HomeMy WebLinkAbout2001-P04591 - mechanical PERMIT
CITY C�F ORONO Permit Number:
2750,H:elley Parkway- PO Box 66 P04591
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: �ti6i2ooi
SITE ADDRESS: 3180 Ridgewood Cir
Long Lake,MN 55356
PID: 04-117-23-23-0021
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: PermitFee: $ 35.00
Valuation: $ 2,000.00
State Surcharge Fee: $ 1.00
TOTAL FEE: $ 36.00
APPLICANT: Fire Works Fireplace Installation Inc. QWNER: David&Shiela Patten
3030 4th Street S 3180 Ridgewood Cir
Waite Park, MN 56387 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.
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APPLICANT PERMITEE SIGNATURE IS SUED B Y S[GNATURE
Copies: 1-File(SiQnitures Required). 1-Applicant, 1-Monthlv Reports. 1-Assessine, 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 permit will be issued within 2 working days.
2. Permit 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 DesiQns - 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 final). Call 249-4600. 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 249-4600.
Please check one: New Addition Repair Replace
Residential Commercial
J�B SITE: : _�� �� R'�,�� �/�� G:�i�s Zip� s r�
Owner's Name: <<�j���� � ��7�;/1 j Telephone Number: y,�� yC%���j K�
Mailing Address: � City: Zip:
Contractor's Name: F���: �/��i�5 ��n4 p�,}�� Telephone Number: ,-��� -��-y�.���
Nlailing Address: .SJ�'j ����,�$,� _ `�rJ City: ��-� 7� J��Zip: :s 1,��7
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make: �
Model� '�
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
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FIREPLACES `
� Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue s;
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�°, Brand Name ����;�S�T�G Model No. ����'!/� l�f�� �
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��� VENTILATION �
�:' No. Kitchen Exhaust ducted recirculating cfm ��
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�: No. Bath Exhaust (must be ducted outside) cfm
�;�. No. Other Fans: Locations cfm ��
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) �
Installation Removal ''
Fuel oil: gallons underground inside outside �
LP Gas: gallons "�
�_��. Other Gas opening �
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k� PERMIT FEE CALCULATION �`
;i.' 1. 1.25% of Contract Price* or Minimum Fee ($35.00) ry�
�' ��G�z1�? x .0125 $ A�
� (contract price) +�
� 2. State Surcharge. ** Add the State Building Code Division �^�
��' Surcharge to each permit. x .0005 $ ;�
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��; or $.50, whichever is greater (contract price) r.
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�t,; 3. Postage and Handling (Only mail-in applications) $ 1.50 ,�
�;: 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ��
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S�t.= * 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 furnished by the owner, tenant or -
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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.
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,� ** 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.
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��� 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.
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,��: Applicant's Signature: --�' Date: ���� � �
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� Approved By: Date:
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED ��� .�O
PERMIT N0. �� COMPLETED � -�G
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ADDRESS Gv � *
OWNER ���-+I� ��,� CONTR. ��t -�SCa i=�_ST;�
TELEPHONE NO. '�f� � �/G�f --�I�-(�O i��t� ccrl �/,`%�'
� DESCRIPTION C�7 . �� ' �J�
� 01 FOOTING 11 MECHANICAL 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
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PFOGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC�F L 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL / ry�C f"'`� 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� �ORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CAIL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContr r on site:
Inspector.�������-�9_)
Whiie Copyllnspector's File Canary CopyfSite Notice
.�'i��� DATE TIME
CITY OF ORONO CALLED IN T_
INSPECTION NOTIC � SCHEDULED ����%��L� -��.:��
PERMIT N0. �� � COMPLETED/� '�� 3 `
ADDRESS � � /L-/� � _ L�(,�C�
OWNER �" l ONTR. '
TELEPHONE NO. � D�/ `
� DESCRIPTION ��C� �j��
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i 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:
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W�gv'Ol�ORK SATISFACTORY:PROCEED "Q/��ROJECT COMPLEfE
fl CDRRECT WORK&PROCEED L] ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALLINSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cal1 for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on site: �
Inspector.���vt ��-�-��7
White Copyllnspector's File Canary Copy/Site Notfce