HomeMy WebLinkAbout2004-P08040 - wood stove/flue ITY F OR N PERMIT
C � � � Permit Number:
2750�Kelley Parkway- PO Box 66 Posoao
Cr,rstal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 10/6/2004
SITE ADDRESS: 440 Stubbs Bay Rd
Long Lake,MN 55356
PID: 32-118-23-13-9998
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Pernrits Permit Sub-type(s): Wood Stove/Flue
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 43.75 Valuation• $ 3,500.00
State Surcharge Fee: $ 1.75
TOTAL FEE: $ 45.50
APPLICANT: Miller Brick&Stone Inc. OWNER: Tom Lindquist
7200 Kings Rd. 4535 Roahoke Rd
Excelsior,MN 55331 Golden Valley,MN 55422
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 SI'ATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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P LICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Avnlicant, 1-Monthlv Renorts, 1-Assessin¢, 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 Uy mail or in person at the City offices. Applications will be
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reviewed and a pennit will be issued within two working days. ;�'
2. Permit cards will Ue sent Uy retuin inail after a review is completed. PERMITS ARE NOT VALID '
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEG1N UNTIL THE PERMIT CARD IS 4'
POSTED ON THE 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, equipinent ratings and identification as to type, manufacturer and
model. Data shall Ue presented on fonn provided. Identification of and specifications for water heating '
equipment shall also Ue provided. 'l`
4. When any new construction or remodeling is involved, a separate building permit must Ue obtained. ��
S. All work must Ue done in accordance with the Uniform Mechanical Code/State Building Code `
requirements. ;:
6. All worlc must be inspected (rough-in and final). Call (952) 249-4600. 24-hour notice required.
7. House Heating Test Record must Ue submitted Uefore final.
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Instructions �
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Complete all iteins on this application. Coinpute the pennit 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: y�0 .5����.s P��� Qfl IV, Zip:
Owner's Name: T� L,�'m1YJ�Jufs7 Phone Number: b�d-36� -d�lo�.
Mailing Address: S�1�MQ' City: �� Zip:
Contractor's Name: �I�l�2 1(arct�.�d,.S�wL Phone Number: (���-�l't C�- �66C�
Mailing Address: ��UU �5 xNJLTS � City: ���L��'p� Zip: �rV
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SYSTEM DESCRIPTION • '
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLINC SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES GAS LINE ONLY
❑ Gas factory fireplace ❑ Installing a Gas Line Only
❑ Wood burning factory fireplace with flue
❑ Wood Stove
� Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(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
❑ Other Gas opening
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� 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 ap�liance:
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 aUove does not apply, follow guidelines Uelow:
1. Contract Price* is .0125% of joU with a Minimum Fee of($35.00)
�
3�5�-c� X .o12s $ y3.�s
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
3,S� X .000s $ I.�S
(contract price) (minimum$ .50)
3. Postage and Handling (Oi11y mai!-i�t applicatioris) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 aUove) $ �7• �
*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. �n 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 che 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 tnade on this
application are complete,true and correct.
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Applicant's Signature: � Date: 0� �
Approved By: Date:
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C�J� � �� �� � DATE TIME �
CITY OF ORONO CALLED IN �O I L�4-
INSPECTION N I. SCHEDULED 10 c'�`f � �l
PERMIT NO. ��`� COMPLETED
ADDRESS 1 �� S`�U`bl-�S �a � �J
OWNER CONTR. I IGP" C�VD �
TELEPHONE NO. �J a' � � � � �
� DESCRIPTION ��'�
lV 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 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 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING Rf 23 SE C 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 WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REfNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for t next inspection 24 hours in advance. (952� 249-4600
Owner/Con on site:
Inspector. - '
White Copyllnspector's File Canary CopylSite Notice