HomeMy WebLinkAbout2006-P09779 - gas fireplace '" � '` PERMIT
CITY OF ORONO
�50 Kelley Parkway- PO Box 66 Permit Number: P09779
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
4/24/2006
SITE ADDRESS: 285 Leaf St Unit#
Long Lake,MN 55356
P��� OS-117-23-14-0001
DESCRIPTION:
Proposed Use: Residential
Permit Class: Cieneral
Permit Type:
Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 1,000.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPUCANT: Guyers Builders Supply OWNER: Mahnaz Aghamirzai
13405 15th Aven North 285 Leaf St
Plymouth,MN 55441 Long Lake,MN 55356
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.
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APPL CANT PERMITEE SIGNATUKE ISSUED BY SIGNATURE
Copies: l-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
/ �,
. FOR CITY USE ONLY
� � City of Orono
� • O� �� P.O.Box 66 Date Received: Permit#
' �„ 2750 Kelley Parkway ';
�� r-`� Crystal Bay,MN 55323 Approved By: Amount$:
�t� ��y�;�n o� (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must Ue approved by die Building Official or Inspector and/or Fire Marshall)
GENERAL 1NFORMATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Pernut cards will be sent by retuin mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMTT 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 inodel. Data shall be presented on form provided.
4. When any new consri-uction or remodeling is involved, a separate building pernut must be
obtained.
5. All work must be done ui accordance with the Uniform Mechanical Code/State Building Code
requirements,
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT '
(Cheek All That A ly)
(�,�Zesidential ❑ Commercial(Approval Required)
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❑ New ❑Additional ❑Repairs ❑ Replace
Job Site/ Owner Information:
Site Address: t��i ���i�" �S'I
Owner: Mailing Address:
Citv: Zip:
Home Phone: Alternate Phone:
Contractor Information:
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Contractor:����s/J'J/��°"��LY Contact Person: � ie!
Address: /��`v� « ��!/ nf, State Bond#: ���7✓0��
City: �"``����'T!� Zip:�!�[ Expiration Date: Q� �� �4`�—
Phone: ��,��`����.7 Alternate Phone:
❑ Insurance— Current:
1
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� "" `' MECHANICAL SYSTEMS BEING INSTALLED
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HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name:�/�/{��� Model No.: ���d,�'S
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoar Grill ❑ Other/List What&Where:
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: . .
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� � ` ������� ���`-� �� �FERMIT FEE CALCULATION(S) ,���� � ���
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture ar appliance that meets all tluee of the following requirements:
1. Does not require modification to elechical or gas service.
2. Has a total cost of$500.00 or less;excludinQ the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed conh�actor.
Skip next section, if this applies; Cost of Permit $ 15.00
State Siucharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
'�PERMIT FEE CALCULATION(S) -70BS OVER$500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 125%of contract price with a(Minimum Fee of$35.00)
��a(��`� x.0125 $
7 (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) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pemutted 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 far 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 Building Department at(952)249-4600 for the price.
MECHANICAL'PERMIT APPLICATION AGREEMENT '
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 State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
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Applicant's Signature: �/��� Date: o� Q
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