HomeMy WebLinkAbout2000-P02161 - mechanical s r
- PERMIT
CITY OF ORONO PERMIT TYPE: Mechanical
2750 Kelley Parkway - P.O. Box 66 Permit Number : 1'�b a �(o)
Crystal Bay, Minnesota 55323 Date Issued: O1/07/00
(612) 249-4600
SITE ADDRESS: 3405 Sixth Ave N
Orono, MN 55356
H.N.B.
09-ll8-23-43 0010
DESCRIPTION: Mechanical
1 Fireplace Make Kozy Heat
REMARKS:
FEE SUMMARY: Valuation $2,500
Base Fee $35.00
Surcharge 1.25
Total Fee $36.25
CONTRACTOR Countryside Heating OWNER: Tom Sawyer
6511 Highway 12 3405 Sixth Ave North
Maple Plain, MN 55359 Orono, NIN 55356
THE UNDERSIGNED HEREBY REQUEST PERMISSION TO MAKE THE R�AL IMPROVEMENTS SPF,CIF[ED AND
AGREES TO DO ALL WORK IN S'l,R1CT COMPLIANCE WITH ALL CITY OF ORONO ORDINANC�GS AND STATG OP'
MINNESOTA BUILDING CODG RGQUIREMENTS.
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APPLICANT/ RMI E SIGNA"I'UR , SSUED I3Y: S[GNATURG C���
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INSPECTION RECORD
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 Permit Number :
Crystal Bay, Minnesota 55323 Date Issued: O1/07/00
(612) 249-4600
SITE ADDRESS: 3405 Sixth Ave N APPLICANT: Countryside Heating
Orono, MN 55356 6511 Highway 12
Maple Plain, MN 55359
PERMIT SUBTYPE: TYPE OF WORK: Add Fireplace
INSPECTIt�N`TYPE DATE INSFECTOR INSPECTION TYPE DATE INSPEC`TOR
Mechanical RI
Mechanical Final
ALL IIVSPECTT�1'�TS MUST BE'>CALLED 1N 24� HOURS'IN ADVANCED. THTS CARD MVST BE'PUSTED I1�T'
A CQNSPTCt10US I'LACE, ON THE PREM7�ES IN WHTCH THE WORK I'S "TE�BE DC?I�1E. '
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
l. 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 Desi�ns - Complete calculations, details and specifications are required for each heating, ;:�;
ventilation, humidification�ehumidification, 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 atso be provided.
4. When any aew co:structicn or remaueli:.g is in�-alved, a sepaiaie 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. r*
I`T c�cS � �:r e�-L.c..c e '`�;� '�:�
Please check one: i New � Addition Repair Replace � � �
k'
✓ Residential Commercial
JOB SITE: 3�-( b .S Co, 12.a � �-, . O�'o vc� Zip: S S 3 S � �
Owner's Name: -�-a w�, S a�,�,��r� Telephone Number: �f6 r�_ p��p ��':;�
Mailing Address: Sa w�.� City: o�ro wo Zip: SS� �SCv "'
�
Contractor's Name: C o tn.v��-C U5 i�� -N-t-a . �G�i � Telephone Number: � 7� - �� o c� °'�,#
Mailin Address: I Ci Vt��.,o�c.�Ga;rZi �
g �5 l J-lw�.� 12 tY� P� S S3��1 it
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SYSTEM DESCRIPTION ,.;
L,l��4 s Cl,'� e/� L� � c z �s'e�'�" ='.4 �
HEATING SYSTEMS
Quantity: )
Nlake: koZ H H��c-t'
Model: 9 t I X L- l
Fuel: L�' �a�
Flue Size: 3 "
Input BTUs: _3 R,o ov
Output BTUs: 2l0 0 0 0
CFM:
,
COOLING SYSTEMS .� `.
Quantity: Y �
Make:
Model:
Tons:
H. Power
� �. . � � �. . . .. � .. _ �..;Y a, �(
. . . .. . .. . _,. . . . � , . , . . ',.� � .� .. ... ... . .. .. v ,.. . . .. 1'l� \ , �
�. ` . . � ... . f
' WOOD BURNING EQUIPMENT
Wood stove with flue
, - Wood combination or add-on
Factory fireplace with flue
, � Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
� � � Brand Name Model No.
; Mfgr's Min., Clearances, side , rear , min. flue dia.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
F ''E No. Bath Exhaust (must be ducted outside) cfm
�'4 No. Other Fans: Locations cfm
��
, �:�
;i
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
; Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) • a,Sr
��-SG o � x .0125 $ ,3 1 `"
f (co tract price)
2. State Surcharge. ** Add the State Building Code Division �. S`
' Surcharge to each permit. x .0005 $ / —"
or $.50, whichever is greater (contract price)
� " 3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �_� 6�
� * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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 any other party the reasonable market value of such items must be added to the estimated cost
� or contract price for pernut 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 contract price under $1,000,000 or $.50 - whichever is
gre�r. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
The undersigr�''d 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: �--wU� �--���;�,� Date: � � �
�
Approved By: Date:
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DATE � IME
CITY OF ORONO CALLED IN '
INSPECTION NOT E I SCHEDULED I� � �' ��
PERMIT NO. ���/ COMPLETED �'�/ � ��� �����'Z
ADDRESS ��"L� J� � ��� �
OWNER CONTR. �� S( C'�
TELEPHONE NO. ���� I��
� DESCRIPTION G�-�'� ��
� 01 FOOTING 1 fv1ECHANICAL RI � 18 EXCAV/GRADING/FILLING
Q 02 FRAMING HANICA�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 05 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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTHACTOR TO MEET YOU:_YES_NO
� � MMENTS:
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� �VORKSATISFACTORY:PROCEED C PROJECTCOMPLETE
W C CORRECT WORK&PFOCEED ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
u INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContrac/to�r on site:
Inspector. %�i L�`'�-�Q�-��
White Copyllnspector's File Canary CopylSite Notice