HomeMy WebLinkAbout2005-P08994 - gas fireplace • PERMIT
CITI� C�F ORONO
2750�Kelley Parkway- PO Box 66 Permit Number: po8994
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952) 249-4600 Date Issued: 7/22/2005
SITE ADDRESS: 565 Leaf Street Unit#
Long Lake,MN 55356
PID: OS-117-23-41-0028
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Pernuts Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PernutFee: $ 35.00 valuation: $ 1,100.00
State Surcharge Fee: $ 0.55
TOTAL FEE: $ 35.55
APPLICANT: Hearth&Home Technologies Inc. OWNER: Kosierazki&Fox
DBA: Fireside Hearth&Home 565 Leaf Street
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 ORQ�VO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS. `i,g\
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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• � PERMIT
CITY'GF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p08994
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Pernuts
(952) 249-4600 Date Issued:
7/22/2005
SITE ADDRESS: 565 Leaf Street Unit#
Long Lake,MN 55356
PID: OS-117-23-41-0028
DESCRIPTION:
Proposed Use: Residential ;"�
Permit Class: General %�
Permit Type: Mechanical P�rmits Permit Sy�type(s): Gas Fireplace ��'�
DETAILS:
Approved per resolution#: / � -(i'�
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Separate permits required: / \ C' �C'i ,�
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NOTICES/REMARKS: �,L�
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FEE SUMMARY: Pernut Fee: $ 137.50 �; L� �� valuati n: $ 11,000.00
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State Surcharge Fee: $ 5.50 � � \ � �� l � �O �
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TOTAL FEE: $ 143.00 �'"' `✓�� � � �' S �
APPLICANT: Hearth&Home Technologies Inc. OWNER: Kosierazki&Fox
DBA: Fireside Hearth&Home 565 Leaf Street
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.
APPL[CANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: i-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, I-Septic) Page 1
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PERMIT FEE CALCULATION(Sl
2002 State Statute ❑Yes This Section Applies
The replacement of a Residential fixture or appliance that meets all three of the foilowing requirements:
1) Does not require modification to electrica] or gas service.
2) �-Ias 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 homeo�vner or licensed contractor.
Skip next section; Cost of Permit $ I5.00
State Surcharge$ ,50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines belorv:
1. Contract Price" is .0125% of job with a Minimum Fec of($35A0)
I I v'�' �' x .0125 $ ��, �J
(contract price) (minimum$35.00)
2. State Surcharae. **Add the State Building Code Division a Minimum Fee of($ .50�
. �
___��_{�a� x .0005 $ .s'�
jcontract price) (minimum$ .50)
3. Postage and Hanciling(Oftly rv:ail-i�c applications) $ '�,
4. TOTAL P�Y�i1IT F�E (Add lines 1-3 above) $ .,j,��—
�`CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work includin, I
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 installation is fumished by the owner, tenant or any other party the reasonable market value of sucti 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 I
the job cost,the City may request che submission of a si�ned copy of the actual contract.
**The STATE SURCHARGE is.0005 of the contract price under�1,OOU,OQO or�.50-whichever is greater.For valuations over
$[,000,000 call the Department of Inspectional Services for.the price.
The undersigned hereby applies to the City for issuance of a Mechanical Perniit,agrees to do all work in strict accordance with
the ordinances of the City and the regulations of the Minnesota State Buildin;Code,and certifies that all statements made on thi;
application are complete,true and correct.
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Arrlicant's Sign�tuze: : ;�l�:.u--'� �LJ �+�r�� Date: ���.�-���
Approved By: Date;
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� . PERMIT
CITY OF ORONO Permit Number:
2750 Kelley�Parkway- PO Box 66 P08994
Cryst�l Bay, Minnesota 55323 Permit Type:
Mechanical Pernuts
(952) 249-4600 Date Issued: 7/22/2005
SITE ADDRESS: 565 Leaf Street Unit#
Long Lake,MN 55356
p��� OS-117-23-41-0028
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: Pernut Fee: $ 137.50 Valuation: $ 11,000.00
State Surcharge Fee: $ 5.50
TOTAL FEE: $ 143.00
APPLICANT: Hearth&Home Technologies Inc. OWNER: Kosierazki&Fox
DBA: Fireside Hearth&Home 565 Leaf Street
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.
