HomeMy WebLinkAbout2004-P07245 - gas fireplace PERMIT
CITY OF ORONO Permit Number:
2750 Kelle�r Parkway - PO Box 66 P07245
Cryst�! Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: 2i2oi2ooa
SITE ADDRESS: 870 Hunt Farm Rd
Long Lake,MN 55356
PID: 30-118-23-44-0004
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Sepazate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 36.05
Valuation: $ 2,884.26
State Surcharge Fee: $ 1.44
TOTAL FEE: $ 37.49
APPLICANT' Automatic Garage Door&Fireplace OWNER' Denni&Bridget Armbruster
� 9210 Wyoming Ave.No. � 870 Hunt Farm Rd
Brooklyn Park,MN 55445 Long Lake,MN 55356
THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE THE REAL IlVIPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUII..DING CODE REQUIItE1VID�ITS.
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APPLICANT PERMITEE SI NA ISSUED BY SIGNATURE
Conies: 1-File(Siznitures Reauired), 1-Annlicant, 1-Monthlv Renorts, 1-Assessine. 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
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical DesiQns-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: ��(� �,n.�b�;m RC�(�.c�i Zip: cC���Ln
Owner's Name:?,,�Q�_-�_Q(�.�Ur�,,;.,.�,...:I'hone Number: c�1�3 -L�)(1, -Q���
Mailing Address �� �,Q.�1�� City: �./�,t;m.� Zip: �"'C_ _� ��j(,,
Contractor's Name: �� .����r���Phone Number: �Ln`3-`j/5`=7��G
Mailing Address: (,3 � I�City: �,�D,�,�,,,,��,Zip: �����;
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SYSTEM DESCRIPTION
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HEATING SYSTEMS
Quantity:
Make:
ModeL•
Fuel:
Flue Size:
Input BTiJs:
Output BTUs: '
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
� Gas factory fireplace
Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name �,Q Model No. ��
VENTILATION
Na Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No: Other Fans: Locations cfim
FITEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons ,
�bther a��r�, Gas opening
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑Yes This Section Applies
The replacement of a Residential fixture or a� liance 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 or 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(535.00)
a�l•aC� X.oi2s $ 3f�.o5"
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($.50)
�c�S�'I.a� x.0005 $ I.L�`-'1
(contract price) (minimum S.50)
3.Posta�e and Handlin�(Only 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 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 mazket 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 51,000,000 or$.50-whichever is greater.For valuations over
$1,000,000 caU the Department of Inspectiona(Services for the price.
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 Minnesota State Building Code,and certifies that all statements made on this
application are complete,true and correct.
Applicant's Signature:�l�.11V1� '�r1 Date: `3/��/�y
Approved By: Date:
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DATE TIME
CITY OF ORONO CALLED IN 3—/
INSPECTION N TICE SCHEDULED � �� :30
PERMIT NO. � 7 2 5�S COMPLETED
ADDRESS �7O }��� ��- ��
OWNER CONTR. 1� G� ��L�
TELEPHONE NO. 7�0.3 3�S �,�� �D
� DESCRIPTION , � � ��'e' '� ��
� 01 FOOTING 11 MEC ICAL RI 18 EXCAV/GRADING/FIWNG
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAI 14 SEWER HOOK-UP O6 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 FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE C�IERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next spection 24 hours in advance. (952) 249-4600
OwnerlContr 't .
Inspector.
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