HomeMy WebLinkAbout2001-P04227 (mechanical - wood fireplace) CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po422�
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: si24i2oo�
SITE ADDRESS: 4645 Bayside Rd
Maple Plain,MN 55359
P I D: 06-117-23-22-0009
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Wood Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,100.00
State Surcharge Fee: $ 0.55
TOTAL FEE: $ 35.55
APPLICANT: Fireside Corner OWNER: Eric& Elizabeth Sims
2700 N Fairview Lane 4645 Bayside Rd
Roseville, MN 55113 Maple Plain,MN 55359
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 REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUEDBYSIGNATURE
Cooies: 1-File(SiQnitures Required). 1-Aoplicant, 1-Monthlv Reports. 1-Assessine, 1-Finance Page 1
CITY OF ORONO ,�-;:A,�'�ATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway) �,�.�, �,,�"= ` ,��_ � .� a
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Crystal Bay, MN 55323 `� ��--��
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GENERAL IlVFORMATION
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 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. Nlechanical 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. Alt 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 '' e the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILT r"'" �. If you have questions, call 249-4600.
Please check onP• �air Replace
JOB SITE:_ �,�;`.*..'�1� �� �;� '� Zip:
Owner's Na \V /� � �lephone Number.
Mailing Add � � � � ` �.ty: Zip:
Contractor's , ���; ` Telephone Number:
Mailing Addr� � v: Zip:
SYSTEM DES� � ' �`
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HEATING SYS'l ��� �� ���"� �-'� ��`� �
� �;�.
Quantity: `�� _ � �
M1ke: ; ,� `�'
Nlodel: `�
Fuel: _
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
DATE TIME
CITY OF ORONO % CALLED IN
INSPECTION NOTICE SCHEDULED � `o�
PERMIT N0. PO 5(��SP' COMPLETED !�`�� 1-O
ADDRESS yLP y� ,���'itil�t.cQe.� �•
OWNER CONTR.T�r�-. �'�
TELEPHONE NO. 7� c� �� J` 7���
� DESCRIPTION N.���=o-�-f_-c-.v�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAM 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 3 INSULATI 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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 RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
w �RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContr r on site-
Inspector.
White Copy/inspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO � CALLED IN
INSPECTION NOTI SCHEDULED ��b
PERMIT N0. � �COMPLETED �" Q
ADDRESS �� �--�- S 1
OWNER CONTR._�j�P.C/�� �'r�
TELEPHONE NO.__ �r��P�� ��5 � I 2
� DESCRIPTION ,�`�' � `� �'G�-
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL 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 OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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��pRKSATISFACTORY:PROCEED �.1I(\�'�-p�RpJECTCOMPLEfE �
W� O�RRECT WORK 8 PROCEED ❑TSSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN O CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46�0
OwnerlConU ctor on site:
inspector /
White Copylinspeclor's File Canary Copy/Site Notice
. FIREPLACES
Gas factory fireplace
� Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
. - �
Brand Name � �� -�, Model No. J�--�L�.-��;
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
PER1v1IT FEE CALCULATION
l. 1.25% of Contract Price* or Minimum Fee ($35.001
t
i�i, .�.;�, x .0125 $ >>��
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. �'CL�`: x .0005 $ -5�
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ ��
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ��5�5�
* 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 are furnished by the owner, tenant or
any other parry 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 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.
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Applicant's Signature: �C'?�a- zc,,%��.- Date: 2/�-.
Approved By: Date: