HomeMy WebLinkAbout2005-P08913 - gas fireplace PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p08913
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952) 249-4600 Date Issued:
7/6/2005
SITE ADDRESS: 135 Luce Line Ridge Unit#
Maple Plain,MN 55359
PID: 31-118-23-34-0007
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: Pernut Fee: $ 72�50 valuation: $ 5,800.00
State Surcharge Fee: $ 2.90
TOTAL FEE: $ 75.40
APPLICANT: Hearth&Home Technologies Inc. OWNER: David Anderson
DBA: Fireside Hearth&Home 135 Luce Line Ridge
2700 Fairview Ave Maple Plain MN 55359
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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APPLICA ERMITEE SIGNATURE SUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, ]-Assessing,(If Septic, 1-Septic) Page 1
,:�
� FOR CITY USE ONLY
� �,�` City of Orono
• g `Y P.O.Box 66 Date Received: Permit#
�°' � 2750 Kelley Parkway
�'�`�-
' p�;'�,��: � Crystal[3ay,MN 55323 Approved By: Amount$:
�� ���''�.o` (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pennits must Ue approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical pemuts by mail or in person at the City offices. Applications will
be reviewed and a pernut will be issued within t�vo working days.
2. Pemut 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 DesiQns—Complete calculations, details and specifications are required for each
heating,ventilation,hunudification-dehumidification,and air conditioning installation iucluding
heat loss/heat gain calculation,design temperatures, equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on foinl provided. -
4. When any new construction or remodeling is involved, a separate building pernut must be ;
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Builduig 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 subinitted before final.
TYPE OF PERMIT
(Check All That A ply)
(�esidential ❑ Coinmercial(Approval Required)
❑ New ❑ Additional ❑ Repaus ❑ Replace
Job Site/ Owner Information:
Site Address: � 3 5 �. �c.e �.. ;�� �1�y p
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Owner: DceJ� I�a�c(�tso� Mailing Address: �3� �H�r 1.,' ,.r �P,`.�5� � -
/"'K�j� P�ti��� �,
City: �f o n � Zip: SS 3�y }
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Home Phone: .� 7�-3��� 7 Alternate Phone: i
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Contractor Infornlation: �
Contractor: qw�tt�eert.dM�1p�p�,�. ContactPerson:
1� fNMid�MiwtR��om�
I.iONN� '10�14000
Address: 270o N. Feirvi�w Aw. State Bond #:
e, �
651/633-2561
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Cun•ent:
1 "�
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MECHANICAL SYSTEMS BEING INSTALLED �
HEATING SYSTEMS
Quantity:
Make: t�-� n ��o
Model: � � �" �Q��Y'ct�
Fuel: �- -
Flue Size:
3 ''
Input BTUs: 3 ���� y V�V7�"L
ou�uc BTus: 3 0� v-C� 3�, v-�o
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
Gas Factory Fireplace x.2
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove Witl�Flue �6 y/�� fi
Brand Name: N�k 4 r�U� o Model No.: �(� (�;c.n o�
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
�:,.�, , , _ ;, a,.;+:�+.+s�
Fuel Oil: gallons ❑''C.1nd�r���ouild ��r�id��]] Outside
LP Gas: gallons
Othei:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
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� PERMIT FEE CALCULATION(S)
� BASED OFF — 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or�pliance that meets all tluee of the following requirements: '�;'.
���
,�
1. Does not require modification to elecri�ical or gas service.
2. Has 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 conh�actor.
Skip next section, if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-Iu Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCULATION(S)—JOBS OVER $500.00 `
:;a
If above does not apply; follow guidelines below:
1. COIVTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) �
,r- gz
7 �G�''`�� x.0125 $ .�
(contract price) (minimum$3�.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.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) $
f?
■ * COI�TTR.ACT PRICE or JOB COST means the acttial or estimated dollar amount charged for the ``�
perrr�itted work including materials, labor,profit, and other fixed costs. It is the amount to be charged ��n
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 for pernut fee puiposes. In the event that there is a dispute on the '.'�
amount of the job cost, the City may request the submission of a sigiled copy of the actual conh�act.
� ** 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 y�1
correct. "�
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Applicant's Signature: �� � � �� Date: � � o� ,,,�
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�� / ��� TIME
CITY OF ORONO CALLED IN �` �
INSPECTION N ���.yl � SCHEDULED � �:; C�
PERMIT N0. % COMPLETED
ADDRESS �� �- ��� !��
OWNER CONTR. /�jtP,�Cj��
TELEPHONE NO. � � �`'�"`"`�"
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� DESCRIPTION
�� � �I i Y �',-e_S-t" �'l�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL i 19 LAKESHORE/WETLANDS
� 03 �NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTI F L 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTORTOMEETYOU: �YES_NO .
� COMMENTS: G'�-''�'t--�-rc��-f"oe� (i�-� �-�-�-
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� ORKSATISFACTORY:PROCEED C� PROJECTCOMPLETE
W f�l CORRECT WORK&PROCEED :� ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
C INSPECTIONREOUIRED.CAL�TOARRANGEACCESS.
Call for ihe next inspection 24 hours in advance. �952� 249-46QQ
Owner/Contracto on ite:
Inspector. •
White Copylinspector's File Canary CopylSite Notice
A TIME �
CITY OF ORONO ALLED IN " �
INSPECTION� SCHEDULED
PERMIT NO. GOMPLETED
ADDRESS �
OWNER CONTR.
TELEPHONE NO. � �c� — �103 'U�O3 7
� DESCRIPTION � �P I''��`�
ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v
10 ING FINAL 36 FOUNDATION/REMOVAL
Q WNER/ NTRACTOR TO MEET YOU: YES_NO
c�n COMMENTS:
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� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W fl CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTtON REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the ne inspection 24 hours in advance. (952) 249-4600
OwnerlContr n e:
Inspector.
White Copyllnspector's FI Canary CopylSite Notice