HomeMy WebLinkAbout2004-P07362 - gas fireplace ITY F R PERMIT
C' � � �N� Permit Number:
2750 Kelley Parkway- PO Box 66 P07362
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: aisi2ooa
SITE'�►DDRESS: 2693 Kelly Ave
� Excelsior,MN55331
PID: 20-117-23-14-0017
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
D�TAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 2,400.00
State Surcharge Fee: $ 1.20
TOTAL FEE: $ 36.20
APPLICANT: Allied Fireside(See Comments) OWNER: MarilynMcClaskey
DBA:Fireside Hearth&Home 2693 Kelly Ave
2700 Fairview Excelsior MN 55331
Roseville,MN 55113
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND SfATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLI ANT PERMITEE SIGNATURE IS D BY SIGNATURE
Copies: 1-File(SiQnitures Repuired), 1-Applicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1
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C�TY OF ORONO APT'LICATION FOR MECHANICAL PERPvfIT
.� Box 66 (2 750 Ke11ey Parkway)
, Crystal Bay, P��] 55323
GENERAL IPJFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
rcviewed 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
UI�TTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3, Mechanical Desi rg_is- 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 �vork 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 iteins an this application. Compute the permit fee. Sign and date the certification.
IIvTCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one: �New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial
�'0�3 SITE: ��r i� ��e.`l� C��r� . �ip:
Owner's N�me: _C�'��r��/ ,��s�'�a - GL, S f �hone 1'eTuaaYbe�-:
lv'Iailing Address• City• �Yp;
Allied Fireside
Contractor's Name;dbaFirosideHeaRhi�'IOm!
LicenseM20090911 Phoa�e l�iumber•
��lllila E�CIC�1'eSS: Z�ooN.FairviawAve.
b _ o..��J�MN45113 Clt��: �]ll°
�51!633-256i �•
1 �
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SYSTEM DESCRIPTION �
HEATING SYSTEMS 1
Quantity: �
Make:
Model:
FueL•
Flue Siz.e:
Input BTUs:
Output BTUs:
CFM:
EOOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES GAS LINE ONLY
� Gas factory fireplace ❑ Installing a Gas Line Only
Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name �� Model No. ��-�������
VENTILA'I'ION
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
2
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+ ���1�b��� �'�'� �f�����T�..�d����5}
' 2002 State Statute ❑ Yes This Section AppIies
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; excludin�the cost of the fixture or appliance:
and
�) 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 $ L50
If above does not apply, follow guidelines below:
�. �antract P�-ice* is .012S% of job with a 1!'Einimum Tee of($3�.00)
� �'• � x .0125 � ��.��
(contract price) (minin�um�35.00)
2. State �urcharQe. ** Add the State Buildinn Code Division a Minimum Fee of($ .50)
��lV�".� x .0005 $ � ��
(contract price) (minimum� .50)
3. PostaQe at�d I�andlin� (�rzly f�iai!-i�z rtpf�l�catiorrs) � �_�
4. ��'�'�'4.L ��F����' ��� Add lines 1-3 above � -
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"CONTRACT PRICG�or JOB COST means the actual or estimated dollar amounC charged for the permitt�ed��ork including
n;aterials,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 parry the reasonable market value of sucki 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 si�ned copy of the actual contract.
**The STATE SURCHARGE is.0005 of the contract price under$I,000,000 or�.50-whichever is greater. For valuations over
;I,000,000 call the Department of Inspectionaf Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Pennit,agrees to do all work in strict accordance with
thc ordinances of the City and the regul ions of the Minnesota State Building Code,and certifies that all statements made on this
applicatio� are complete,true and co t.
Applicant's Signature: � Date: )
Approved By: Date:
3
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AT TIME
CITY OF ORONO CALLED IN �
INSPECTION N TICE SCHEDULED - -O �; 3 O
PERMIT NO. Z COMPLETED
ADDRESS
OWNER ONTR.�,��J
TELEPHONE NO. � 5 � �O 3 3 �S �/
� DESCRIPTION � � ��L / G�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HAFD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOF WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-460�
Owner/Contractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION IC /��, SCHEDULED � �� �
PERMIT N0. �/?� COMPLETED
ADDRESS .3 ,
OWNER ONTR. �
TELEPHONE NO. l�S� —�3,� � Z��p I
� DESCRIPTION_ f��`"' � /�,-`
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER7FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECOND�TIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the nexi in pection 24 hours in advance. (g52) 249-46��
Owner/Contract it -
Inspector. �
White Copyllnspector's File Canary CopylSite Notice