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HomeMy WebLinkAbout2000-P03390 - gas fireplace 4 ..•. PERMIT C I TY O F O FZO N O Permit Number: 2750 Kelley Parkway - PO Box 66 Po3390 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (612) 249-4600 Date Issued: i2i�2i2o SITE ADDRESS: 577 Park La LONG LAKE, MN 55356 P I D: 06-117-23-41-0046 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: Permit Fee: $ 35.00 Valuation: $ 1,100.00 State Surcharge Fee: $ 0.55 TOTAL FEE: $ 35.55 APPLICANT: FIRESIDE CORNER OWNER: DENISE L DUENOW 2700 N FARVIEW LANE 577 PARK LANE ROSEVILLE,MN 55113 LONG LAKE MN 55356 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. � � APPLICANT PERMITEE SIGNATURE SUED BY SIGNAT[.JRE Copies: City,Applicant,Assessor, Finance Page 1 � - pm.._. �k f,Y � np`'a - �ndy�� ' I. ,f CITY OF ORO1V0 APPLICATION FOR MECHANiCAL PERIVIIT 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 permit will be issued within 2 working days. 2. Permit cards will be sent by retum 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 Desi�ns - Complete calculations, details and specifications are required for each heating, 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 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 Mechanical Code/State Building Code requirements. 6. All work must be inspected (rough-in and fmal). Call 473-7357. 24-hour notice required. 7. House Heating Test Record must be submitted before final. Instructions 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 473-7357. Please check one: 1� New Addition Repair Replace �C Residentiai Commercial JOB SITE: C� 7' �Ct h /�.�L Zip: Owner's Name:�� �,� ; � ��� � Telephone Number: Mailin�Address• ;' City: Zip: Contractor'sName: At�ed Ffrosfd� TelephoneNumber: MailingAddress: ba Fi�eside Con� City: Zip: 2700 N.Fairview Av�. SYSTEM DESCRIPTIONRoseviiN,MN 5511� 651/633-2561 HEATING SYSTEMS Quantity: / Make: Model: Fuel: ��c������ Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power � WOOD BURNING EQUIPMENT Wood stove with flue Wood combination or add-on Factory fireplace with flue Factory Fireplace (s) Freestanding Masonry Wood Stove (s) Franklin, other Brand Name Model No. Mfgr's Min., Clearances, side , rear , min. flue dia. Total VENTILATION No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. Other Fans: Locations cfm Total FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation Removal Fuel oil: gallons underground inside outside LP Gas: gallons Other Gas opening PER.MI�' FEE CALCULATI01�1 1. 1.25% of Contract Price* or Minimum Fee ($35.00) �� c�>.�, x 1.25 $ ��_�� (contract price) 2. State Surchar�e. ** Add the State Building Code I�vi�i�r�- ��� Surcharge to each permit. �(�--� ��` '�= Y'x fl045'�= � �s 3 (contract pric �, ' �� 3 3. Posta�e and Handlin� (Only mail-in applica�ians)'. 4f„ �° $ _�� c:� , 4. TOTAL PERMIT FEE (Add lines 1-3 above) � ,:; 4_,:.. ;; $ `��-j3- * 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 are fumished by the owner, tenant or any other party the reasonable mazket value of such items must be added to the estimated cost or contract price for pernut 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 $1,000,040 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 Ciry and the regulations of the Minnesota State Building Code, and certifies that all statements made on this application are complete, true and conect. Applicant's Signature: '(�; - Date: � ��� Approved By: Date: DATE �T''�IME�� CITY OF ORONO CALLED IN ��'�� � INSPECTION N TI -7� SCHEDULED �?-/5-vv �,�3 � PERMIT NO. �G �� �v COMPLETED /��S �� �� �G) ADDRESS � � �— OWNER� ' CONTR. ��Che-���� e-��n�'-t� TELEPHONENO. �5 � �%� 3 �S�/ � DESCRIPTION l� 01 FOOTING � ti"�HANICAL R��I � 18 EXCAV/GRADING/FIL�ING � 02 FRAMING 1�— L FINAL 19 LAKESHORE/WETLANDS ti 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 v 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O �. � O � W � Q � Z W � W � j d W� ��JORK SATISFACTORY:PROCEED PROJECT COMPLETE W j❑CORRECT WORK&PROCEED i ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT CJCORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ! GTATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContractor on site: Inspector. /�/v��� White Copyllnspector's File Canary CopylSite Notice DATE TIME,{ CITY OF ORONO CALLED IN "�� ��' � INSPECTION NOTICE SCHEDULED �� 9-�� J�� PERMIT NO. �3�/� COMPLETED �� c� � ADDRESS �,' �l-;� � C� � L�- �-��,. OWNER CONTR. ; r_,�_� ,,; , ,.,��,_, , TELEPHONE NO. � DESCRIPTION �- �---. l� 01 FOOTING 1l1 MECHANICAL RI � 18 EXCAV/GRADING/FILLING � �"�—_.�--...�_-- Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATtON 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 = 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 � J O � � O � W � Q � Z W � W � � d � .�WORKSATISFACTORY:PROCEED C-: PROJECTCOMPLETE W ❑ CORRECT WORK&PROCEED i; ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN INSPECTOR WILL RETURN " CITATION ISSUED C STOP ORDER POSTED.CAL�INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�0 OwnerlContra�r,or}�te: �_; . Inspector.�,i ti._ '=? : �'�-"-�-- , , White Copyll�spector's File Canary CopylSite Notice