HomeMy WebLinkAbout2007-P10812 - gas fireplace � � PERMIT
CITY O� ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10812
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
3/7/2007
SITE ADDRESS: 3675 7acobs Mill Rd Unit#
Long Lake,MN 55356
PID: 32-118-23-24-0012
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: Permit Fee: $ 42.50 valuation: $ 3,400.00
State Surcharge Fee: $ 1.70
TOTAL FEE: $ 44.20
APPLICANT: Hearth&Home Technologies Inc. OWNER: Jeffrey&Kari R Ament
DBA: Fireside Hearth&Home 3675 Jacobs Mill Rd
2700 Fairview Ave 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.
��- � _� .�
�� C C�'Y��e�i!'�
APPLICANT PERMITEE SIGNATURE ISSUE BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septiq 1-Septic) Page 1
' roa crrv usc o�LY
%0�'�`. City of Orono
O� "►'O\, P.O.Box 66 Date Received: Nermit;'t ----
�;'�:., � 2750 Kelley Parkway
� ��r -" 'i; ti Crystal Bay,N4N 55323 Approved 13y: _ Amouut�:_
�y��i�o o� (952)249-4600
��%
CITY OF ORONO —MECHANICAL PERMIT
(All Commercial permits must be approved by the[3uilding Offcial or Inspector and/or Fire Marsh�ll)
GENERAL INFORMATION
I. You may apply for mechanical permits by mail or in pe�son at the City offices. Applications will
be rcviewed and a permit will Ue issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. P�RMITS ARE NOT
VALID UNTIL YOU RF.CEIVE A P�RMIT. WORK MUST NOT I3GGIN UNT'[L THE
PI;RNIIT CARD IS POSTED ON THE JOS SITE.
3. Mechanical Desi�ns—Con�plete c�alctilatioi�s,details and specifications are required for each
heating, ventilation, humidification-deh�unidification, and air conditioning installation including
heat loss/heat gain calculation, design temperatures, equipment ratings and identiticatioii as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or retnodeling is involved, a separate Uuilding permit must be
obtained.
5. All work must be done ii�accordance with the Unifonn Mechanical Code/State Building Code
rec�uirements.
6. All work must be inspected(rough-in and finai). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be suUmittcd before final.
TYPE OF PERMIT
(Chec�'<All That Apply)
�Resid�ntial ❑ ( mr.:crcial (Approval Required)
❑ New ❑ Additional ❑ Repairs ❑ Replace
Job Site/ O`x�ner Information:
Site Address: �(��S ��t��e�� i`� �� ��
Owner: �Q �--�-; c ; �-o asr� ��+�� Mailing Address:
City: Zip:
IIome Phone: � � � ���- 1 y��� Alternate Phone:
Contractor I�nforniation: �
Contractor: Contact Person: �3 F�wna T�qh .aol�/� Mf.
dba MNf�1 r��i.M
LiGM�lON�0�0
Address: State Bond#: 2�00 N•F�t A�.
e���l--
City: Zip: Expiration Date: _
Phone: Alteniate Phone:
❑ Insurance— Cuizent:
1
� M�CHANICAL SYSTEMS BEING INSTALLED -�
HGATING SYST�MS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: __
Make:
lvlodel:
T': rs:
H. Power
�IREPLAC�S
� Gas Factory Fireplace ,[ /
❑ Wood Qut7�ing Fireplace �j rn s I . � e �`'� �' r r`E� S
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: ��r.�� ►��j{�' Model No.: L- ' C C +n E�� i-� �f
VENTiLATION
❑ No. Kitchen Exhaust duct recirculatin� cfm
❑ No. Bath Exhaust(must havc duct outside) cfm
❑ No. Other Fans: Locations cfin
F'UGL STOI2AGE(MUST [3E APPROVED BY FfRE MARSHALL)
❑ Installa�ion ❑ Removal
.�t MI0�1 smt+l�!�rtt��r.•�'
��
� ' 7allons U�1der�round Inside
�t��'��; �" ❑ � ❑ ❑ Outside
.wA�wNv�.�.e�;�°�- �allons
sf t�'� ryyy�,,. i y
FlM:'l��.�".S 2'.`�
CAS LINE ONGY
❑ Outdoor Grill ❑ Other/List What& Where:
2
� PERMI"I' FEL CALCULATION(S j
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applics
The replacen�ent of a Residential fixture or appliance that�neets all three of the followinb requirements:
1. Does not require n��odification to electrical or�as service.
2. I Ias a total cost of$500.00 or less; excludin�the cost of the fixture or appliance: and
3. Is improved, installed or rcplaced by che liomeowner or licensed contractor.
Skip next section, if this applies; Cost of Pennit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FE� CALCULATIOI�T(S) —JOBS OVER $500.00
If above does not appiy; follow guidelincs below:
1. CONTRACT PRICE *is 1.25%of contract price with a(11'Iinimum Fee of�35.00)
��G'Z . E.�, x .0125 $
(conh�act price) (minimum$35.O0)
2. STATE SURCHARGG ** Add the Statc Bldg Code Div. Surcharge(Minimum Fee of�.50)
x .0005 $
(contract price) (minimum$ .50)
3. PGSTAGE &HANDLING(O�tiy on '��1ail-In Applications} $ 1.50
4. TOTAL PERMIT FCE(Add I,ines 1-3 Above) $
■ 'k CON'CRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pen»itted work includiug materials, labor, profit, and other fixed costs. It is the amount to Ue charged
to tl�e customer for the �vorl< done. If any matcrial, equipment, labor or installations are furnisl�ed by
t1�� owner, tcnant or any othcr party, the reasonable market value of such items n�ust be added to the
estimated cost or contract price for permit fee purposes. [n tl�e event that there is a dispute oi1 the
amount of thc job cost, tlle City may request the submission of a signed copy of the actual contract.
■ *^`The ST/�TE SURCI-[ARGE is .0005 of the Building Dcparm�ent at(952)249-4600 for the price.
� MECHANICAL PEIZi'VIIT APPLICATION AGREEMENT �
The undersi�ned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
.,r • • � • ,_ t._ .�:_.-_..�_ r L... !�•.. � 4l. t f•,..-.� 4 tt,� c��.,r� F
WUfit lIl SLIIGI dCCUI(1AliCG wllll 111G V1u111a11LG� Vl lllc �.1�� uliil �iie P���iliaiivua vi ui�. .3�aw vi
Minnesota, and certifies that all statements rnade on this application are complete, true and
correct.
Applicant's Sibnature: �—''� Date: 3 � G' 7 __
3
' �/ ATE TIME �
`� CITY OF ORONO CALLED IN 3- �3"�`7
INSPECTION TICE ( SCHEDULED 3 - f�l-rZ7 � �d
PERMIT NO. � I �� l�� COMPLETED
ADDRESS `���� ��CG� �c C C 1��.
OWNER CONTR. �iK�-2 �tC�_c,
TELEPHONE NO. � � � 3�3 - �' �`�
� DESCRIPTION ��-�-�C� � � . � ,
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETIANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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
a
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W WORK SATISFACTORY:PROCEED C; PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED L� ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next� spection 24 hours in advance. (952� 249-4600
OwnerlCon c
Inspector. �,
White Copylinspector's Fil Canary Copy/Site Notice