HomeMy WebLinkAbout2006-P09667 - gas fireplace - - PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: P09667
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
3/15/2006
SITE ADDRESS: 865 Partenwood Rd Unit#
Long Lake,MN 55356
P��� OS-117-23-43-0002
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: $ 36.25 valuation: $ 2,900.00
State Surcharge Fee: $ 1.45
TOTAL FEE: $ 37.70
APPLICANT: Hearth&Home Technologies Inc. OWNER: R Greene&J Piccard
DBA: Fireside Hearth&Home 865 Partenwood Rd
2700 Fairview Ave Long Lake MN 55356
Roseville,MN SS ll 3
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 PERMITEE SIGNATURE ISSUED BY SIG TURE
Copies: 1-File(Sig�iatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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� FOR CITY USE ONLY
���� City of Orono
/ �g' � P.O.Box 66 Date Reccived: Permit#
� o�;^,;,a,,. �' 2750 Kelley Parkway
�� �}{���;^-- � Crystal Bay,MN 55323 Approved By: Amount$:
���m �(�j���,�o'` (952)249-4600
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CITY OF ORONO -MECHANICAL PERMIT
(All Commercial permits must Ue approved Uy the Building Ofticial or Inspector and/or Fire Marshall)
GENER.AL INFORMATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Pernut cards will be sent by return 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,hunudification-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.
4. When any new conshuction 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
requn�ements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That Apply)
�Residential ❑ Conunercial(Approval Required)
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�Ne�v ❑ Additional ❑ Repairs [�Replace
i Job Site/ Owner Infornlation: �
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Site Address: ��5 ��a� �cr.s.•�c-� �{ �c� �
��� P:; ��:,�«�,� R� .
Owner: �t,�n�� �t��C n e Mailing Address: %c.,�:, �-�. �� �
city: ���'�� z�p: SS3s�-�
Home Phone: �15��- `/71�- ��`�S� Alternate Phone:
� Contractor Information: �
�I�Lr+ar�.��•�we,
Contractor: ����� Contact Person:
Z700 N. Faktii�►'i1w.
Address: RO��'�����
861��3_Yg�� State Bond#:
t�'ity: Zip:__ Expiration Date:
Phone: Alternate Phone:
❑ Insurance- Current:
1
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� MECHANICAL SYSTEMS BEING 1NSTALLED
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
�. Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: ��c�-�r� � �D Model No.: F � � �`
VENTILATION
❑ Na Kitchen Bxhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
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❑ Installation ❑ Removal � ������� �i�
ObQ!'tL�OS �saa�l �
Fuel Oil: gallons ❑ Unde��t'��I�i�E�''�] Outside
sa•�v,ra��x�
LP Gas: gallons ,aa,. ;f,�.,r.,,
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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PERMIT'FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all tluee of the following requirements:
1. Does not require modification to electrical 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, if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCULATION(S)-70BS OVER$500.00
If above does not apply; foliow guidelines below:
1. CONTRACT PRICE * is 1.25% of contract price with a(Miuimum Fee of$35.00)
� ��c�L , �-�� x.0125 $ �:..: (��, -� ��
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $ �� ���
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $
4. TOTAL PERIVIIT FEE (Add Lines 1-3 Above) � � `�� ��`
• * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pernutted work including materials, labor,profit, and other fixed costs. It is the amount to be charge�l
to the customer for the wark done. If any material, equipinent, labor or installations are 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 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 Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
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 State of
Minnesota, and certifies that all statements made on this application are complete, true and
co:-rect.
Applicant's Signaturc: �^I.^-�� _ Date: ,� /S � �
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" CITY OF ORONO GALIED IN Y
INSPECTION NOTICE �,, SCHEDULED �P
PERMIT NO. �(��'T�� COMPLETED � ���� ' J�'
ADDRESS ��0�.�? ��-�-�j,.�.,C9C�' �
OWNER CONTR.G�/ Y�S i���
TELEPHONE NO. �
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� DESG�RIPTION � C�-� � 7�7 Lt'7
1� n�
� 01 FOOTING 11 MECHANIC L RI 18 EXCAV/G DING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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
� 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:��j V1 Ci C? f n,�/1 ,�j��
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� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY
p ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (J52� 249-46�0
OwnerlContractor on site:
Inspector. �1[.� � � � �
White Copyllnspector's File Canary Copy/Site Notice