HomeMy WebLinkAbout2000-P03123 - fireplace CITY F R N PERMIT
� O O O
2750 K�Iley Parkway - PO Box 66 Permit Number: Po3i23
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(612) 249-4600 Date Issued: loii6�2o
SITE ADDRESS: 455 Sussex La
LONG LAKE, MN 55356
P I D: 04-117-23-32-0011
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Fireplace
DETA►ILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,000.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: GUYERS BUILDERS EXPRESS OWNER: GUYERS BUILDERS EXPRESS
13405 15TI�AVE N 13405 15TH AVE N
PLYMOUTH,MN 55441 PLYMOUTH,MN 55441
THE UNDERSIG1�iID 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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APPLI ANT PERMITEE I NATURE I UED BY SIGNATi JRE
Copies: City,Applicant,Assessor,Finance Page 1
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�ITY OF ORONO APPLICATION FOR MECHAI�TICAL 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 cazds will be sent by retum 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 conditionins 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. V6;,�:�any new construction or remodeling is involved, a separate building pemut 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). Ca11249-4600. 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, ca11249-4600.
Please check one: New Addition Repair Replace
Residential Commercial
JOB SITE: Zip:
Owner's Name: �"O�u �;�cl e.� Co. Telephone 1\Tumber: ��•(�-r'J- �
Mailing Address: City: Zip:
Contractor's Name 'S Telephone Number:r(�3 - �� ��,�
Mailing Address• �j — a City:�L,,J�],�Zip: �j��
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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
Brand Name �1,�,���('� Model No. �j� • '�Y��-'
-T
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
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
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
��0 � x .0125 $ �., -
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. �(�� x .0005 $ .,cj(�
or $.50, whichever is greater (contract price)
3. Postag:e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �-�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 instaliation are furnished 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 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 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 correct.
Applicant's Signature: Date:l��
Approved By: Date:
DATE iTl �
CITY OF ORONO ca��Eo iN C��- � ' �
INSPECTIONNp TIC SCHEDULED � �•,
PERMIT NO. �(J��'� COMPLETED �� ��� �'�,
ADDRESS �S ����� �
OWN ER CONTR. C iC�y�V���L�� e✓�
TELEPHONENO. ��� " C.s����'���`�
� DESCRIPTION �-�- ��`�`e-��� ��-�
lL 01 FOOTING 1 ECHANI—C�L�iY . 18 EXCAV/GRADING/R�LING
� 02 FRAMING EC AL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 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
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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W C!WORKSATISFACTORY:PROCEED C PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED I: ISSUE CERTIFICATE OF OCCUPANCY
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� �QCORRECT WORK,CALL FOR REINSPECTION TEMPORARY
OI gEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. _ pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Caii for the next inspection 24 hours in advance. 249-46��
OwnerlContractor on site:
Inspector. �'�/�Z ��7�
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