HomeMy WebLinkAbout2005-P09017 - gas fireplace �
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PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po9017
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952) 249-4600 Date Issued: 8/1/2005
SITE ADDRESS: 4051 Highwood Rd Unit#
Mound,MN 55364
PID: 07-117-23-44-0076
DESCRIPTION:
Proposed Use: Residenhal
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: $ 35.00 Valuation: $ 1,100.00
State Surcharge Fee: $ 0.55
TOTAL FEE: $ 35.55
APPUCANT: Hearth&Home Technologies Inc. OWNER: Anita Rouse
DBA: Fireside Hearth&Home 16220 48th Ave N
2700 Fairview Ave Plymouth,MN 55446
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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APPL CANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: l-File(Signatures Required), 1-Applicant, 1-Monthiy Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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CIT� Q� OKC)I�Q �P�'LILA'I'IOI`�' FOR NfEC��ANICAI,PERMIT
�ox 66 (2750 Ke11ey Parkway)
Crystal �ay, h� �5323
C7ENERAL INFORMATIOIv
1. You may apply for mechanical permits by mail or i�z person at tt�e City offices. Applications wili be
reviewed and a pennit will be issued within two working days.
2. Pernvt cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
LJNTIL YOU I�CEIVE A PERMIT. ��'ORK MUST N�T BEG�IN UNTIL THE PERl�'IIT CARD IS �
POSTED ON THE JOB SIT�.
3. Meehanical Desi�ns- Complete calculations, details and specifications are required for each heating,
ventil.ation,humidification-dehuinidification, and air conditioning installation including heat loss/heat
gain calculation, design ten7peratures, equipment ratings and identification as to type,manu�facturer and
model. Data shall be presented on form provided. Identification of and specifications ior water heating
equi,pment shall also be providcd.
4. When any new constructi�n or remodeling is involved, a separate Uuilding pennit must be obtained.
5. All work lnust be done iz1 accordance with the Uniform Mechanical Code/State Building Code
requirements.
� 6. All work rnust be inspecfed (r�ougl�-in and finat). Call (952) 249-4600. 24-hour notice required.
7. House IIeatin� Test Reeord must be submitted before final.
��s�t'v ctio��
� Complete all items on this application. Coxripute tihe pern�it fee. Sign and date the certification.
INCOMPLETE APFLICATIONS WILL NOT BE PRQCESSED. lf you have questions, call
(952 j 249-4600.
Please check one:� New ❑ Addition ❑ Repair ❑ �eplace ❑ Kesidential ❑ Comznercial
��?�3 5���: � � �.iX.��-� �,��
�ip:
��a��er's i�d�n»: �'"lzoaa� I"�1luanbe�•:
P►'I�ilid�g 4.ctda-ess: �i� ,:
— – —_ _ 3 �;ip: _ _
H..ro�a r�+on,.T.ahnaoa.�.Mc.
C'���racioa-'s I'����:db� FihsW�t Fbtrth f�Mo� �'l�one l�iu�r�f�er:
11�aili��a �d�c-ess: ��t�– --
b Aw. Cety: '�ap:
Roa�viN�,�6511
8S1/633-25d1
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�YS'TGM DPS�'RIYTION -
HI;A'I'Ii_vG SYST�IVIS
Quantity:
Ivlake:
Modei:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFI�4:
COOLING SYSTER'IS �
Quantity:
Make:
Model:
Toils:
H.Power
FIREPLACES ��4.5 LIPdE C31iTLI'
� Gas factory fireplace ❑ Installing a Gas Line Only
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with tlue
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Brand Name_ � � � /�' �� �`' ��1ode1 No. -j���' ��%"1c���_i�'
,
�'EN'I'�LATIC}N
No. Kitchen Exhaust duct recalculating efin
No. Bath Exhaust (must have duct outside) cf 1
�.z�.�..,�'�� .,+�.
No. Other Fans: Locations ��,� �, ,,,�� '�y,i��,� ��,
f;c�+:t; �'� ::3f???!.;
�UF,L ST�IZAGF (MUST BE APPROVED BY FIRE MARSHAL}��•�;�;�M����=,��c�
�e_ `� �
❑ Installation or ❑ Removal
❑ Ftiel oil: gallons ❑ under�nound ❑ inside ❑outside
❑ I.P Gas: gallons
❑ Other Gas opening
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PE1��IT �'EE CALCUL�TIQN(S)
2002 State Statut� ❑ �'es This Seetion AppIies
The replacement of a Residential fixture or a�pliance that meets all three of the foIlowing requirements:
1) Does not require modification to electrical or gas service.
2) IIas 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; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.�0
If above does�7ot apply, follow guideIines belo„�:
1. �ontz•aet Pe-ace* is .0125% �f job with a il�iiiimum Fec of(�35.00)
�`�• `_'_) $ _`�,��
X .�12$
(contract price) (minimum�35.00)
2. �tate Surchar�e. *r A.dd the State.Building Code Divisio�l a Minimum Fee of($ .54)
���-> � .oaos � . ��
(contract price) (nur�imum$ .50)
3. PQstage and ��ndlir�g (Ortdy fnail-irr ap�licatio�:�s) $
�
4. 'FO'I'AI. P�'I�'VI�T �']E� (Add]ines 1-3 above) $ ��� :j?'
*COTJTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pertnitted work including
materials,labor,profit,and other fixed costs. It is the amount to be cha��ged to the customer for the work done. If any material,
equipment, labor,or instailation is furnished by the o�vner,te�ant or any other party the reasonable market value of such itcros
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 si;ned copy of the actual contract.
**1'he STA7'L SURC�IARGE is.00US of the contract price undcr$1,000,Q00 or$.50-whichever is greater. For valuations over
$1,000,000 call the Department of Inspectional Scrvices for the price.
7�he undersigned hereby applies to the City for issuance of a Mechanical Pcrn�it,agrees to do all work in strict accordance with
the ordinances of the City and the regulations of the Minnesota Scate Building Code,and certifies that al]statements made on this
application are complete,true and correct.
Applicant's Si ature: � !�����= -— � � � �
-- — � � Date: ��- `'�
Approvcd By: _ Date:
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