (abor,or installation is furnished by the o���ner,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 si2ned copy of the actual contract. **The ST�TE SURCHARGE is.000�of the contract price under$1,00Q000 or$.�0-whichever is greater.For valuations over $1,000,000 ca(i the Department of Inspectional Services for the price. The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do ail�cork in strict accordance with the ordinances of the City and the regulations of the�finnesota S[ate Building Code,and certifies that all statements made on this application are complete,true and correct. Applicant's Sib ature: Ti�/!�� ,�:�Q.�z�¢,�-zCz�. Date: �'�'� Approved By: Date: 3 � � DATE �.7 TIME CITY OF ORONO LLED IN « INSPECTION,�IOT CE SCHEDULED �,� PERMIT NO,�� COMPLETED � ADDRESS � . OWNER CONTR. TELEPHONENO. ��fi' � �l� `��� (� �`x'�2 � DESCRIPTION � /�--�- J'`c_ � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLIN � 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 OS 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 v 10 PLUM8ING FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � W � � J O �. � O � W � Q � 2 W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑ ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next ins�ection 24 hours in advance. (952) 249-4600 OwnerlContractor te: Inspector. White Copyllnspector's File Canary CopylSite Notice Cs� � � DATE TIME CITY OF ORONO CALIED IN 7—� INSPECTION NQTICE p -7 SCHEDULED �-Ly-Q3 D'.3 C"� PERMIT NO. �J���! / COMPLETED � ^ ADDRESS_ _ o� 7`�C7 ��-�--_T/? �-- , OWNER CONTR.�L���¢" �� TELEPHONENO. 7�3"�3�5� �75�.(� � DESCRIPTION l� P ���7u�L �`1 � 01 FOOTING ,/��1ECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING F13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 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 J 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 2 OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: a �d ���j►t")'i't!✓1� }P-� � J O >. � O � W � Q � 2 W � W � � GW ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call forthe next ins ction 24 hours in advance. (g52) 249-46�� OwnerlContra o e: Inspe o �' White Copyllnspector's File Canary CopylSite Notfce � Q C a V DATE TIME CITY OF ORONO ��CALLED IN �/�!n-3 INSPECTION NO CE SCHEDULED s��lv� � PERMIT NO. 7 COMPLEfED ADDRESS -�ft-/1 � OWNER CONTR. TELEPHONE NO. __ �� �' � ��� -- ��� � DESCRIPTION /-ls��� /``�`�- � 01 FOOTING 17 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 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 � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � � W a � J O � � O � W � Q � 2 W � W � � � a W, WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CEFTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN �STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Cail for the xt inspection 24 hours in advance. (g52) 249-46�� OwnedContra si e: Inspector. White Copylinspector's Fil Canary CopylSfte Notice