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.
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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
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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� /�
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Contractor's Name: ��Qbl-�D,� ��`�/��lh�� Phone umber:�-S/'� �� - /C-'4/�
Mailing Address:��?�OG' ��/�Pc�/,�=�v City: �,��-i � Zip: �_� -�//� ,
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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 '. �
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Applicant's Signature:`- �{.� Date: � c� � (�`�j
Approved By: Date:
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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
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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
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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