HomeMy WebLinkAbout2004-P08107 - wood fireplace e L
ITY F PERMIT
C � ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 Posio�
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: io�2i�2ooa
SITE ADDRESS: 3680 Jacobs Mill Rd
Long Lake,MN 55356
PID: 32-118-23-24-0009
DESCRIPTION:
Proposed Use: Residential
Perxnit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Wood Fireplace
DETAILS:
Approved per resolution#:
Separate pemuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation• $ 2,700.00
State Surcharge Fee: $ 1.35
TOTAL FEE: $ 36.35
APPLICANT: Allied Fireside(See Comments) OWNER: Timothy&Karen Pratt
DBA:Fireside Hearth&Home 3680 Jacobs Mill Rd
2700 Fairview Long Lake,MN 55356
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.
APPL AN PERMITEESIGNATURE ISSUEDBY NATURE
Couies: 1-File(SiQnitures Required). 1-Anplicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1
, �
+ . .
/'� �l o �
�I'�'�' C}F �ROI'�C� ��'I'LI�A'�'I�N FOR I�E���NICAL I'ER�IT
Box 66 (2 750 Kelley Parkway)
�rystal �3ay, IV�7 .�S's23
GENERAL IIVFORA�iATION
1. You may apply for mechanical permits by mail or in person at the City offices. Appiications will be
reviewed and a permit will be issued within two working days.
2. Pei-mit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU IZLCEIVE A PERI�ZIT. WORIC Iv1UST NOT BEGIN U?�tTIL THE PERMIT CAIZD TS
POSTED QN THE JOB SITT.
3. Mecr.anical Desi�ns- Complete calculations, details and specif cations are required for each heating,
ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat
. gain calculation, desig-n temperatures, equipment ratin�;s and identification as to type, manufacturer and
model. Data shall be presented on form provided. Identification of and specifications for water heating
equi�ment shall also be provided.
4. When any new construction or remodeling is i.nvolved, a separate building pennit must be obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All �vork must be inspected (rau�h-in ai�d final). Call (9�2)249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
����r�cti�a��
Complete all items an tliis application. Compute the pennit Fee. Sign and date the certification.
INCOMPLETE A�-'�I�ICATIONS �'ILL N(�T�3E PROCESSED. If you have questions, cail
(952} 249-4600.
I'lease check one: [�Nev� ❑ Additiozl ❑ Re�air ❑ Re��lace ❑ Residential ❑ Coinmerciai
/ `'
��3�3 ��T'�:___�i�` ��C(G�S 1.t�C, � ��;� � �fl�o
��a���-`� I�3����0 _ �°����e I�1u����-:
Pe�aiii�ag Adt�re5sa �i�Y� �'ip:
Alllpd Fireside
dba Fireside Hearth i HOmO
�.��1���C�C�g'r s �is`@YIl�°'o _ Licens�M20090911 _ �hQ$�� ��&YTF�}CF�:
1r����g�4 ����'���` 27ppN.FairviewAve. -
b Rosa��Nw MN5511'3 ����'�. �fly� �
Fi51/639-e56� r�
�
1
� ,
. . �
��'S'�'EI!'�DESC�2IY'�'9Qh' �
H�,4'�'INC:S�IS�'�It�S
Quantity:
Make:
Model:
FueL•
Flue Size:
Input BTUs:
Output BTUs:
C�M: �
�OOLI�IG Sl'S'�'EIY�S
Quantity:
Make:
Madel:
Tons:
H.Power
��12�+I���a��'S Gl�� I.I1�IE ON�.Y
❑ Gas factory fireplace ❑ Installing a Gas Line Only
� Wood burnin�factorv fireplace witll f7ue
❑ Wood Stove
❑ Wood stove with flue,
Brand Name �G% l�fodei No. ���,�;{L��-
'���1�''�'��,�`I'��li'
No. Kitcl�en Lxhatist duct recalet�latin� efm
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
FI1�I. ST�1�AG� (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Reinoval
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Qther Gas opening '
2 '
�ERl�i�' �'E� �ALCLTL�'�'IOIOr(S)
2002 ,���e �tataaCe ❑ I'es This �eefion�,ppi9es
Tl��r�placement of a�esidential fixture or ap�ance that ineets all three of the fol]owinU requirements:
1) Does not requir.e modification to elech-ical or gas serviee.
