HomeMy WebLinkAbout2001-P04159 - wood stove/flue ��' PERMIT
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CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po4is9
Crystal Bay, Minnesota 55323 PefCTllt Typ2: Mechanical Permits
(952) 249-4600 Date Issued: gi6i2oo�
SITE ADDRESS: 4245 Chippewa Lane
Maple Plain, MN 55359
PID: 31-118-23-42-0001
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Wood Stove/Flue
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: .1ohn Adams
2700 N Fairview Lane 4245 Chippewa Ln
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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PPLICA ERMI E I NATURE ISSUEDBYSIGNATURE
Copies: 1-File(Signitures Required), 1-Applicant, 1-MonthlyReports, l-Assessing, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT G�
Box 66 (2750 Kelley Parkway) � �
Crystal Bay, MN 55323 �J1�, �
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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 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-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. �.
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4. When any new construction or remodeling is involved, a separate 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 appiication. Compute the permit fee. Sign and date the certification. '�
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600.
Please check one: ew Addition Repair Replace
Residential Commercial
JOB SITE: �"�'� � �#';i "�'�.s�c�� �`, 9_,.i�' Zip:
Owner's Name: (�'��«_�# :?�"�_, � ,.-,, �_; Telephone Number: ��;;; _ ��=;� _ ��.��a j
Mailing Address: City: Zip:
Contractor's Name: ��irociria f nrnnr Telephone Number:
Mailing Address: License#20090911 City: Zip:
2700 N.fairview Ave.
SYSTEM DESCRIPTIO�seviile,MN 55113
1/633-1561
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 «�ith flue
Wood Stove
Wood stove with flue
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Brand Name� �r��� ������= Model No. ���m���>
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) 'j�-
�( �;� O . U� x .0125 $
s�� -_
_ (contract price)
2. State Surchar�e. ** Add the State Building Code Division �,�
Surcharge to each permit, x .0005 $ ` ''-'
or $.50, whichever is greater (contracc price)
3. Postage and Handlin� (Only mail-in applications) $ t?��
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ :�� a�
' * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor,profit, and other tixed 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 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 Depanment 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: � � �TJ,���- �� �l_��%'� Date: � — a — '���
Approved By: " Date:
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C 1 pATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT C� SCHEDULED � _��
PERMIT N0.�I� I COMPLETED � ' � j �
ADDRESS � � i �-��
OWNER CONTR. �1��� �� 0"�//lf��"
TELEPHONE NO.���1 ��� � ��'SCG /
� DESCRIPTION � �. /�Y-1--
� 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 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
= 09 PLUMBING RI 23 SEPTIC 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 ❑ PROJECT COMPLETE
W ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
�� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONOITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-46��
OwnerlContractor on site:
Inspector. ��-��C-C�%�''x��/�
White Copyllnspector's File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO SCHEDULED ` `� � ��
PERMIT NO. � OMPLETED �! � n
ADDRESS ` � � ��%�- L� �L�
OWNER CONTR. �--�-�-- �.
TELEPHONE/ N0. ['� I c-� �J 3 LP� / D
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� DESCRIPTItON �t � ��-S ��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/fILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATIGN 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINA� 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/FiEMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
`����COMMENTS:
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� ❑WORKSATISFACTORY:PROCE�EQ ❑ PROJECTCOMPLETE
W �b CORRECT WORK&PROCEED v ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHiN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContrac�tor on site:
Inspector. ���`�F�,�-��''
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White Copyllnspector's File Canary CopylSite Notice