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Home My WebLink About2006-P09659 - gas fireplace PERMIT CITY OF ORONO Permit ►vumber: 2750 Kelley Parkway- PO Box 66 Po9659 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 3/10/2006 SITE laDDRESS: 4203 North Shore Dr Unit# Mound,MN 55364 PID: 07-117-23-43-0008 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: $ 112.50 valuation: $ 9,000.00 State Surcharge Fee: $ 4.50 TOTAL FEE: $ 117.00 APPLICANT: Automatic Garage Door&Fireplace, Inc. OWNER: Jeff Gustafson 8900-109th Ave N-#1000 4420 Shoreline Dr Champlin,MN 55316 Spring Park,MN 55384 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. � l _ �--�c �� . � C`��'Y�l C�_ �'�1 � APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 . .� * •� r CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) � •Crystal Bay, MN 55323 • GE,NERAL INFORMATTON 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 retuin mail after a review is completed.PERMITS ARE NOT VALID UNTII..YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII.,THE pERNIlT CE1RU IS POSTED ON T'HE JOB SITE. 3. Mechanical Desi�ns-Complete calculations,details and specifications aze required for ea.ch heating, ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain ca.iculation,design temperatures,equipment ratings and identification as to type,manufacturer and madel. Data sha11 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 irivolved,a separate building permit must be obtained. 5. All work must he done in accordance with the Uniform Mechanica.l Code/State Building Code requirements. 6. All work must be inspected(rough-in and final).Call(952)249-0�600.24hour notice required. 7. House He�ating Test Record must be submitteci before final. InstrucHons Complete a11 items on this.application. Compute the permit fee. Sign and daxe the certification. INCOMPLETE APPLICATIONS WII.,L NOT BE PROCESSED. If you have questions, call (952)249-4600. Please check one: �New ❑Addition ❑Repair ❑Replace Q Residential ❑ Commercial 1 JOB SITE: � ZIP. s�� Owner's Name: � Phone Number: c�s�.-.y7/ _ Mailing Address:c{��e Q;��, Clty; ' p Zip• 5'� Contractor's Name: �� ' � Phone Number:��'� i -�� Mailing Address:�9��/;�a q°�i ' - ,� City: ' ° .�,Zip: `�,�� _ 1 � a►�� ' - i. SYSTEM DESCRIPTION HEATING SYSTEMS ��' Q�tt�. . Make: � Model: � Fuel: Flue Size: Input BTUs: Output BTUs: ' CFM: COOLING SYSTEMS Qaant�tY: Make: Model: Tons: H.Power FIREPLACES � Gas factoryfireplace � -O,'��`-'—'' Wood burning factory fireplace with flue ❑ Woad Stove ❑ Wood stove wi�t}flue �� N � Brand Name t��i Model No.��fi3 S S� �I�1'TII.ATI�N - 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 ❑Fuel oil: gallons ❑underground ❑ inside ❑outside ❑ LP Gas: gallons ❑Other Gas opening 2 � �. . �,� ,, . PERNIIT FEE CALCULATIOi�T(Sl • 2002 State Statnte ❑Yes This Section Applies The replacement of a Residential fixture or an liance that meets all three of the following requirements: 1) Does not require modification to electrica.l or gas service. 2) Has a total cost of$500.00 or tess;excluding the cost of the fixh�re 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 ahove does not apply,follow guidelines below: 1. Contract Price*is.0125%of job with a Minimum Fee of($35.00) �� x.0125 $ (contract price) (minimum$35.00) 2. State Surchar�e.*�Add the State Building Code Division a Minimum Fee of($.�Ol. x.0005 $ (contract price) (minimiun$.50) 3.Postaee and Handling(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 chazged for the permitted work including materials,labor,profit,and other fixed costs.It is the amount to be chazged 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 o`f 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 contrac� "`�`The STATE SURCHARGE is.0005 of the conttact price under$.1,000,000 or$.50-whichever is greater.For valuations over $1,000,000 call the Depaztment 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 correck . `. Applicant's Signature: Date:�—�d�� Approved By. Date: 3 � L�� DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �ti'i PERMIT NO. �i:�l�S�� COMPLETED ADDRESS L�� 7 ��:�7�� ::Sl�a/.r� OWNER CONTR. �fZ�f�'�� -�-- ��.�%� TELEPHONE N0. / � � -S ��' ��/�v � DESCRIPTION � ��5 � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING / Q 02 FR,4MING 13 MECHANICAL FINAL �,L 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BU R/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-U 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 = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � W % � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED. ALLTOARRANGEACCESS. Call for the e t inspection 24 hours in advance. (952� 249-46�� OwnerlCont o ' it • Inspector. White Copyllnspector's File Canary Copy/Site Notice �� DATE TIME � CITY OF ORONO CALLED IN 3��U.� INSPECTION NOT-I Fy� SCHEDULED �-1 Y 7�(0 --�%�c�� PERMIT NO. /� `� COMPLETED ADDRESS `��d 3 f�CL� ✓'e- ` OWNER CONTR. %�i�1�� •�� TELEPHONE N0. �� 7CD �c�-'J�v � DESCRIPTION `/ � �P ( ��,,��V��✓ ,�� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BUR R/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-U 17 SITE INSPECT�ON Q OS 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � _" `�'dl � � 0 a � 0 � --- W � � I 1 Q � z W � W � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED n W _ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next� spection 24 hours in advance. (J52� 249-4600 OwnerlContrac r o s : Inspector. White Copyllnspector's File Canary CopylSite Notice �� DAT M E � CITY OF ORONO LLED IN �?v�- INSPECTION NO I SCHEDULED 7 5 ��6 3�M PERMIT N0. s COMPLETED ADDRESS �� ?2 � OWNER CONTR.,S� TELEPHONE NO. ��a ��OID �3�� DESCRIPTION f '�'L�J/ tL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE�NSPECTION 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 W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL �LUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � vU a,u�.��w�� r' D � � J O a � O � W � Q � Z W � W � j d W� ORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ''CITATION ISSUED ❑ INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Call for the next i pection 24 hours in advance. (g52) 249-4600 OwnerlContractor o Inspector. White Copyflnspector's File Canary CopylSite Notice