HomeMy WebLinkAbout2007-P11584 - gas fireplace PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P11584
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952) 249-4600 Date Issued: 10/17/2007
SITE ADDRESS: 1995 Fox Ridge Rd Unit#
Long Lake,MN 55356
PID: 03-117-23-13-0005
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Perniit Fee: $ 35.00 vatuation: $ 2,000.00
State Surcharge Fee: $ 1.00
TOTAL FEE: $ 36.00
APPLICANT: Practical Systems OWNER: Thomas J Kieley
4342B Shady Oak Rd 1995 Fox Ridge Rd
Hopkins,MN 55343 Long Lake,MN 55356
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
M[NNESOTA BUILDING CODE REQUIREMENTS.
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APP T PERMITEB SIGNATURE ED BY S[GNATURE
Copies: 1-File(SignaturesReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, i-Septic) Page 1
� * ROR CIT1`USE OVLY
, �= �A`\ City of Orono
'% �, P.O.Box 66 Datc Rcceivai: Pennit#
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, �'� �`�� 2750 Kclley Parkway
a i r� Crys[al Bay,MN 55323 Approvcd By: Amoimt$:
����a� � �; :� o�'� 952)249-4G00
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QEC
CiTY OF ORONO—MECHANICAL PERMIT
(AII Commcrcial permits must bc approvcd by thc Buildin�Ofticial or Inspcctor�ndior Firc Marshall)
GENERAL INFORMATION
I. You may apply for mechanical pemiits by mail or in person at the City oftices. 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 ARG NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desig��s—Complete calculations,details and speci["ications 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.
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.
(24-48 hour notice required)
7. House Heating Test Record must be subinitted before final.
TYPE OF PERMIT
Check All That A 1
��Residential ❑Commercial(Approval Required)
❑ New Additional ❑ Repairs ❑ Replace
Job Site/Owner Infonnation:
l � ��J �1 C��.�J ��
Site Address: �
Owtier: � � �J - � ��-�-� Mailing Address: tY.�� Y�.
City: l,1��11,� Zip: ��.3_`�7�7
Ho�ne Phone: Alternate Phone: �� � a- �_��� — ��-��c�
Contractor Infor�nation: ��
Contractor: r'��,ra�r person:
Kline Corp.
Address: DBA: Practical Systems md#: (�C/z, �'7�`7](�'
4342B Shady Oak Road
Hopkins, MN 55343
City: g52-933-1868 on Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
ME�HANICAL SYSTEMS SEING INSTALLED �,
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
�' Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: I�( h � Model No.:_ �—�G���,��Q �,N
V ENTILATION
❑ Na _ __ _ Kitchen Exhaust _ duct __ recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans Locations cfm
FUEL STORACE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
. '
� ' PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Ycs,this section a�plies
The replacement of a Residential frxture 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;excludinQ the cost of the fixture or appliance:and
3. Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ I5.00
State Surcharbe $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
FERMIT FEE CALCULATION(S)—JOBS�OVER �500.00 � �
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$35.00)
i—, G� �U
����� x.0125$ J
(contract pricc) (minimum$3�.00)
2. STATF,SURCHARGE ** Add the State Bldg Code Div. Surcharge('�tinimum Fec ot�.50)
�� _ -
, � L��
X .000s s
--_ ------__. _ _-��-- --
- ____
(contract pricc) (min�mum$ .50)
3. POSTAGL&I-IANDLING (Only on Mail-In Applications) $ 1.50
�
4. TOTAL PERMIT FF,E(Add Lines I-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 installations 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 Building Department at(952)249-46O0 for the price.
MECHAI�TICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ordinances ot' the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
��
Applicant's Signature:� � Date: � U ��l��i
Reset Form
3
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ATE TIM
CITY OF ORONO CALLED IN �0
INSPECTION N TIC SCHEDULED D /D:dD
PERMIT NO. /��� COMPLETED
ADDRESS �9�J� �f�E Qf��
OWNER CONTR. C7G�-�—�Y�P��7YI,.S
TELEPHONE NO. �5a —9 �J 3 ' l CY�O S
� DESCRIPTION ��'���� l�U�-I/U
� ❑ FOOTING '�MECHANICAL RI ❑ EXCAV/GRADING/FILLING
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP
❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
Q ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. " pH0T0 TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the .ext inspection 24 hours in advance. �952� 249-46QQ
OwnerlContra site:
Inspector.�7 �.�`�
White Copyllnspector's File Canary CopylSite Notice