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HomeMy WebLinkAbout2002-P05642 - gas fireplace PERMIT C1TY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 pos642 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 9�23i2ooz SITE ADDRESS: 1140 Garden Court Mound,MN 55364 P I D: 07-117-23-23-0033 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 89.38 Vatuation: $ 7,150.00 State Surcharge Fee: $ 3.58 TOTAL FEE: $ 92.96 APPLICANT: Fireside Corner OWNER: Gary&Patti Nelson 2700 N Fairview Lane 1140 Garden Court Roseville,MN 55113 Mound,MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOT UILDING CODE REQUIREMENTS. ,jy --_ APPUCANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 2 * � •- 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 pernut 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 UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desig�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 provided. 4. When any new construction or remodeling is involved, a separate building pernut 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 JOB SITE: �/�j"� �tc2cLt�. Cf' Zip: Owner's Name: ��,�� �cc��c' Phone Number: NTailing Address: City: Zip: Contractor's Name: ��aed Fireside Phone Number: Mailing Address: License #a0090933 City: Zip: 2700 N.Fairview Ave, Roseville, MN 55113 651/633-2561 1 � � _� � SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BT[Js: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES GAS LINE ONLY (� Gas factory fireplace x Z ❑ Installing a Gas Line Only � Wood burning factory fireplace with flue- �-�;�;,�,,,<<, : ��t, Wood Stove ❑ Wood stove with flue Brand Name p��c�:� ti �c� Model No. ��z Y,n [��.+y �� �C��� i�-� 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 2 � � .-- i 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; excludine 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) � „r /1����.,_1 x .0125 $ ��%,�,3�" (contract price) (minimum$35.00) 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) ., /�I.�,��� x .0005 $ : ;�; (contract price) (minimum$.50) 3. Postage and Handling (Only mail-in applications) $ �� 4. TOTAL PERMIT FEE Add lines 1-3 above �' � ( ) $ /,.�. r�- *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$1,000,000 or$.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 Signatun,e`.� % ' ,��Z�� � � � Date: � �� Approved By: Date: 3 (" � DATE TIM CITY OF ORONO CALLED IN INSPECTION NOTI SCHEDULED � �� _� PERMIT N0. �L COMPLETED ADDRESS � I �� ��_(-�-Q� �� ' �—. � OWNER CONTR. /� i r�S i C�(� TELEPHONE N0. _ � �� ( � 1.�� _`� �� ��—� � DESCRIPTION � � �� � � ���� ly Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti O 03 INSULATION �OOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION �Y'e/) Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � I'� � 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 v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTORTOMEETYOU: YES_NO � � � COMMENTS: �� ������ �� � � W � � < <f 0 �. � 0 � �" .r�, � � °� .�� � lCy Q - � z W � W � � O � � RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � ' BEFORECOVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP OROER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe ne t inspection 24 hours in advance. (952� 249-4600 OwnedConUa o ite: Inspector. White Copyllnspector' Ffle Canary CopylSite Notice / DATE TIME CITY OF ORONO ALLED IN =-f�_`�^ INSPECTION NOTICE ' SCHEDULED � � �� PERMIT N0. ' COMPLETED ADDRESS � I � � C�'x`•�,i����" 1 C t�- OWNER CONTR. � ���/� �'pr, TELEPHONE NO. � �� G � � . � DESCRIPTION i � i� l�� l� � 01 FOOTING 11 MECHANIC L RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIR lAC 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION 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 PLUMBING FINAL f 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � OMMENTS: a 1 �+�2 5 vl - p � � \ o � S O �. � � a,� � � ��na� o�r� as ' { W � Q � z W � W � � O W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR W{LL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on si • Inspector. White Copy/lnspector's File Canary CopylSfte NoHce