HomeMy WebLinkAbout2008-P12193 - gas fireplace � ' PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P12193
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 6/24/2008
SITE ADDRESS: 3240 Graham Hill Rd Unit#
Long Lake, MN 55356
P��� OS-117-23-11-0010
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:
Gas Fireplace
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Hearth&Home Technologies OWNER: BPS Properties,LLC
DBA:Fireside Hearth&Home 201 Lake St E
2700 Fairview Ave Wayzata, MN 55391
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
M[NNESOTA BUILDING CODE REQUIREMENTS.
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� APPLICANT PERMITEE SIGNATUR� ISSUED QY SIGNATLJRE _�.
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,([f Septic, 1-Septic) Page l
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� FOR CITY I:SE OSLY
��—�� City of Orono
i������ P.O. Box 66 � Date R�cer:ed: �'z�ni•��
, q �0 Ka(ley P3rk�vay �mount 5-
� I':•� ' �I G rstal Bav.'�tv��3�3 �pproved By
a
�� t ° +�o` '9==)=�9-4600
-�t�R:..�EeB��`6% .
CITY OF OR01_�i0— �IECH�rIC:�L PER��IIT
�:�ii Commercial pemli[;must be approved by[he Building OTficial or(nspecror and,or Fire 4(arshall)
I GE��ER�L INFORi�1 aT'ION
L You may apply for mechanical permits by mail or in person at the City offices. .�pplications will
be reviewed and a permit will be issued within two working day s.
2. Permit cards will be sent by rerurn mail after a review is compieted. PE2�i[TS .�RE NOT
�'AL[D li?vTIL YOU RECEI`E .a PEfLtiI[T. V�'ORK:�IUST tiOT BEGI� CrTf L THE
PER�IIT CaRD [S POSTED O� THE JOB SITE.
;. Ltachanica( Desisns—Complete ealculations, details and specifications are required t"or each
heating, �entilation, humidi+ication-dehumiditication, and air conditioning installation including
heat loss,neac ;ain calculation. design temperatures, equipment ratings and identification as to
type, manufacturer and model. Data �ha(1 be presented on form provided.
�. ��"hen anv new construction or remodeling is involved, a separate buildin� permit mu;t be
obtained�
�. .-�Il work mwt be done in accordancz �tiith thz Uniform:�lzchanical Code State Building Code
r�quiremen�;.
6. �Il work must be inspected(rou�h-in and final). Call (9�?) ?�9-4600.
(?-�-�8 hour notice required)
House Heatin�Test Record must be submittad before final.
TY'PE OF PER�iIT
� (Check All That 4pplv)
i
esidential ❑ Commercial (-�ppro��al Required)
, ew ❑ .�dditional ❑ Repairs ❑ Replace
I Job Site ; O���ner Information:
e
Site Address: � ��� � �' � G1i� � ��'�'�
Owner: !���-�-� ("'�`�� l�tailing Address:
Citv: Zip:
Home Phone: �lternate Phone:
Contractor Information:
r+..�en a rion+.T.c�aoa...�. '
Contractor: d� � �' �` � Contact Person: �� �1 c_,_� �' ��
2700 N. FRiwi�vn Aw.
:�ddress: posw���s,MN 55173 State Bond�:
e!S�I�..r-3�
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance — Current:
1
� , 4
' 1�TECH_�tiICAL SYSTE�IS BEI�+G ItiST�LLED ',
HE.�Tf'�G SY STE�IS
Quantity:
�take:
i�IodeL
FueL
Flue Jize:
[nput BTUs:
Output BTL'"s:
CF�i:
COOL[�G S��STE�[S
Quantity:
�take:
�IodeL
Tons:
H. Pow�r
F[REPL_-�CE�
Gas Fac�ory Fireplace
��ood Burning Firzplace
� �4 ood Sto�e
❑ W'ood Stove w�ith Flue
Brand Lame: / ��I� �Iodel No.: S�^�S� �� � �`� � r'
VENTIL.aT[Oti
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ Na Other Fans: Locations cfm
FL`EL STOR.�GE lL1UST BE �PPROVED BY FIRE I�1:�RSH:aLL'}
❑ [nstallation ❑ Removal �r���
Oi�OS t��y
FuelOil: gallons ❑ Undecground v[]A(n�id�� �yWf�i���
LP Gas: gallons �f`�'�� -'�'�f"��'�'7'�
r��'S-££8`�•a�
Othec
G.aS L[�E O�LY"
❑ Outdoor Grill ❑ Other; List ��ha�& �Vhere:
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�, PERRti�tIT FEE CALCULA-I'IO�(S) �
' B�SED OFF - 2002 ST:�TE ST:�TliE
❑ Yes, this section applies
The replacement of a Residential fi.rture or ap�liance that meets ail three oT the followin�requiremznts:
l. Does not require modiEication to electncal or gas service.
2. Has a total cost of 5�00.00 or(ess; excludin�the cost o[�he tixture or appliance� and
3. fs improved, instalied or replaced by the homeownar or licensed contractor.
