HomeMy WebLinkAbout2007-P11136 - gas fireplace . ` PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P11136
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952)249-4600 Date Issued:
6/19/2007
SITE ADDRESS: 3065 Jamestown Rd Unit#
Long Lake,MN 55356
P��� 28-118-23-33-0008
DESCRIPTION:
Proposed Use: Religious
Pemvt Class: General
Pernut Type: Mechanical Permits Pernut Sub-type(s): Gas Fireplace '
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 37.50 Valuation: $ 3,000.00 ,
State Surcharge Fee: $ 1.50
TOTAL FEE: $ 39.00
APPLICANT: Hearth&Home Technologies Inc. OWNER: John&Susanne Koob
DBA:Fireside Hearth&Home 3065 Jamestown 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. I
" /'`'i`"li`
AP ICANT PERMITEE SIGNATURE UED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CITY USE ONLY
City of Orono
4O� P.O.Box 66 Date 2eceived: Permit#
. �' � 2750 Kelle Park�va
�.;-;�..,. Y Y
' .� '��%�z'�=_ � Crystal 13ay,MN 55323 Approved[3y: Amount$:
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. ��t���l�t����o~ (952)249-4600
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CITY OF ORONO —MECHANICAL PERMIT
(All Conunercial pemiits must be approved by the Building Ofticial or Inspector and/or Fire Marshall)
GENERAL 1NFORMATION
L You may apply for mechanical pernliCs by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued witliin two working days.
2. Permit 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,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.
4. When any new constniction or remodeling is involved, a separate building permit must be
obtained.
5. All work must be done in accordance with the Unifoini Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and fina]). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That Apply)
�Residential ❑ Cominercial(Approval Required)
�iew ❑ Additional ❑Repairs ❑ Replace
Job Site/ Owner Information:
Site Address: 3��A� �t�ereS {-c•c,-� � IC�'l
Owner: �J o{�v� Kco �j Mailing Address:
City: �F'C^ c`� Zip:
Home Phone: ��/�- `7o?C7 • ��(p � Alternate Phrn1e:
Contractor Information:
Contractor: �.►�� q. Contact Person:
dW►FMNid�,IMMM• �
Address: 2��N ��� State Bond #:
qp�i1N,M!1 N11
City: ����� Zip: Expiration Date:
Pho►le: Alternate Phone:
❑ Insurance-- Current:
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MECHANICAL SYSTEMS BEING INSTALLED
HEATING SYSTEMS •
Quantity: �
Make: � � O
Model: 1
Fuel: V
i�
Flue Size:
I�l�ut BTus: :3 ,trtrv
Output BTUs: _ �
CFM:
COOLING SYSTEMS
�uautiiy:
Make:
Model:
Tons:
H.Power
FIREPLACES
� Gas Factory I'ireplace
❑ Wood Buniing Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: hi������o Model No.: /OGZ'� ���
VENTILA"CION
❑ No. Kitchen Exl�aust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUS1'I3E APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
arM �� � tf,!�
Fuel Oil: gallons ��It���s�l�;�] Outside
LP Gas: gallons ���� �'
MiYUisi .�? :Ct��
Other: � tii�1�11,Nhy�p
��!•fEa't�a
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:_
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❑ Yes,this section applies
The replacement of a Residential fixture or appliance 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;excludine 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 Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Appiicable) $ 1.50
Total Permit Fee $
` ' , rPE�2:MIT;FEE�CA.LC'ULATIQN(S)�;-:70BS OVE�'$SU0 00;`; . ;�-��
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
3� - � X.oi2s$
(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) $
• . * CONTRAC"T PRICE or JOB COST means the actual or esrimated 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 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 permit fee purposes. In the event that there is a dispute on the
amount of the jab cost, the City may request the su�mission of a signed copy of the actual contract.
• **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price.
�s `< . ' `. .MECHAI�IIGAL PERIVIIT.Al?PLICA'TIQN AGREEMEN`T, : ' `
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all�
work in strict accordance with tYie 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. �
, '
Applicant s Signature: Date: lo �l O 7
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