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HomeMy WebLinkAbout2005-P09490 - gas fireplace � PERMIT � CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P09490 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts (952) 249-4600 Date Issued: 12/16/2005 SITE ADDRESS: 4445 North Shore Dr Unit# Mound, MN 55364 PID: 07-117-23-31-0001 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace DETAILS: Approved per resolution#: Separate permits requircd: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,500.00 State Surcharge Fee: $ 0.75 TOTAL FEE: $ 35.75 APPLICANT: Hearth&Home Technologies Inc. OWNER: James&Margaret Kelly DBA: Fireside Hearth&Home 5240 Nolan Dr. 2700 Fairview Ave Minnetonka,MN 55343 Roseville,NIN 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. r � \ ' / ' \ _. ^ ./ �.,, � .� �jr� APPUCANT PERMITEF.SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 �' . C�TY C?F ORC)I�10 �PPLk�A'I'I�I�T FOR A�ECHANICAL�'ERIvfIT Box 66 (27�0 Kelley Parkway) �rystal �ay, It� 55323 GENERAL I.�TFORMA'I'ION 1. You may apply for mechanicaI 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 i�y retuin mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PEFL'vIIT. ��'ORI�.MUST NOT BEG1IvT UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens- Complete calculations, details and specifications are required for each heating, ventilation,numidification-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 provid.ed. 4. When any new canstruction or remodeling is involved, a separlte building pennit must be obtained. 5. A11 tivork must be done in accordance with the Uniform Mechanica] Code/State Building Code requirements. 6. All`vork must be inspected (rough-in and final). Call (9�2)249-4600. 24-hour notice required. 7. House Heating Test Record rnust be submitted before final. �����-�ac�i��s Complete aIl items on tllis applicaiion. Compute the permit fee. Si� and date the cei�tiiication. IIvTCOMPI,ETE APF�,ICI�TIONS WILL NO i BE PROCESSED. If you have questions, call (952)249-4600. Please checic one: �Nev� ❑ Addition ❑ Repair ❑ I�eplace � Residential ❑ Comrnercial ��� ���'�: `� D,�C �--4.� �'��: ��r���-'s 1�'�� e . ;� �,.-�� , '��on� l�i�mbe�: l�aap��g AdcP�e��• �itY: �ip: ��a�t�-ac�or's ��ar�e: ��g�����' �hot�e I'�u�t�e�-: ����g�b �,���.��5. �icens� 2ost20o0 — �ity: �ip: aoseville, MN SS113 i51/633-2561 1 R� SYS'i'EM D�SCRIP'b'lON � �EA'd'IIVG SYST�NflS Quantity: Make. Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: �O��,I?VG S�'S'I'TiV�S Qu an tity: Make: �Sodei: Tons: H. Po��er �'FI2E�L��;1�5 ��,5 I,1rdE C3i�d�.Y �� Gas factory fireplace ❑ Installing a Gas Line Only ❑ Wood burning factory firepIace witlz flue ❑ `�'ood Stove ❑ Wood stove with fiue Bra�.zd��Tame�G� ,�1.� �j(,�, 11Rodei No. ��tS�-jl'L-G'�- ���'�'`�'��,�'�'��l'vT No. Kilchen Exhaust duct recalcutatinb cfin _ No. Bath Exhaust (must have duct outside� cfm 1Vo. Other Fans: Locations ,a�w qf■��1w,Avirha;noN��t: »m �►t �b:aw�7 .>'� .1l�Sc.��?; �i��,•_ , �'�J�L STC�Ia.A�� (MUST BE APPROVED BY FIRE MARSHA�j" �� �`= �� �� ':' :.,,. .. ❑ Installation or ❑ Retnoval ❑ Ftiel oil: gaIlons ❑ underground ❑ inside ❑outside ❑ LP Gas: gallons ❑ Other Gas opening � 2 � � , PERI�YI'I'FEE �ALCULATION(Sl 2002 5tate Statute ❑ Yes This Section AppIies The replac�rnent of a Residential fixture or a�pliance that meets all three of the foIlowing requirements: 1) Does not require modification to electrical 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 Iicensed contractor. Skip next section; Cost of Pennit $ 15.00 State Surcharge $ .50 Mail-In Fee � l.50 If above does not apply, follo�r guidelines belew: 1. �'ontra�t ��•6ce'� is .0125% of job wit}i a lm.'��Ila»t�l�arr� �{ee oi�(�35 00) `�L��� a�� �: .O l 25 $ �S v. (contract price) (minimum�35.00) 2. State �urehar�e. **Add the State Building Code DivisioiZ a 10'Iinimum �'ee�f($ S�� ��'. ���-' x .0005 � ."7 j' (contract price) (minimum$ .50) 3. PQstaQe anel �andli�7 (Orady mail-irr applicatio�rs) � �, 4. `�'��'�T F�R?��� �'�� (.�dd lines 1-3 above) � -j'� ��� �`COTJTRACT PRICE or JOB COST means the actual or estimated dollar amount chareed for the permitted work including materials,labor, prolit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor,or instailation 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[ee purposes. in the event that there is a disput:on the amount of thejob cost,the City may request the submission ot a signed copy of the actual contract. **The STATE SliRCHARG�is.0005 of the contract price under�1;000,000 or$.50-whichever is greater. For valuations over S 1,000,000 calf the Department of Inspectional Services for the price, The undersigned hereby applies to the City for issuance of a Mechanical Pennit,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 dlis application are complete,true and correct. Applicant's Signature: _ �_ � � �- Date: ��-�S.� � Approved By: Date: � 3 I �� ✓ I D�� TIME CITY OF ORONO CALLED IN INSPECTION N�ICE�/G SCHEDULED .%-.�3-(�l� ��I PERMITNO. r O�,`7!O COMPLETED ADDRESS yyU� /�/�2� �/�dY� �/e. OWNER CONTR. �`�� S�� TELEPHONE NO. ��5� (� � 3 ��I , � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 1 MECHANICAL 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 � 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 � � � O � � O � ti � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ;� pHOTOTAKEN INSPECTOR W4LL RETURN 7 CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (952� 249-4600 OwnerlContra�� ite: Inspector. � White Copyllnspector's File Canary CopylSite Notice