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PPLIC T PERMITEE S[GNATURE ISSUED SIGNATURE �I�
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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CI'r� ��' �RC?I�O AP�'LI�;A'I`IC7Id1 F�R MECI-��1'�TICAL PERMIT
Box �6 (2750 Ke11ey Parkway)
Crystal Fa�y, I��IV �5323
GENERAL Ii'vTFORMATIQN
L You may apply for mechanical permits by mail or in person at the City off ces. Applications will be
reviewed and a perniit 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
UNTIL YOU RI�CEIVE A PERMIT. WORK MUST NOT BEG1N LJNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi�ns- Complete calculations, details and specifications are required for each heatinb,
ventilation,humidification-dehuinidification, and air eonditionirtg installation ineluding heat loss/heat
gain calculation, design tenlperatures, equipment ratings and identification as to type,manufacturer and
model, Data shatl be presented on farm provided. Identification of and specifications for t�rater heating
equipment shall also be provided.
4. When any new construction or remodeling is involved, 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 work must be inspected (rouah-in and final). Call (952)249-4600. 24-hour notice required.
7. House I-Ieating Test Record must be submitted before final.
I�structio�i�
Complete a�ll items o�l this application. Compute the permit fee. Sign and date the certification.
INC01�2PLETE APFLICATIONS WILL NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please checic one: ❑ I°�1ew ❑ Addition ❑ R_epair ❑ �eplace�Residential ❑ Commercial
��� ��"I'��: � , '� .�G� �-1e.�.f-"
�ip:
��vra�r's l���i�: ' �'�iora� I'�utnbefl-:
1@'Iailig�g �ddres�: _ ---- �i���• �i
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tl��������M►
�Cont�-actoi�`s I��rz���MMMM 11MrM• NI� Pizone Nurraber:
]i�ailir�� Acldress: liam�—��----- ----- Cat
—2700 N F�M►1Mr Aw y� �a��:
9osevilte, MN Sra113
";• '�33-2561
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SYSTEM llESCRIPTION � �
HEAT'INC S�'STEIVIS
Quantity:
Tvlake:
I�lodel:
FueL•
Flue Size:
Input BTUs:
Outpiit BTUs:
CFM:
COOLING SYSTEMS
Quantity: _____
Make:
Model:
Tons:
H. Power
FIREPLACF.S C�AS L,i�dE QNLI'
�,� Gas factory fireplace ❑ Installing a Gas Line Only
❑ �'ood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
i
Brand IVame �_G=� V�1 � �' _ �t�lcdel No. ���j��;�t-: �'�=--/Z -
V�N'TaLATi�1d'
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust (must have duct outside) cf
No. Other Fans: Locations �.,.,,����'�`����
l i�,.�. �'�1�!d�
0�4'3t�':�! fl�i�8i_?
!wA w�rir.+s� N E9i�'
FUF,L STOIdAGE (MUST BF APPROVED BY FIRE MARSHAL)r-: � ;R+:
❑ Installation or ❑ Removal
❑ Ft�el oil: gallons ❑ undei-ground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
2
PEIZII�IT �'EE �ALCUL4TION(S)
20(i2 State Statute ❑ �'es 'I'his Section Appiies
The replacen�ent of a Residential fixture or appliance that meets all three of the foIlowing requirements:
1) Does not require modification to electrical or gas service.
2} IIas 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 Permit $ I5.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines belo�v:
1. Caa�tr�ct�'II-ice� is .0125% of job with a NFinimum Fee of($35.00)
IJv�; �' � .0125 $ ��`�
(contract price) (minimum�35.00)
2. State Surch�rae. ** A.dd the State Building Code Divisioi� a 11�Iinimum Fee of($ .50)
�.��.�='�� x .0005 $ <;-�-
contract price) (nunimum$ .50)
3. Postage and I�anddin� (�tidy mail-iii cr��lications� $ �
4. �'�'I'AL, �����IT �'1C� (Add lines 1-3 above) � -��S�—
*CONTRACT PRICE or JOB COST means the actual or estimat�d dollar amount charged for[he permitted work includit�g
materials,labor,profit,and other fixed costs. It is the amount to be charged to the cusromer for the work done. If any material,
equipment, fabor,or instaliation is 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 job cost,the City may request the submission of a si�ned copy of the actual contract.
