The URL can be used to link to this page

Home My WebLink About2003-P06912 - gas fireplace PERMIT CITY CJF ORONO Permit Number: 275� Kelley Parkway - PO Box 66 P06912 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: ioi2oi2oo3 SITE ADDRESS: 815 Forest Arms La Mound,MN 55364 PID: o�-ii�-23-i2-ooio DESCRIPTION: Proposed Use: Residential Pernut Class: General Pernut Type: Mechanical Pernuts Pernut Sub-type(s): Gas Fireplace DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: PernutFee: $ 37.50 Valuation: $ 3,000.00 State Surcharge Fee: $ 1.50 TOTAL FEE: $ 39.00 APPLICANT: Allied Fireside OWNER: Micheal&Mary MC Elligott DBA: Fireside Hearth&Home 815 Forest Arms La 2700 Fairview Mound MN 55364 Roseville,MN 55113 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RIC I'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNES T' BUI G REQUIREMENTS. � -�. � - A LI TPERMITEES[GNATURE ISSUEDBYSIGNATURE Conies: 1-File(SiQnitures Required), 1-Apvlicant. 1-Monthlv Renorts, 1-Assessine, 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 two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID LTNTII. �"OU RECEIVE A PERMIT. WORK MUST NOT BEGIN LTNTIL 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. Identification of and specifications for water heating equipment shall also be pro�•ided. 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)249-4600. 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 (952) 249-4600. Please check one: ❑ New ❑ Addition ❑ Repair ❑ Replace,�Residential ❑ Commercial C� , JOB SITE: �`"�`'f_J �P�f-��f �/k�J�2S �/��c- f� Zip: Owner's Name:��jf �/..�!(�-��TT Phone Number: �5�� - y�� t 5-3�� Mailing Address: City: �✓�'�sfJ�� Zip: :�S �3�U ��/�/�� 't�sio�= �� r-- �-,�=;f�_�%��/��TrS` �-�'� Contractor's Name: Phone N ber: �_>/ G� _3 "/v�� Mailing Address:� �� i,�/,�C��= ,> .��=City: r<:��-'�,C�,!z Zip: ,��j'/ 3 1 ' ,. PERMIT FEE CALCULATION(S) 2002 State Statute ❑ Yes This Section Applies The replacement of a Residential fixture or ap lip ance 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) 3' C� �� X .oi2s $ (cofitract 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. Posta�e and Handlin� (Only mai[-ir: applications) $ 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 fumished 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 51,000,000 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 a' f the Minnesota State Building Code,and certifies that all statements made on this application are complet ue and co ec i -- / � Applicant's Signature: Date: � �C"� �� Approved By: Date: ,. 3 SYSTEM DESCRIPTION - HEATING SYSTEMS Quantity: Make: � — - C.�/C> Model: � r� �,�� FueL• ��i/�►�L C�'�l72S Flue Size: Input BT'Us: ;� Ou ut BTUs: ' � � -�_3 - �':C CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES GAS LINE ONLY -�Gas factory fireplace ❑ Installing a Gas Line Only ❑ Wood burning factory fireplace with flue ❑ Wood Stove ❑ Wood stove with flue Brand Name��i,�T-�J� r�i Model No. '��--r� 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 FIItE MARSHAL) ❑ Installation or ❑ Removal ❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside ❑ LP Gas: gallons ❑ Other Gas opening 2 '