HomeMy WebLinkAbout2003-P06543 - mech � PERMIT
CITY OF ORONO Permit ►vu ber:
2750 Kelley Parkway - PO Box 66 P06543
Crystal Bay, Minnesota 55323 Pe►'mit Typ : Mechanical Permits
(952) 249-4600 Date Issue : �ii6i2oo3
SITE ADDRESS: 4105 Bayside Rd
Maple Plain,MN 55359
P��: 06-117-23-14-0023
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
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FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,200.00
State Surcharge Fee: $ 1.10
TOTAL FEE: $ 36.10
APPLICANT: Allied Fireside OWN R: Nick&Sue Burke
DBA:Fireside Hearth&Home 4105 Bayside Rd
2700 Fairview ' Maple Plain MN 55359
Roseville, MN 55113
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE AL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT'COMPLIANCE WITH ALL ITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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AP LICANT PERMITEE S[GNATURE ISSUED BY SIGNATURE
Covies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assess' g, 1-Finance Page 1
CITY OF ORONO APPLICA ION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, IvLv 55323
GENERAL INFORMATION
1. You may apply for mechanical pernuts by mail or in per n 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 ompleted. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST N T BEGIN UNTII.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-dehumidification, and air co ditioning 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. Identi ication af and specifications for water heating
equipment shall also be provided.
4. When any new construction or remodeling is involved, separate building permit must be obtained.
5. All work must be done in accordance with the Uniform echanical Code/State Building Code
requirements.
6. All�vork must be inspected(rough-in and final). Call (9 2)249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted before fi al.
Instructions ,
Complete all items on this application. Compute the rmit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE P CESSED. If you have questions, call
(952) 249-4600.
Please check one: ❑ New ❑ Addition ❑ Repair Replace ❑ Residential ❑ Commercial
JOB SITE: U�� ,���. � < � Zip:
Owner's Name: � hone Number:
Mailing Address: ity: Zip:
Allied Pireside �
Contractor's Name: dbaFresideHOarthiFlOrtle hone Number:
tieertse NEB690914
Mailing Address: 2700N.FairvbwAve. ity; Zip;
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SYSTEM DESCRIPTION -
HEATING SYSTEMS
Quantity: F
Make:
Model:
Fuel:
Flue Size: a
Input BTUs:
Output BTUs:
CFM:
COOL[NG SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power '
FIREPLACES GAS LINE ONLY
�' Gas factory fireplace � <L ❑ Installing a Gas Line Only
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name � C 4� Model No. �-SC.�7��1� � f�-�'��'
VEI�'TILATION
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 appliance that m ets all three of the following requirements:
1) Does not require modification to electrical r 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 ho eowner or licensed contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
F
If above does not apply, follow guidelines below:
1. Contract Price* is .0125% of job with a Minimum Fe of $35.00
�/�'v .•i�> x .0125 $ _��_���
(contract rice) (minimum$35.00)
2. State SurcharEe. ** Add the State Building Code Divisi n a Minimum Fee of($ .50)
-�:� ��.� X .000s $ /. .lf�
(contrac price) (minimum$.50)
3. Postage and Handlin�(Only mail-in applications) $ 1�$,
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4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ��� �./�=
*CONTRACT PRICE or JOB COST means the actual or estimated do( r amount charged for the permitted work including
materials,labor,profit,and other fixed costs.It is the amount to be char ed to the customer for the work done.If any material,
equipment,labor,or installation is furnished by the owner,tenant or an other party the reasonable market value of such items
must be added to the estimated cost or contract price for permit fee purp ses. 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 th actual contract.
**The STATE SURCHARGE is.0005 of the contract price under�1,0 0,000 or$.50-whichever is greater.For valuations over
$1,000,000 call the Department of Inspectional Services for the price.
The undersiened hereby applies to the City for issuance of a Mechanica Permit,agrees to do all work in strict accordance with
the ordinances of the City and the regulations of the Minnesota State B ilding Code,and certifies that all statements made on this
application are complete,true and ect.
Applicant's Signature: ' ,� Date: ��-�.SG� s'
Approved By: Date:
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0 TE TIME
CITY OF ORONO CALLED IN 7'�� p
INSPECTION�rIC SCHEDULED __Ss'_ —r�—� /!
PERMIT NO. U COMQLEfED �� �
ADDRESS C�S
OWNER CONTR. r�r1��L ��
TELEPHONE NO. �o�� �-3 �-S� �
� DESCRIPTION /�-�� ��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADI G/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOR ETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOV
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTI N
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER EMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION EMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: C�C-�� �` -°'l
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W �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK 8.PROCEED ❑ ISSUE CEFiTIFICATE OF�OCCUPANCY
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� O CORRECT WORK,CALL FOR REINSPECTION TEMPORAR
� BEFORE COVERING PERMu4NEN
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN '
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952� 2 9-46��
OwnerlContrac on sit -
Inspecto
White Copyllnspector's File Canary CopylSite NoHc