HomeMy WebLinkAbout2008-P12128 - mechanical �► PERMIT
CITY OF ORONO
275� Kelley Parkway- PO Box 66 Permit Number: p12128
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
6/2/2008
SITE ADDRESS: 3300 Graham Hill Rd Unit#
Long Lake,MN 55356
P��� OS-117-23-11-0011
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:
1 wood FP&4 Gas FP
FEE SUMMARY: Permit Fee: $ 191.31 va►uation: $ 15,305.00
State Surcharge Fee: $ 7.65
Misc.Fee: $ 1.50
TOTAL FEE: $ 200.46
APPLICANT: Hearth&Home Technologies OWNER: JMA Builders LLC
DBA: Fireside Hearth&Home 6065 Eureka Rd
2700 Fairview Ave Shorewood,MN 55331
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.
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APPLICANT PERMITEE SIGNATURE [SS BY SIGNATURE
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Copies: ]-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR CtTY l.'SE O�Lt
' Cit� of Orono
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���_ � � ";0 Kelley Parkway
�� ��-0 ��' �') G,�stal Bay, �fN»323 approved By: �mount�:
����� �,�����,�`� I9�^_)��9-�600
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CITY OF ORONO — �IECHaNIC�L PER�IIT
f':All Commercial pemiits mus�be approved by�he Quildin�Officiaf or[nspector and�or Fir��larshallti
GE�tERAL INFOR�'�taT'ION
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.
?. Permit cards will be sent by return mail after a review is completed. PER:tit[TS .�RE NOT
VALID UNT(L YOU RECEIVE A PER.'�IIT. WORK �iUST iVOT BEGI� L��TIL THE
PER�IIT CaRD [S POSTED O� THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations, details and specifications are required for each
heating, ventilation, humidification-dehumidification, and air conditioning installation includin�
heat loss,heat�ain calculation, design temperatures, equipment ratings and identification as to
type, manufacturer and modeL Data shall be presented on form provided.
4. Vl-'hen any new construction or remodeling is involved, a separate building permit must be
obtained.
�. All work must be done in accordance with the Uniform Mzchanical Code�State Building Code
requirements.
6. .All work must be inspected(rough-in and final). Call (9�2)249-4600.
(2-t-48 hour notice required)
7. House Heating�['est Record must be submitted before final.
TYPE OF PERIVIIT
(Check All That Apply)
�Residential ❑ Commercial (Approval Required)
New ❑ Additional ❑ Repairs ❑ Replace
Job Site�' Owner Information:
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Site Address: � �� �� ��' � � � ��--J
Owner: 'F� � ► � � i�lailing Address:
City: Zip:
Home Phone: �� ����-1 �� -���C�� Alternate Phone:
Contractor Information: �
,
Contractor: Contact Person:
earth E�Home Technologies,Inc.
dba Fireside Hearth 8 Home
AddTess: License 20512U60 State Bond #:
airview ve.
Roseville, MN 55113
Clty: 651/633-2561 Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance — Current:
1
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� ti1ECE-I�tiICAL SYSTE�TS BEI�G ItiSTALLED ;
.
HE.�TI�G S�STE�IS
QUanr;ry�:
Niake:
I�lodel:
Fuef:
Flue Size:
[nput BTlis:
Output BTUs:
CFI�t:
COOL[�G SYSTE�IS
Quantity:
i�take:
Nlodel:
Tons:
H. Power
FIREPL.aCES �
Gas Factory Fireplace \�� u�
w'ood Burning Fireplace �� �'� �` L� ��J ����C�
Wood Stove
❑ W'ood Stove VVith Flue �
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�Brand ivame: f� �kl `��-- Ntodel No.: �D S T S�y y, �
�� i>>�l �1�3� S —1' �
�'ENT[L.aT[O�
'' l�t�S r y 33�v S— L
❑ �+o. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ tio. Other Fans: Locations cfm
FL�EL STOR.aGE (�IliS�[' BE APPLtOVED BY FI[ZE M.aRSHALL)
❑ [nstallation ❑ Removal
Fuel Oil: gallons � l.�nderQround ❑ [nside ��"(Jutside
LP Gas: gallons
Other:
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G.aS L1�"E O'�LY
❑ Outdoor Grill ❑ Other ' List What& Where:
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; PERR'�IIT FEE C�LCliL�TIO�(Sj
' B:�SED OFF - 2002 STATE STATliE
❑ 1'es, th�s section applies
The rzplacement of a Residential firture or appliance that meets all three of the following requirements:
I. Does not require modification to electrical or gas service.
2. Has a total cost of��00.00 or less; excludinQ the cost of the tixture or appliancz: and
3. Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section, if this applies; Cost of Permit � 1�.00
State Surchar�e $ .�0
[�1ail-In Fee([f.�pplicable) $ 1.�0
Total Permit Fee �
� PER�IIT FEE C�ALCULATION(S) —JOBS OVER $�00.00
If abo�e does not apply; follow�uid�lines below:
1. COVTR_�CT PRICE * is 1.2�°io of contract price with a(:�Iinimum Fee of$3�.00)
(��Cj�•L� x .01�� $�� I • 3 �
(contract price) (minimum�35.00)
2. ST.a�['E SL RCH.aRGE ** Add the Stat� Bldg Code Di�. Surcharge(ltinimum Fee of�,.50)
���� ` � x .0005 $ �• �S
� (concract pnce) (minimum� .50)
3. POS-['�GE& HANDLI:�IG(Only on i�tail-In Applicationsj $ 1.�0
4. TOTAL PER��I[T EEE (:�dd Lines 1-3 Above) � � `
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount char�ed for the
permitted work includina materials, labor, profit, and other fixed costs. It is the amount to be char;ed
to the customer for the work done. [f 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 pnce for permit fee purposes. [n the event that there is a dispute on the
amount of the job cost, the Ciry may request the submission of a si�ned copy of the actual contract.
■ ** The ST.aTE SLRCH.�RGE is .000� of the Building Department at(9�?) 249-�1600 for the pnce.
MECI�ANICAL PERi'VIIT APPLICAT'ION AGREEVIENT
T'he undersigned hereby applies to the City for issuance of a Mechanical Permit, a�rees to do all
�vork in strict accordance with the ordinances of the City and the regulations of the State of
�Iinnesota, and certiFes that all statements made on this application are complete, true and
correct.
<applicant's Signature: �� �atz: �� �-� `L'��
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CITY OF ORONO CALLED IN �/
INSPECTION NO ICE SCHEDULED -�� c���
PERMIT NO. a-/a- COMPLETED
ADDRESS 33�� ����^^� �'��P �
OWNER CONTR. �/��� �-C�
TELEPHONE NO. ��a �6O 3�57 i��
� DESCRIPTION �� — �� / F� � ��c��
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
Q ❑ 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
v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W � ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑C RRECT WORK&PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. n pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-4600
OwnerlContractor on ite:
Inspector. �� \
White Copyllnspector's File Canary CopylSite Notice
G� � D TIME �
CITY OF ORONO CALLED IN ��
INSPECTION N TICE SCHEDULED '��-� �
PERMIT NO. Z COMPLETED
ADDRESS 330� G l�-h-�`�►^� �� �-�CL---
OWNER CONTR. _�1���� ���
TELEPHONE NO. �PS� lO-3S �,37�
� DESCRIPTION � — �`
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
� � 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
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WIIL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. � . � /r�(� S��
White Copyllnspector's File Canary CopylSite Notice