HomeMy WebLinkAbout2005-P09429 - gas fireplace j� 4
PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09429
Crystal Bay, Mrnnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
11/17/2005
SITE ADDRESS: 4460 Forest Lake Landing Unit#
Mound,MN 55364
PID: 07-117-23-24-0015
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Wood Stove/Flue
Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 50.25 valuation: $ 4,020.00
State Surcharge Fee: $ 2.01
TOTAL FEE: $ 52.26
APPLICANT: Hearth&Home Technologies Inc. OWNER: Paul&Ida&Peter Martinson
DBA: Fireside Hearth&Home 4460 Forest Lake Landing
2700 Fairview Ave Mound,MN 55364
Roseville,MN 55113
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 STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
` \ � � �/�,�/_�
n , `�J� "
%� ��. L�' � <.�"%Z-��---� �
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: l-File(Signatures Required), 1-Applicant, l-Monthly Reports, 1-Assessing,(If Septiq 1-Septic) Page 1
r � -
�. '
C�'I'Y OF ORC?�1Q �l'PI,�CA'FIC?N FOR �✓IECHANICl�L�'ER�1IT
Box 66 (2750 Kelley Parkway)
�rystal �ay, �t 55323
GEi�,'EFtAL INF��tMATION
1. You may apply for mechanical permits by mail or in person at the Citv 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
iJ1vTIL YOU RECEIVE A P�RivIIT. WORK MUST NOT�EG1N UNTIL THE PERMIT C�11ZD IS
POSTED ON THE JOB SITE.
3. Mechanical Desiens - Complete calculations, details and specifications are required for each heating,
ventilation, humidification-dehuinidification, 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 ior water heating
equipment shall also be provic�ed.
4. VJhen any new construction or re�nodelin�is involved, a separate buildir�g pei-�nit must be obtained.
5. All work must be done in accordance with the Uniform Mechanica] C,ode/State Building Code
requirerrzen�s.
6. All�vork must be inspected (rou�h-in and firal). Call (952)249-4600. 24-hour notice required.
7. House Heating Test Recor-d must be submitted before final.
��as�a-ttc�io��
Complete all items on tliis application. Compute the permit fee. Sign and date the certification.
INCOlVIPLETE APFLICATIONS WILL NQT BE PRO�ESSED. If you have questions, eall
(952) 249-4600.
Please checic one: ❑ l�Tev�� ❑ Addition ❑ Repair ❑ 1Zeplace ❑ Residential ❑ Coinrnercial
��� S�'�'�: '�"`�115 U ��S'C \� UA�c'�1 n�"�'
V ���' --
�����-'� i�T���: L. � },�cac�-,�y.� �I�e�s�e I'�1r�rc�P�e�-: C(�-`�(�l,?— r1$�v;
I��iiir�g �.cFc��°���: _ ���y: ���.
�ras���-ac�oa-'s �ea�e: __ Phaa�e Nurrabe�-:
��aling �.d�ress: �gty': �ip:
��Home T�ch�dupMs.Mc.
dba Fireside HN� 8 Hom�
tic�nso 205120e0
2700 N. Fainf�w Aw.
' Ros�vllt�.MW 55113
651/d33-Z5d1
1
, - ti 1
�
�1'S"�'E!V&IDIGSCRIP�'IQN .
HEA�T'INC S�'ST�MS ':
Quantity: I
M ake: �i� IJ�D� ��.G�l_Gt%�Cl�
Model: � �-�'�'K.-'�� �-�'�c�_
Fuel: �V I�VC�� /
rlue Size:
Input BTUs: J � " �CS�
c�- r
Output BTUs
eF'v1:
�ODLI',VG S4'STEIi'1S
�uantity: _
Make: "
Madel:
7'ons:
i`H. Power
�
; �'��2F�'I�.�C;�S ��_S I.��"d� C➢1�LY
i �
� Cas factory fireplace � ❑ Installing a Gas Liz�e C3nly
�'ood burning factoiy fireplace with flue�
� ❑ ��'ood Stove
❑ Wood stovc with liue
Brand Name ?�Rodel 1�To.
�'��T'�'����.'I'��?�
No. Kitchen Lxhaust duct recalculatinb cfin
No. Bath Exhaust(must have duct outside} cfm
No. Other Fans: Locations cfm
��JLL S�'Q�I�AG� (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Re7noval � ;; nt•�„x:s
❑ Fuel oil: gallons ❑ underground ❑ inside t�o�`�side ` `'�`
❑ LP Gas: gallons � . .�.� . . �� ;,� :
❑ Other Gas opening � '�`.'" ``,''� '
� Z
..� , �
PER1tgIT F�E �ALCLTL�4.'TIO�(S)
2002 State Statute ❑ �'es This Section�ppties
Th�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 Pennit $ 1�.00
State Surcharge $ .��
Mail-In Fee $ 1.50
If above does not apply, follow gu.ideIines belcw:
1. �����ae�Pr-iee�� :s .012�% of job wit17 a]`i�rn�rfsurr��'ea� of(��5 �(�l
�� � 4�� .ol�s s �j.a�
(contract price) (minimum�3�.00)
2. �tate Surct;ar�e. *''Add the State Building Code Division a��irnimum Fee���(� ,50)
u� a'� x .0005 $ � ,(� t
(con�raci price) (minimum� .50)
3. �'a�s�a�JQ ana ��ndlinQ (��tly nzaiE-�rt applicaEioJrs) � "l�n
��-
4� ���'�� ����.���� �'�� (l�.dd lines 1-3 above) � � .�.�
y`CO'�TRACT PRICT or.IOB COST means the actual or e�timated doi]ar amount chareed for the permitted work including
materials,1abor, profit,and other fixed costs. It is Yhe amount to be charged ro the customer for thc work done.If any material,
equipil�ent, labor,or installation is fumished by the owner,tenant or zny other party the reasonable market value of suct� items
must be added to the estimated cost or contract price for pernit fee purposes. In the event that there is a dispute on the amount of
tl�e job cost,the City may request the suomission ot a signed copy of the actual contract.
**The STAT�SliRC1-IARG�is.0005 of the contrzct price under$1,000,000 or�.50-whichever is greater. For valuations over
$1,000,000 call tha Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Perniit,agrees to do all work in strict accordance���ith
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.
A licant's Si /� —�
PP gnature: � � I �� /U -- (�-j
Date:
Approved By: Date:
3 II
I '1 I ✓
� l� ,�p�p�� ( ( 1,�� ��� �L-1 O /� TIME
CITY OF OI'S�n� CALLED IN ,�`
INSPECTION NOTICfI���, SCHEDULED i q n_s _____ CY� �-h
PERMIT NO. � � t COMPLETED
�
ADDRESS � �� � �=�r� � C/�;�,
OWNER CONTR. �l/eb'7�-' �
TELEPHONE NO. �� — C.G � � ^ ��CO I
� DESCRIPTION f� ' C-�
lV 01 FOOTING 11 MECHANICAL RI 18 EX AV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 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 O6 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
� OWNERICONTRACTOR TO MEET YOU:_YES�O
� COMMENTS:
�
W
a
�
J
O
a
�
O
�
W
�
Q
�
Z
W
� •
W
�
�
d
W WORKSATISFACTORY:PROCEED Ci PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED �_i ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ��CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i�spection 24 hours in advance. (952� 24J-4600
OwnerlContractor si�:'•
Inspector. �
,
White Copyllnspector's File Canary CopylSite Notice