HomeMy WebLinkAbout2004-P07436 -gas fireplace CITY OF R N PERMIT
� � � Permit Number:
2750 Kelley Parkway- PO Box 66 P07436
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: 4/29/2004
SITE ADDRESS: 706 North Arm Dr
Mound,MN 55364
P I D: 06-117-23-43-0004
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Pernuts Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation• $ 2,200.00
State Surcharge Fee: $ 1.10
TOTAL FEE: $ 36.10
APPLICANT: Allied Fireside(See Comments) OWNER: Jeff&Cara Ziebarth
DBA:Fireside Hearth&Home 820 Bayside Lane
2700 Fairview Minnetrista,MN 55364
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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APPLICANT ERMITEESIGNATURE SSUEDBYSIGNATURE
Conies: 1-File(SiQnitures Required), 1-Acyplicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR le✓✓iECF-iANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, I��T 55323
GENERAL INFORMATION
1. You may apply far 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 F1RE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MtJST NOT BEGIN UNTIL THE PERMIT CAlz_D IS
POSTED ON THE JOB SITE.
3. Mechanical Desi ns - Complete calculations, details and specifications are required for each heating,
ventilation,humidification-dehuinidification, 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 Meehanical Code/State Building Code
requirements.
6. All �vork 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.
Insta-uctions
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 ❑ Coinmercial
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.�0�3 SIT�:��G" �� �,�,�/'�,�r�� �z..d�-�- �i
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O��ner's I'��me: I'hone l�ura�ber:
1l�ailing Adc�ress• ci�y• �i
P�
Hllied Fireside
Contractor's Name: dbaFirasideH@eN1iHpM Phone Nucnber�
�cen
IVgailfng Address: 2700N.FainriewAv9. ��tY: Zip:
Rosevitle,M
�,51/833-258+
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Sl'STEM DESCRIPTION �
HEATING SYSTEMS
Quantity:
Make:
Model:
FueL•
Flue Size;
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEiVIS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES �AS LINE ONLY
� Gas factory fireplace ❑ Installing a Gas Line Only
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
�
Brand Name � � " � � � �,�(,� Model No. /�� ���
— � � - ��
VEN'TILATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑ Ftiel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
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. � �'1r..
PERMIT FEE �ALCULATION(S)
2002 State Statute ❑ I'es This Section Applies
Th�replacement of a Residential fixture or appliance that meets all three of the following requirements:
1) Does not require modification to elech-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 contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If above does not apply, follow guideIines below:
1. Contract Price* is .012�% of job with a Minimum Fec o�'(�35.00)
���7��.� x .0125 $��
(contract price) (minimum�35.00)
2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50)
b„�-`��'.�� x .0005 $ ,j�
(contract price) (minimum$ .50)
3. PostaQe and I�andlin� (O�ily mail-in applicalio�7s) $ �
4. TOTAL PERIY�I'F FEE (Add lines 1-3 above) � ���.�-Z;
�`CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted��ork 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 instaliation is furnished by the owner,tenant or any other party the reasonable market value of sucii 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$I,000,000 or$.50-whichever is greater. For valuations over
�1,000,000 calf the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Pern�it,a�rees 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 this
application are complete,true and c�.
i /
/
Applicant's Signat�re� %��� � �,: Date: �� �. ���
Approved By: Date:
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