Skip next section, if�his applies; Cost of Permit � 1�.00
State Surchar�e � .�0
�lail-In Fee�[f.�pplicable) � I.�O
I'otal Permit Eee �
PER�IIT FEE C�LCliLATIO�(Sj - JOBS 0�'ER��00.00
lf abo�,�e does not apply; follow guidelines below:
1. CO�TR,�CT PRICE * is 1.2�°�0 of contract pnc� with a(:�[inimum Eee of�3�.00)
���� . ���} .e.01?� � � � ` ��
(contrac[pncej ^,inimum 33�00)
2. ST.aTE SCRCH�RCE ** .�dd the State Bldg Code Div. Surcharge(�(inimum Fee of�.50)
���J��.. U`� x .000� � l � �=
�;�.;on�rsct pnce) (rninimum� �0)
3. POST:�GE & E{.�'�`DLI�G(Only on �Iail-In _�pplications) � 1.�0
4. i'Oi'aL PER�t[T EEE (.add Lines l-3 :�bove) � � C..� ' ��
• * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount char�ed for the
permitted work includin� materials, labor, profit, and other Eixed costs. [t is the amount to be charged
to the cuscomer for the work done. [f any material, equipment, labor or installations are furnished by
the owner, tenant or any other party, the reasonable markzt value of such items must be added to the
zstimated cost or contract pnce for permit fee purposes. [n the evznt that there is a dispute on the
amount of the job cost, the City mav request the submission of a si;ned copy of the actual contract.
� ** The ST,-�TE SURCH.aRGE is.000� of the Building Department at(9�?)2�9-�600 for the pnce.
MEC�IANICAL PERibtIT APPLICATION AGREE�/IENT �
The undersigned hereby applies to the City for issuanc� of a tilzchanical Permit, agr�es to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
�Iinnesota, and certities that all �tatements made on this application ar� complete, true and
correct.
Applicant's Si�nature: ��``�� -_�� Date: �� �'��
,
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�� �'DA�T ,.� TIME �I /
CITY OF ORONO CALLED IN %L� v
INSPECTION TI�E/ C/ SCHEDULED fD.'tr0
PERMIT NO.�r '"� /� COMPLETED
ADDRESS 3a � �-Y/l.2.i1� l�tlG I /C��
OWNER CONTR.h�f�th�'�� �D�-►?��
TELEPHONE NO. — —��� J�� 7
� DESCRIPTION G��'�/v� Ge ��
� ❑ FOOTING �ECHANICAL RI ❑ EXCAV/ ADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS
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
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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� �f CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� i BEFORE COVERING
PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONRE�UIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContract o s' �
Inspecto�
hite Copyllnspector's File Canary CopylSite Notice
� DATE TIME
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CITY OF ORON(} CALLED IN ��
INSPECTION NOTICE�'�.��� SCHEDULED -����;-�— Q� _3�:
PERMIT NO. COMPLETED �� �
ADDRESS ���� C' ����< j�1�"��y, -L...�� (��l
OWNER CONTR. �=�d�_C:� .-�-t�i� � �-�-r.�Yi'lS�
TELEPHONE��I�� �1 1� - � l C. _z, . �c� y� �,�' (�-S%-le:3�-+
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� DESCRIPTION �� _" �( �'���C� � � j/'P �i r� �' �"
� ❑ FOOTING ❑ MECHANICAL RI ❑ EX AV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
O ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
_ ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING Ri ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACT R TO MEET YOU:_YE$_NO
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� COMMENTS: _ ���l�, I�✓��� -�")i ��J. Y C1_1'L��t� / �j(JG2S �/�.;�;
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ;� pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
Owner/Contractor on sitQ:� �
Inspector. ( `
White Copyllnspector's File Canary CopylSite Notice
� � � / DAT TIME
CITY OF ORONO CALLED IN �" ���
INSPECTION�TnICE SCHEDULED //'D�
PERMIT NO. �/���,� COMPLETED
ADDRESS ���� �/� ���uiC�-
OWNER CONTR L/L-�
TELEPHONE N0.�— - � '70 3 —aa N �
� DESCRIPTION �l.(/C� -p�
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/ DING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINA� ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PIUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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� ❑ 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
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952� 249-46��
OwnedContractor on site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
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� � � �e TIME
CITY OF OR NO CALLED IN �� U
INSPECTION NO CE SCHEDULED ��'' �.' �
PERMIT NO. �l � COMPLETED
ADDRESS �� (/�f'6�-�/I A� /�tZ`' m`/ �
OWNER CONTR �'
TELEPHONE NO. /� L',� � ^ — �5l—�� � ����
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� DESCRIPTION �C- —L�
� ❑ FOOTING �-ivt HANICAL RI EXCAV/GRADING/FILLING
Q ❑ FRAMING 0 MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. � WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP % ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FO�LOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
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�+/ai wRRECT WORK,CALL FOR REINSPECTION TEMPORARY
�j �BEFORE COVERING
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 inspection 24 hours in advance. �952� 249-4600
OwnerlContractor on 'te: r
Inspector._� � �
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White Copyllnspector's File Canary CopylSite Notice