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Home My WebLink About2004-P07283 - gas fireplace 'i'TY F R N PERMIT G � � � � Permit Number: 2750 Kelley Parkway- PO Box 66 P07283 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 3/3/2004 SITE ADDRESS: 2760 Shadywood Rd Fxcelsior,MN 55331 PI�: 21-117-23-24-0040 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace DE�'AILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation• $ 1,800.00 State Surcharge Fee: $ 0.90 Misc.Fee: $ 1.10 TOTAL FEE: $ 37.00 APPLICANT' River City Sheet Metal Inc. OWNER' Mr.&Mrs.Lindley � 9928 Bluebird St NW � 2760 Shadywood Rd Coon Rapids,MN 55433 Excelsior MN 55331 Tf�UNDERSIGNID HIItEBY REQUESTS PERMISSION TO MAKE THE REAL IlVIPROVEMENTS SPECIFTED AND AGREES TO DO ALL WORK IN SfRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUII.DING CODE REQUIItEIvID�ITS. ��''Y�-�, J�VL.� (,��1 ►,��v APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE Conies: 1-File(Sixnitures Requiredl. 1-Annlicant,1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1 � _ .. ., � . . 1 CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENER.AL 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 two working days. 2. Permit cards will be sent by return mail after a review is completed. PERI��IITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON TI-�JOB SITE. 3. Mechanical Designs - 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 (952)249�600. 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 (952) 249-4600. Please check one: ❑ New ,�Addition ❑ Repair ❑ Replace�Residential ❑ Commercial JOB SITE: ��/i O .5'{�1 c�,�,�Dd c� �.p o o� Zip: 5 .S�3 1 - - •- -- �►- - •- _ � ��.. ��.�,� Pt,une itii umber: �15�1..y`]I-�I$ `j ------ Mailing Address: ��c� City: D r�i,n � Zip• Contractor's Name: 12� S� � Phone Number: _�]Cc3•� S�I� �q � Mailing Address: � 4, __ra� c}n W City: •d Zip: SS�133 1 ` ' �► ' �► SYSTEM DESCRIPTION � HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: • Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIItEPLACES �Gas factory fireplace Wood burning factory fireplace with flue ❑ Wood Stove ❑ Wood stove with flue Brand Name �1Q\Q S� � e- Model No. �-'1� E�-I�V 3� �� VEN'I'ILA.TION No. Kitchen E�aust duct recalculating cfm No. Bath Eachaust(must have duct outside) cfm No: Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL) ❑ Installation or ❑ Removal ❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside ❑ LP Gas: gallons ��er� Gas opening 2 .� ` ' ' . � � PERMIT FEE CALCULATION(S) 2002 State Statute ❑ Yes This Section Applies The 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; excludin�the cost of thF fiYture 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) � �`�O � x .0125 $ �S, U� (contract price) (minimum$35.00) 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($.50) � �� x .0005 $ • .S1O (contract price) (minimum$.�0) 3. Posta�e and Handling(Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 3 �•�� + ^^�*'*'*� �l�T DAT('F n�i(1R(`(1CT mvanc tlie acMal nr PetimatPr�r�nllar amn�mt rharaPA fnr thP nrrmittPri wnrlr inrin�ina ma�cnais,iabor,protit,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 mazket value of such items must be added to the estimated cost or contract price for permit fee purpo�zs. 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 conect. Applicant's Signature: �� Date: .3'0� O Approved By: Date: 3 V � �D/�E TIME CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED -�O-D !/:30 PERMIT NO.�O7 2R'3 COMPLETED ADDRESS a 7�O �- t,C�08 OWNER NTR. �[�t��-�i �� TELEPHONE NO. ��3 7S� a� 9� � DESCRIPTION � �� '�'e-� �l �� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS H 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPUUNT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PIUMBING FINAL 36 FOUNDATIOWREMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a J O � � �� O � W � Q � 2 W � W � � O W WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE W ❑CORRECT WORK 8�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE C�/ERING PERMANENT ❑CORRECT UNSAFECONOITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O iNSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next in pection 24 hours in advance. (g52) 249-4600 OwnedContractor it : � Inspector. Whita CopyAnspector's File Canary CopylSite Notice