**1'he STA7'E SURC,fARGE is.0005 of the contract price under$1,000,000 or$SO-whichever is greater. For valuations over
$1,000,000 call the Department of Inspectional Services for the pricc.
The undersigned hereby applies to the City for issuance of a Mechanical Pennit,agrees to do all work in strict accordance with
the ordinances of thc City and the regulations of the Minnesota State Building Code,and certifies that al]statements made on this
application are complete,true and correct.
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Applicant's Sign`ature: -�¢—��],C,1,t.� L�� Date: �����-�i�-
Approved By: � Date:
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D� D TE TIME �
CITY OF ORONO p� CALLED IN ��
INSPECTION N U�9� SCHEDULED �� �
rERMIT NO. COM�LETED
ADDRESS ��S �'��"`T � - .
OWN ER CONTR.
TELEPHONE NO. �S��3�"ra���
� DESCRIPTION ��^ !�
� 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
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W��WORK SATISFACTORY:PROCEED CI PROJECT COMPLETE �����
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR AEINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� ZQ9-46QQ
OwnerlContractor on si
Inspector. ��2-�✓ �z.? .����N�`�
White Copyllnspector's File Canary CopylSite Notice
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�ATE TIME
CITY OF ORONO cnLLED IN __�
INSPECTION NOT CE HEDULED - - �.'D
PERMIT NO. � OMPLETE�
ADDRESS
OWNER TELE ONE NO � '�
CONTRACTOR
� DESCRIPTION
t1� �FOOTING ❑ DEMO-FINA ❑ SEPTIC FINAL
�✓❑ POURED WALL ❑ PLUMBING R ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNEiYCONTRACTOR TO MEET Y�OU:_YES_NO
y COMMENTS:_ S��•k6'`" ��. - �O�li - �4c�'—
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W ❑WORKSATISFACTORY:PROCEED ❑PRWECTCOMPLETE
� �W'ORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECdVERING PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INS�CTION REQUIRED.CALL TO ARRANGE ACCESS.
C xt inspection 24 urs in advance. (g52 j 249-4600
Owne ontractor on �Z'
Inspector:
White CopyAnspecMr's File Cenary CopylSits Notiee
��
� DATE TIME
CITY OF ORONO cnLLED IN �
INSPECTION N IC IZC�SCHEDULED `
PERMIT NO. '� COMPLETED
ADDRESS ��5 �-�'"'
O'WNER TELEPHONE NO. ����.��
CONTRACTOR
� DESCRIPTION � 5
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
v3 ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE EPTIC INSTALL
2 OWNERICONTRACTOR TO M YES_NO
� COMMENTS: .
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W��KSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
0 O CORREC�WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR YVILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
rt�eYrextins 2a hours in advance. (952) 249-4600
rreNContractor o
Inspector:
Wh te Copyllnspector's Flk Canary CopylSke Notk:e
a►� nMe I�
qTY OF ORONO ca�n�N
INSPECTION N E scHr�u��
PERMIT NO. `'� � c�o � .�:/�
ADDRESS -�'��,� �a � �J�"i'�C`�
OMINER TELEPHONE NO.
CONTRAC'T�R
� DESCRIP110N �
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� ❑ OOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
POUHED WALL ❑ PLUMBING RI ❑ EXCAWGRADINGIFILLING
❑ FOUNDATION WATERPROOF ❑ PLUWBING FINAL ❑TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑COMPLAINT
� ❑ FINAL ❑WATER FIOOK-UP ❑ FOLLOW-UP
W ❑qS BUILT-SURVEY ❑SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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v ❑ DEMO-SITE ❑ SEPTIC INSTALL
i TO MEET 1fOU:_YBB_NO
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� W�Oii1C,C�ALL FOFi R6�ISPE(:TION � 1'EMPORARY
� PERMANBdT
�������T���N �' ❑PHOTO TAKEN
II�PECPOR YVILL RETt)RN
❑STOP O�DER P�06TED.CALL IN3PECTOR ❑CITATION ISSUED
❑INSPECTION i�-0UIRED.CALL TO ARFtAN(3E AC�SS.
c�ro�»�e�r�ec�o�u no���►�e- (952) 249-4600
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