HomeMy WebLinkAbout2003-P07023 - gas fireplace � `
PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po�o23
Crystal Bay, Minnesota 55323 Pet-mit Type: Mechanical Permits
(952) 249-4600 Date Issued: 11/19�2003
SITE ADDRESS: 1180 Garden Court
Mound,MN 55364
PID: 07-117-23-23-0031
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 111.88 Valuation: $ 8,950.00
State Surcharge Fee: $ 4.48
TOTAL FEE: $ 116.36
APPLICANT: Allied Fireside OWNER: Stimkel LLC
DBA: Fireside Hearth&Home 6624 Gleason Ter
2700 Fairview Edina, MN 55439
Roseville,MN 55113
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI-�REAL IMPROVEMENTS 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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PPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessins, 1-Finance Page 1
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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
LTNTIL YOU RECENE A PERMIT. WORK MUST NOT SEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi r�is -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 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
JOB SITE: �� ,�� c�i,��; ('� Zip:
Owner's Name:'��,�_(�;,,��. �y,�t , Phone Number:
Mailing Address: �— City: Zip•
auad�res�da
Contractor's Name: ���arthBHome
�o,�e.�„ Phone Number:
Mailing Address: �µFairviewAve.
—�oee�ma,e��Ngs»s City: Zip:
R51/833-2F�6�
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SYSTEM DESCRIPTION -
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES GAS LINE ONLY
� Gas factory fireplace 4� -"� ❑ Installing a Gas Line Only
❑ Wood burning factory fir�lace with flue
❑ Wood Stove
❑ Wood stove wit flue )
G;:� � � �t' " J<�S� �Ci C £� %C��, c� G,r„
Brand Name u���1� ��v. Model No. C���_:��h
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
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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; excludin�the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner ar 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)
� �i:`j C,'. �.�.; x .0125 $ ��� d�/
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50)
,�r�%��' � x .0005 $ 4� `!7
(contract price) (minimum$.50)
3. Posta�e and Handlin� (Only mai[-in applications) $ ��^
�
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ��� �c/
�
*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 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 cali the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do ali 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: � 1• C��� Date: /�- %.�'��%.3
Approved By: Date:
3
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/ DATE �� TIME
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CITY OF ORONO CALLED IN �_
INSPECTION NOTICE SCHEDULED ' l5 � 3 _����
PERMIT NO. f�Q `7�%Z� COMPLETED
ADDRESS � � ���� C�G�Q� C--%
OWNER CONTR. ,�� rC J� d-e--
TELEPHONE NO. ^� � �� 2��'�
� DESCRIPTION � �� �� + �'"""'" Y�''
� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W v�ARECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� RRECT WORK,CALL FOR REINSPECTION TEMPORARY
� B ORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CAII INSPECTOR �CITATION ISSUED
D INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next i� ction 24 hours in advance. (g52) 249-46��
OwnerlContract it •
Inspector.
Whiie Copy/lnspector's Ffle Canary CopylSite Notice
�� DAT TIME �
CITY OF ORONO CALCEo iN � �`�'
INSPECTION NOTIC �3 SCHEDULED �
PERMIT NO. �� COMPLETED
ADDRESS_ l����, ,�t/Y' ��f �
OWNER ONTR. �//��-SIC�
TELEPHONE NO. �`�'J j ' � �� ~' Z`��' �
� DESCRIPTION �r �/'� ��e-�--
� 01 FOOTING 11 MECHANICAL RI 18 XCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YO YES_NO
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� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlConUa�te�.p ite-
Inspector. �� •
Whiie Copy/lnspector's Ffle Canary CopylSite Notice
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/ZDA�I TIME
CITY OF ORONO CALLED IN
INSPECTION I SCHEDULED �1�;�Z-�3 �' 3C�
PERMIT N0. D� COMPLETED
ADDRESS O
OWNER CONTR.
TELEPHONE NO. lOS� ��S 7SS�
� DESCRIPTION ' — � �
l� 01 FOOTING t' HANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti
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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALlTO ARRANGE ACCESS.
Cail for the n t inspection 24 hours in advance. (952� 249-4600
OwnerlContract s te:
Inspector.
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White Copyllnspector's File Canary CopylSite Notice