HomeMy WebLinkAbout2002-P05632 - gas fireplace ITY F R N PERMIT
C O O O O
27�0 �elley Parkway- PO Box 66 Permit Number: P05632
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: 9/19/2002
SITE ADDRESS: 1423 Park Dr
Mound,MN 55364
PID: 07-117-23-42-0019
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Pemut Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolurion#:
Separate pemrits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation• $ 2,200.00
State Surcharge Fee: $ 1.10
TOTAL FEE: $ 36.10
APPLICANT: Allied Fireside Inc OWNER' Rob Howells
2700 Fairview � 1423 Park Dr
Roseville,MN 55113 Mound MN 55364
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.
APP CANT PERMITEE SIGNATURE ISSUED B SIGNATURE �/"��
Covies: 1-File(SiQnitures Required), 1-Auplicant, 1-Monthly Revorts, 1-AssessinQ, 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 pernut 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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CAR.D IS �'
POSTED ON THE JOB SITE. ��
3. Mechanical Desi�ns -Complete calculations, details and specifications are required for each heating, g
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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 '�V�'
equipment shall also be provided. iE��
4. When any new construction or remodeling is involved, a separate building permit must be obtained. ik ':�
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. ;�i.;
7. House Heating Test Record must be submitted before final. 'E`
Instructions '''
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Complete all items on this application. Compute the permit fee. Sign and date the certification. '� _
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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: ��/�?� " ���./z, �i.<.►-c� Zip:
Owner's Name: _T'�, �� t.,�,, C-�;,,�: Phone Number:
Mailing Address• City: Zip: �
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Ailied Fireside
Contractor's Name: dba fireside Corner phone Number:
Mailing Address: 2�00 N Fairuiew A►rn CitY� Z�P:
Rosevil�e, MN 55113
651/633-2561
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Mode1:
Fuel:
Flue Size:
Input BT[Js:
Output BTUs:
CFM:
y ft,.
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
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H.Power
n FIREPLACES GAS LINE ONLY �
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R' . Gas factory fireplace k Z ❑ Installing a Gas Line Only
�❑ Wood burnin g facto ry fire place with flue
❑ Wood Stove
❑ Wood stove with flue
� Brand Name ���� �--'���- � > -
Model No. (o��� �� ��z,
IC���� � �
VENTILATION l� ��� ����`�
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No. Kitchen Exhaust duct recalculating cfm �;
'�' No. Bath Exhaust (must have duct outside) cfm �
No. Other Fans: Locations cfm
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FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) � ` `�
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
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PERMIT FEE CALCULATION(S)
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2002 State Statute ❑ Yes This Section Applies l ;
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The 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; excludinQ 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 guidelines below:
1. Contract Price* is .0125%of job with a Minimum Fee of($35.00)
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,���c�c;. . x .0125 $ ) � -�
(contract price) (minimum$35.00) ��
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
, i,;�, x .0005 $ � / ;.
(contract price) (minimum$.50)
3. Posta�e and Handling (Only mail-in applications) $ �.Q_�_
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ _��jr,i�;
*CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work 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 installation is fumished 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.
'*The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For valuations over
$1,000,000 call the Department 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 correct.
Applicant's Signat e: ? Date: "l %.c� �L- �:
Approved By: Date:
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DATE TIME
CITY O RON CALLED IN ����,_ �
INSP TI SCHEDULED � +«f'`'"
PER �s � OMPL �
ADDRESS_ � �T �3 � ���
OWNER CONTR. �.��-�D .
TELEPHONE NO. � �� `� �� � ���
� DESCRIPTION �
� 01 FOOTING 11 ECHANIC L RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 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-FINA� 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENT : `
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� �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL�NSPECTOR �CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (g52) 249-460�
Owner/Contra r o 'te:
Inspector.
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