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 Pennit $ ]S.Op
State Surcharge $ .50
�ail-In Fee $ 1.50
If above does not apply, follow guidelines below:
�• �on�r�ct�'P'iee* is .0125°io of job wit�h a T!✓�fla����u� Fee of(�35.00�
�-��.cL _� .olzs � .3.5_��
(contract price) (minimum$35.00)
2. SY.ate ;��-ci�arg�e. �°k Add the State Buildino Code Division a 1'Viiraannum Fee of($ .5��
��'.t<� x .00OS $ �_ �;�
(con?ract'price) (rninimum$ .50)
3. �"�s�age anet�andiin� (f7fely niai!-irt appdiccatr,'ons) $ �_
4. '�'CB��L, ���.�✓I��' ��� (Add Iines 1-3 above) $ .�(�.jJ�
*CONTRACT PRICE�or JOB COST means tl�e actual or estimated dollar amount charged for tne penr�itted worl<including
materials,labor,profit,and other fixed cosCs. It is tl�e amount to be charged to the customer for Yhe work donc.If any material,
equipment, fabor,or insta(lation is furriished by tl�e owrier,tenant or any other party the reasonable market value of suct� 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 oi a signed copy of the actual contract.
*'"The STATE SURCI-IARGE is.0005 of the contract price under�1,000,000 or$.50-whichever is greater. For valuations over
�1,000,000 call the Department of Inspectionai Services For the price.
The undcrsigned hereby applies to the Ciry for issuance of a Mechanical Pern�it,a�rees to do all work in strict accordance with
the ordinances of the City and the regulation;of the Minnesota State Buildinb Code,and certifies that al]statements made on this
application arc complete,true and corr ct.
Applieant`s Signature: ' �.^���-�z — Date:�`� a p
�
Approved By: Date:
3
DA TIME �
CITY OF ORONO CALLED IN 1 I �-d�
INSPECTION,,N�OTICE SCHEDULED //-�O-o� �.,��
PERMIT NO.'T_������ COMPLETED
ADDRESS ��( 9� ��-C'c���S /�,�1 I Y`-� �
OWNER CONTR. L-P Gi�f
TELEPHONENO. (�C' +a �O 3 0� 7�
� DESCRIPTION � � � — `�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/ NG
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURN /FI - CE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-U 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 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 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
J ` �
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 tor the e inspection 2a hours in advance. (952) 249-4600
OwnerlContra o it •
Inspector.
White Copy/lnspector's File Canary CopylSite Notice
�,v
DATE TIME
CITY OF ORONO CALLED IN /O� -4``
INSPECTIONNO CE SCHEDULED !�-o��'-D✓ :00
PERMIT NO. COMPLETED
ADDRESS�l� /Ac�,�S .�I I ��X �
OWNER CONTR. ���� S� Uc-�
TELEPHONE NO. � .��— �i�.3�o�.� �o /
� DESCRIPTION �� ' /P
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURN FIREPLAC 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-S�TE 27 SEPTIC MAINT. 21 COMPL4INT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMME�S: ,
� -- i'1 v1 S � �
j ` �
O „ �
�
�
O
�
W
�
Q
�
Z
W
� �
w
�
�
d
� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 �ORRECT WORK,CALL FOR REINSPECTIOtJ TEMPORARY
V � �BEFORECOVERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETl1RN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnedContractor on ite:
Inspector. ,
White Copyllnspector's ile Canary CopylSite Notice