HomeMy WebLinkAbout2002-P05748 - gas fireplace PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P05748
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: toi22i2oo2
SITE ADDRESS: 72o Dickey Lake Dr
I.ong Lake,MN 55356
P I D: 34-118-23-22-0003
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Pernut Type: Mechanical Pernuts Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,198.00
State Surcharge Fee: $ 1.10
TOTAL FEE: $ 36.10
APPLICANT: Countryside Heating&Cooling OWNER: Mr. &Mrs. Henry Radintz
6511 Hwy 12 720 Dickey Lake Dr
Maple Plain,MN 55359 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVENIENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT 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(SiQnitures Required), 1-Avnlicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within 2 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 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 rype, 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 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 WILL NOT BE PROCESSED. If you have questions, call 249-4600.
Please check one: New �--Addition Repair Replace
�/Residential �Commercial
JOB SITE: �l �-C� ,'�1 �k E.`C L/�k C_ 0� . Zip: S s`3 -
Owner's Name:J�,l�Q� r�~� Z— Telephone Number: �;S;� ���. -- eo a G
Mailing Address: �'a�v�nC City: Zip:
Contractor's Name: c`;��, ,,,-���S�qc �-������ca Telephone Number: �?��3 41`t -\b G c
Mailing Address: tNs� � �,i �,.,n�c ��-- City: M!�`J�L 4 Ll�.�r�-�Glp: s 5 3 5�
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
VlodeL•
Tons:
H. Power
FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name K o Z`� �1 C A`� Model No. 1 1 l X L.
VENTILATION
No. Kitchen E�aust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�� ��. . �� x .oi2s $ 35 _r� �
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ 1 • 1 �
or $.50, whichever is greater (contract price)
3. PostaQe and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ `3 � � � �
* 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 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 SURCHARGE is .0005 of the contract price under$1,000,000 or $.50 - whichever is greater.
For valuations over $1,000,000 call the Department of Inspectional 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 City and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct. �
Applicant's Signature: Date: � � - `��� d�'--
Approved By: Date:
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DATE
CITY OF ORONO �� �vl � �=�C �.,
INSPECTION NOTICE SCHEDULED ��
PERMIT NO. �l?�`57�� COMP�EfED
ADDRESS � �
OWNER CONTR.� c
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TELEPHONE N0. � � —
� DESCRIPTION t%lC�C�1- L-...�/1.�.� � �/�-�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORENVETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU: YES_NO �
� COMMENTS: �f�I/�'YIf��/�,�� fi��f�
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� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next spection 24 hours in advance. (952� 249-4600
OwnerlContr t :
Inspector. �
White Copyllnspector's F11e Canary CopylSite Notice
DATE ME
CITY OF ORONO CALLED IN
INSPECTION NO Er SCHEDULED �/ ��3� G� '�
PERMIT NO.�� COMPLETED
ADDRESS �� ��u �e— •
OWNER Ct. CONTR. ��'Z��r�i,�'r-Qe_. ��i .
TELEPHONE NO. ���n "�S�-� y��� C� ��� �
� DESCRIPTION ��� � �i
l� 01 FOOTING `11 MECHANI AL RI j 18 EXCAV/GRADING/FIILING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J G FINAL � / 36 FOUNDATION/REMOVAL
OWNERIC TRACTOR TO MEEf YOU:=YES_NO
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W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTIONREQUIflED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. �952� Z49-46QQ
OwnerlContrac s
Inspector. '
White Copyllnspector's File Canary CopylSfte Notfce