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HomeMy WebLinkAbout2003-P07128 - gas fireplace ' � PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Po�i2s Crystal Bay, Minnesota 55323 Permit Type: Me�hani�al Pe�ts (952) 249-4600 Date Issued: 12�29i2oo3 SITE ADDRESS: 2380 Devin Lane I,ong Lake,MN 55356 PID: 03-117-23-22-0013 DESCRIPTION: Proposed Use: Residential Pernlit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 37.50 Valuation: $ 3,000.00 State Surcharge Fee: $ 1.50 TOTAL FEE: $ 39.00 APPLICANT: Allied Fireside OWNER: Darrell Blauer DBA: Fireside Hearth&Home 2380 Devin Lane 2700 Fairview Long Lake MN 55356 Roseville, MN 55113 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK 1N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA UILDINCT C�DE REQUIREMENTS. i i / � _ ` � � "^''� � � � / �i- �' --ti i,,_E., '�.__ • '�'�/i�,� �.�J'll�-- ��- APP ICANT PERMITEE SIGNATURE � ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1 CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL IlVFORMATION 1. You may apply for mechanical permiU by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued�tizthin two working days. 2. Permit cards will be sent by return mail after a review is completed. PERIYIITS ARE NOT VALID UNTII.YOU RECENE A PERMIT. �VORK MUST NOT BEGIN UI�`TII..THE PERMIT CARD IS � POSTED ON THE JOB SITE. 3. Mechanical Desi rg�►s -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 pro«ded. Identification of and specifications for water heating equipment shall also be pro�zded. 4. When any new construction or remodeling is involved, a separate building permit must be obtained. 5. All work must be done in accardance nzth the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call (952) 249-4600. 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 WII.L\OT BE PROCESSED. If you have questions, call (952) 249-4600. Please check one: ❑ New ❑ Addition ❑ Repair ❑ Replace,�] Residential ❑ Commercial � JOB SITE• :� � � C`C, h 6' i f� Zip: Owner's Name: � � � Phone Number: �j ��;� - 5/�3 - � j 3�� Mailing Address:. � � • %'j� r�%"' City: �%k'�1���� Zip: ,� _5 3� /� ti y��'������ �i���f-sr�,=�,Od��� � / ����, Contractor's Name: ��Qbl-�D,� ��`�/��lh�� Phone umber:�-S/'� �� - /C-'4/� Mailing Address:��?�OG' ��/�Pc�/,�=�v City: �,��-i � Zip: �_� -�//� , 1 PERMIT FEE CALCULATION(S) 2002 State Statute ❑ Yes This Section Applies The replacement of a Residential fixture 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$500.00 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; 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 Minimum Fee of($35.00) �%�� � x .0125 $ (contract price) (minimum$35.00) 2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50) x .0005 $ (contract price) (minimum$.50) 3. Postage and Handlin� (Only mail-in applicatio�:s) $ 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 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 installation is furnished by the owner,tenant or any other party the reasonab(e market value of such items must be added to the estimated cost or contrac[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 SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater. For valuations over $I,000,000 call the Department of Inspectionaf Services for the price. The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all work in strict accordance with the ordinances of the Ciry and the re u(ationa o�t � nesota State Building C de,and certifies that all statements made on this application are complete,true�►d"c o r e '. � � �', �I i� . i Applicant's Signature:`- �{.� Date: � c� � (�`�j Approved By: Date: 3 SYSTEvi DESCRIPTION - HEATING SYSTEMS Quantity: Make: ModeL• Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Po�ver FIREPLACES GAS LINE ONLY �Gas factory fireplace�,1 �v j�>/) r ❑ Installing a Gas Line Only Wood burning factory fireplace with flue ❑ Wood Stove ❑ Wood stove with flue Brand Name �G(i���� j`—/� Model Na �L�/� ��[�� VENTILATION No. Kitchen Exhaust duct recalculating cfm No. Bath Exhaust(must have duct outside) cfm No. Other Fans: Locations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) ❑ Installation or ❑ Removal . ❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside ❑ LP Gas: gallons ❑ Other Gas opening 2 DATE TIME � CITY OF ORONO CALLED IN � '/ U INSPECTION NOTICE SCHEDULED - -U` � PERMIT N0. ��(= -J� 2.SC COMPLETED ADDRESS 6-��,�tRO �-C-:�,�(;'i� L.C�,Gi�. OWNER CONTR. (- ��i e � �.�• - TELEPHONE NO. C.P �� 3 CP 3 �� �3� � DESCRIPTION ��� ` / � � � ��.�� � 01 FOOTING 1 CHANICAL 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECH FINA 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BU ER/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 PLUMB 36 FOUNDATION/REMOVAL � OWNE CONTRACTO OMEETYOU: YES_NO � COM . � W a j � O � � O � W � Q � Z W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR ❑CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call forthe nextynspection 24 hours in advance. (g52) 249-4600 OwnerlContr on i : Inspector. '�- White Copyllnspector's File Canary CopylSite Notice