HomeMy WebLinkAbout2002-P05714 - gas fireplace CIT4Y OF ORONO PERMIT
�750 Kelley Parkway - PO Box 66 Permit Number: Pos�i4
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: ioigi2oo2
SITE ADDRESS: 2325 Longview Cir
LONG LAKE,MN 55356
P I D: 03-117-2 3-22-0024
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Pernut Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 1,400.00
State Surcharge Fee: $ 0.70
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.20
APPLICANT: Fireside Corner OWNER: S&D WOOD
2700 N Fairview Lane 2325 LONGVIEW CIR
Roseville,MN 55113 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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APPLICANT PERMITEE SIGNATURE IS BY SIGNATURE �
Copies: 1-File(SiQnitures Required), 1-Apolicant, 1-Monthlv Reports. 1-Assessin�, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
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 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 Designs-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 (952)249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions
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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
(952) 249-4600.
Please check one: ❑ New ❑ Addition ❑ Repair ❑ Replace�Residential ❑ Commercial
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JOB SITE•��3� 5 , .� C'�c.�.r�.�� z�p: _5'� ��`
O��-ner's Nam . .� Z..�,� �� �- Phone Number: �%5� -..-r�'7(c -���-/'��,�
Mailing Addre �' C ;QFCity:���j�-�; Zip: 5'S 35 �
Contractor's Name: Phone Number: ���
Mailing Address: �� City: Zip•
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W{rW4Y�FW7Y71� 4 y% .
2760 N.Faievia�r A�
Rosevi�I�1N �lii .
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: I ��-
Make: � i �? �tt
Model: � ��—� ����� Yf
Fuel: ' �?"' �
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� Flue Size: �3
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���: Input BTUs:
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Output BTUs: �� �`'�� _
CFM:
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�, COOLING SYSTEMS �
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uantity: �
Make: �
Model:
Tons:
H.Power
FIREPLACES GAS LINE ONLY
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� Gas ❑ Installing a Gas Line Only
Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
� Brand Name Model No.
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� VENTILA'I'ION
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i No. Kitchen Exhaust duct recalculating cfm �
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No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm ;'.�
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL�`°?b""'�'��'~'����
�"? .-�at•;�St�i�
❑ Installation or ❑ Removal ���'�3�'iy s��� ��1
�rat�r��.�[t10CT
❑Fuel oil: gallons ❑ underground ❑ inside�s�t .ol'liv��l� .
❑ LP Gas: gallons �3t�►-t�.d��t+�
���; ❑ Other Gas opening «��>>�x.;
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PERMIT FEE CALCULATION(S) „�
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2002 State Statute ` Y �
❑ Yes This Section Applies �
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The replacement of a Residential fixture or appliance that meets all three of the following requirements: �
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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 :�
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3) Is improved, installed or replaced by the homeowner or licensed contractor. �
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Skip next section; Cost of Permit $ 15.00 ���;
State Surcharge $ _.50 ���?
Mail-In Fee $ 1.50 '�
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If above does not apply, follow guidelines below: ��
�1. Contract Price* is .0125% of job with a Minimum Fee of($35.00) �
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- x .0125 $_ • ,j__� , � �
(contract price) (minimum$35.00) ;;�
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .501 �
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/�C'C?' x .0005 $ � ��C.' �'
(contract price) (minimum$.50) ��.
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3. PostaEe and HandlinE (Only mail-in applications) $ 1.50 _�
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4. TOTAL PERiv1IT FEE (Add lines 1-3 above) $ �� �. ��� -�
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*CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including �
materials,]abor,profit,and ether 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 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 signed copy of the actual contract. �
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**The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For valuations over '�
$I,000,000 call the Deparhnent of Inspectional Services for the price. ��
The undersigned hereby applies to the Ciry 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. �y
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Applicant's Signature: � ,� �2./ Date: �� ,�
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pp Y� Date:
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED ,�5- �2-9-O� 9�.3 0
PERMIT NO. COMPLETED �� ��'���
ADDRESS 23Z5 CAN6�11 L.3�i
OWNER I�RI�I �► �/�,/OOS� CONTR.
TELEPHONE NO. `�5Z'�7 3 - dS�o�
� DESCRIPTION I�+sc�.�ss F�r1�Ow�-cc hf��-TFF a�4 (�RAt.v1`��l"c
Ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADINC�/1�1 lSI�(�K%IA
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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d ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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� OFRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContract/���
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE
CITY OF ORONO CALLED IN _
INSPECTION NO�ICE SCHEDULED � /
PERMIT NO. � � S7��I COMPLETED
ADDRESS___� �3a�5 �/��I�/��.�.�� C�,e •
OWNER CONTR. f- ,''�.e S� �P ��//l-«
TELEPHONE NO. i�C��c�. _,��� �v�10--5
� DESCRIPTION %`� r ,�� � _
� 01 FOOTING �1 MECHANICAL RI 18 EXCAV/GRADING/FILUNG
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Q 02 FRAMING 1��KJfECNANi�CAL 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 06 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 HARD COVER REMOVAL
��U ING FINAL r' 36 FOUNDATIOWREMOVAL
ONTRACTOR TO MEET YOU:�� YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTOARRANGEACCESS.
Cail for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContra�^ �site:
Inspector. �
White Copy/lnspector's File Canary CopylSHe Notice