HomeMy WebLinkAbout2005-P08490 - wood stove flue *..
CITY OF ORONO MIT
2750 Kelley Parkway- PO Box 66 Permit Number: Po8a90
Crystal Bay, Minnesota 55323 Permit Type: Mechani�ai Pe�ics
(952) 249-4600 Date Issued: 3/4/2005
SITE ADDRESS: 380 Silver Meadow Dr
L.ong Lake,MN 55356
PID: 33-118-23-42-0005
DESCRI PTION:
Proposed Use: Residenrial
Permit Class: General
Pernut Type: Mechanical Permits Permit Sub-type(s): Wood Stove/Flue
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 39.93 Valuation• $ 3,194.00
State Surcharge Fee: $ 1.60
Misc.Fee: $ 1.50
TOTAL FEE: $ 43.03
APPLICANT: Automatic Garage Door&Fireplace,Inc. OWNER: Shawn&Ann Cadwallader
8900-109th Ave N-#1000 380 Silver Meadow Dr
Champlin,MN 55316 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 REQUIREMEN'I'S.
\iy►'�lx�-1' �,
APPLICANT PERMITEE SIGNATURE D BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Renorts. 1-Assessine, 1-Finance Page 1
' 4 • .
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 two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CA.RD 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 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��� �j,�Q,,u-�,ti (�tu,(�,,� [�,� Zip: ����
Owner's Name:��,�2�,��� (`,CZ.c�vc�Lc,,c�.c.-�hone Number: G,�..-3(���3�7UL�
Mailing Address: �,�1�� City: �il�C?'�'Z` Zip: �S35Z�
�
Contractor's Name: � �- ���Phone Number: ���`�? � -��S��S�
Mailing Address: �6I;�,���:G�,,y�, �a City: � °�,Zip: � ��(„�_
_ �
1
a
�� .
� � • �� r
� '`
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 � Model No. _ VC,
�VEliITII�ATIGN
No. Kitchen Exhaust duct recalculating cfm
No. Bath Eachaust(must have duct outside) cfm
No: Other Fans: I,ocations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
2
, �
. , .
, . � :
r
PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture or a liance 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 the fixture 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)
til��-'� x .0125 $ ��.��
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($.50)
3►c��-1 X.000s $ �, ��
(contract price) (minimum$.50)
3. Posta�e and Handtin�(Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE(Add lines 1-3 above) $ y,3, C?3
•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 is 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 SURCFIARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For valuations over
$I,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 correct.
Applicant's Signature: �"l.� �'� Date: �3/3/o.s"
Approved By: Date:
3