HomeMy WebLinkAbout2007-P11557 - gas fireplace PERMIT
CITY OF ORONO Permit Number:
2750 Ke�ey Parkway- PO Box 66 P11557
Cn�tal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952)249-4600 Date Issued: 10/l0/2007
SITE ADDRESS: 2690 Pheasant Rd Unit#
Excelsior,MN 55331
P��� 21-117-23-23-0019
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Pemuts Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Sepazate pemvts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 37.50 Va►uation: $ 3,000.00
State Surcharge Fee: $ 1.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 40.50
APPLICANT: Hearth&Home Technologies OWNER: Larry&Debbie Getlin
DBA:Fireside Hearth&Home 2690 Pheasant Rd
2700 Fairview Ave Excelsior,MN 55331
Roseville,MN 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.
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APPLICANT PERMITEE SIGNATURE ISS BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CITY'l'SE OM1LY"
���'� City of Orono
!i O4 � Date Received: Peimit:7
�O\, P.O.Box 66
. , I 2750 Kelley Parkway
�'a �� � ' �*.�I Crystal Bay,MN 5�323 Approved By: Amount$:
���r�E����o� (9�2)249-4600
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CITY OF ORONO— NIECHANICAL PERNIIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Ivtarshall)
GENERAL INFORMAT'ION
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 wiil be sent by return mail afrer a review is completed. PER�'�tITS AIZE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK ;VIIJST NOT BEGIN UNTIL THE
PER�IIT CARD [S POSTED ON THE JOB SITE.
3. Mechanical Desia,,ns—Complete calculations,details and specifications are required for each
heating, ventilation, humidification-dehumidification,and air conditioning installation including
heat lossiheat 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 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 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 ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs ❑ Replace
Job Site / Owner Information:
Site Address: � �� � ��� �����,�� ���.(Y�-' _
Owner: �'C� 1L� Mailing Address:
City: ������ Zip:
Home Phone:`�� ,�1 ��� � <J''1� Alternate Phone: --�_
Contractor Information:
Contractor: � / /�{� � Dn�ontact Person: _
Address: ��� � i V� State Bond#:
City: Q,Qj�'�_�_ Zip�� Expiration Date:
Phone: �� �"� J ���� � Alternate Phone:
❑ Insurance—Current:
1
MECHANICAL SYSTEMS BEING 1NSTALLED ,
HEATING SYSTE:�1S
Quantity:
Make:
ModeL•
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Buming Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS L[NE 01�1LY
❑ Outdoor Grill ❑ Other/List What&Where:
2
PERMIT FEE CALCULATION(S)
� � BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
Thc replacement of a Residential fixture or appliance that meets all three 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. [s improved, installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ l�.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCULATION(S)—JOBS OVER $500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a('�Iinimum Fee of$35.00)
��� • �� x .0125 $ ��' "_
(contract price) (minimum$35.00)
2. STATE SL"RCHARGE ** Add the State Bldg Code Div. Surcharge(1linimum Fee of$.50)
,�j �Q,�� x.0005 $ � - ��
(contract price) (minimum� .50) �
3. POSTAGE & HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PE2'VIIT FEE(Add Lines 1-3 Above) $ ""t�� . L/C..�
■ * 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 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
correct.
Applicant's Signature: ' Date: �� ���
3
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j � `yC/) f�QA TIME
CIN OF ORONO �CALLED IN `�� ��
IN3PECTION N IC SCHEDULED lD�7-07 //�
PEFiMIT NO. COMPLETED
AD�RESS__ a�0 FD ��GZ-�.��
OWNER CONTR.�/�2,2d-t��`��
TELEPHONE N0. �I�h'l ��Z ZZ� Z'�3�
� DESCRIPTION f"� � /��
� ❑ FOOtING ECHANICAL RI ❑ EXCAV/GRADING/FILLING
y ❑ FRAMING MECHANICAL FINAL ❑ LAKESHORENVETLANDS
Q ❑ INSUTATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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W WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN ❑CITATION ISSUED
❑STOP ORDER PdSTED.CALL INSPECTOR
❑INSPECTION RECIUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next i spection 24 hours in advance. (g52) 249-4600
Owner/C it •
Inspector.
White Copyllnspector's File Canary Copy/Site Notice