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HomeMy WebLinkAbout2001-P03451 - gas fireplace PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: Po3asi Crysta! f�y, Minnesota 55323 Permit Type: Mechanical Permits (612) 249-4600 Date Issued: iisi2ooi SITE ADDRESS: 2275 Longview Cir LONG LAKE, MN 55356 P I D: 03-117-23-22-0007 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: $ 35.00 Valuation: $ 2,000.00 State Surcharge Fee: $ 1.00 TOTAL FEE: $36.00 APPLICANT: FIRE WORKS FIREPLACE INSTALLA OWNER: S W BUCHHOLZ&D A BUCHHOLZ 253 HORIZON AVE 2275 LONGVIEW CIR SARTELL,MN 56377 LONG LAKE MN 55356 THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLTANCE WITH ALL CITY OF ORONO ORDINANCFS AND STATE OF MINNESOTA BUII.DING CODE REQUIREMENTS. / d�v+�r/1 � ISSUED BY SIGNATURE Copies: City,Applicant,Assessor,Finance Page 1 ,t� � , � ,;"�, �'`r�s r � ` _ �; ��>'�} _ , . .: _ , , _ , �� � �a , ... � - � � � CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT BoY 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL T�IFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within 2 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. 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 work must be inspected (rough-in and final). Call 249-4600. 24-hour notice required. 7. House Heating Test Record must be submitted before final. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. + INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600. � = Please check one: New Addition Repair Replace . � � " Residential Commercial � JOB SITE: ���S L�i/�i�i�;�J �'';.'�� �� Zip: Owner's Name: bS'-�ve �(��,�� ,;,/Z Telephone Number: E Mailing Address: 5,,,�_ �-,s� .;�d .s�� City: � ,�:� Zip: ': Contractor's Name: ��.:,,�a,C{ �,��p,��� _���`-Telephone Number: 3�0-�yv-�y�� Mailing Address: :Z„S`-,_j j-,i,�..�iz�-, ,9-vt City: ,S=g�,1�%/ Zip: �—�,'�3�7 SYSTENI DESCRIPTION HEATING SYSTEMS Quantity: 1�Iake: Model: Fuel: Flue Size: Input BTUs: Output BTUs: ' CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: - H. Power � . �.�, ,,. � � _ �: , . - . . ;° �ai —� '� a`^ ,x �`1 : ��� `� � � ��. , . a� � .a-: _ +.��� , , ,� h . . .. �-c .�' . -^-..� r._� .. .. .. _�. ._ ._. .:.� _... �. a- .v_.._ .� . : �.,_ . ___ ..... .R .��..,.. �.. ... �..rF...�. .. � � _ : 3H.�;�,* , �. , � � e s:. .,,.:&ra^ �'� FIREPLACES j � - ✓'Gas factory fireplace Wood burning factory fireplace with flue Wood Stove �' Wood stove with flue Brand Name /�l/y�ed� Model No. � �� VENTILATION No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. Other Fans: Locations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation Removal Fuel oil: gallons underground inside outside LP Gas: gallons Other Gas opening PERi1�IIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) ��, dv J x .0125 $ (contract price) 2. State Surchar�e. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ or $.50, whichever is greater (contract price) 3. Postage and Handlin� (Only 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 permitted work includina 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 are furnished by the owner, tenant or any other parry 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 signed copy of the actual contract. ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or $.50 - whichever is greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price. 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 Minnesota State Building Code, and certifies that all statements made on this application are complete, true � and correct. � Applicant's Signature: -- - - - Date: �'��� � Approved By: Date: ✓ DATE TIME CITY OF ORONO CALLED IN �� +�'`''� ` �- INSPECTION N TICF�1 P, SCHEDULED �-9'�'� �- E'C� PERMIT N0. �'d� E ,� � COMPLETED ADDRESS ZZr7� La�.,� 1,�, �ct.;' �`�'E-- OWN ER CONTR. /�,f�t.��+`IC..:. ,c: TELEPHONENO. l•�'`���.tf�'j`!'.�.. G`u `,��:� � ,��-���.�: Y` � � DESCRIPTION ��^� � �'r�e.j%�'�'' �-- ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVA� Z04 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 J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q ? 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 � � � O >. � O � W � Q � Z W � W � j d 4� �ORK SATISFACTORY:PROCEED I� PROJECT COMPLETE f❑CDRRECT WORK&PROCEED i ISSUE CERTIFICATE OF OCCUPANCY O C] CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION f1EQUIRED.CAL�TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�0 OwnerlContract ite: Inspector. White Copyllnspector's File Canary CopylSite Notice