HomeMy WebLinkAbout2006-P09916 - gas fireplace '� PERMIT
�ITY OF ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 P09916
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued:
5/30/2006
SITE ADDRESS: 4051 Highwood Rd Unit#
Mound,MN 55364
P��� 07-117-23-44-0076
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: Pernut Fee: $ 35.00 valuation: $ 2,000.00
State Surcharge Fee: $ 1.00
TOTAL FEE: $ 36.00
APPLICANT: Hearth&Home Technologies Inc. OWNER: William&Anita Rouse
DBA: Fireside Hearth&Home 4051 Highwood Road
2700 Fairview Ave Mound,MN 55364
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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APPLICA T PE E NAT RE ISSUED BY SIGNATURE
Copies: 1-File(Signarures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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���.< FOR CITY USE ONLY
,�` City of Orono
4O`Y P.O.Box 66 Date Received: Permit#
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a ''�'�'�' Cr stal Ba MN 55323 A roved B Amount�:
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CITY OF ORONO —MECHANICAL PERMIT
(All Commercial perniits must be approved Uy die Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations, details and specifications are required for each
heating,ventilation,llunudification-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 consriuction 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.
(24-48 hour notice required)
7. House Heating Test Record must be subnutted before fina:.
TYPE OF PERMIT
(Check All That A 1 )
�Residential ❑ Conunercial(Approval Required)
❑ New ❑Additional ❑ Repairs ❑ Replace
Job Site/ Owner Information:
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Site Address: `� � ' .
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Owner:�1^��- C�u S� Mailing Address: �/`� ������
city: f^CJVI. () zip: J 5 J�C�L/
Home Phone: �5��— �I��—(,�'��� Alternate Phone:
Contractor Information:
Contractor: �1�"�S 1(��f 7�'�����i�l7GYri� Contact Person: ��Ci/^/� I
Address: ���i�� ��i,( 1^ U��cr� ��� State Bond #: i��S�/a d�D�
City: �(�-�v����� � �1'i l�� Zip:S�'���3 Expiration Date: ���G� (��
Phone: �15�,�—"� ���3�J�` 7 Altei-nate Phone: �S �' �r,� 3�— ���l�
Sf�C�rl� � .QO.S��"r�ll
❑ Insurance— Current: ��' ��2
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MECHANICAL SYSTEMS BEING 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
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Brand Name: � Model No.: S ��,n h� I �QS /`yt f(J`n`l'
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VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ I`To. Bath Eachaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Uther:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all tlu-ee of the following requirements:
1. Does not requu�e 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 or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCULATION(S)—JOBS OVER$500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of conn�act price with a(Mininmm Fee of$35.00)
� (�}(�;(�j' --' x.0125 $
�(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged far the
peimitted 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 peinut fee puiposes. 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)249-4600 for the price.
MECHANICAL 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 of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
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Applicant's Signature: Date: `�" �it �Q � �/ V/
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