HomeMy WebLinkAbout2003-P07003 - wood stove/flue PERMIT
C�T�Y �`F ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po�oo3
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: tiii3izoo3
SITE ADDRESS: 4355 Chippewa Ln
Maple Plain,MN 55359
P I D: 31-118-23-42-0020
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Wood Stove/Flue
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 37.50 Valuation: � 3,000.00
State Surcharge Fee: $ 1.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 40.50
APPLICANT: Woodland Stoves&Fireplaces OWNER: William&Ann McCrackin
1203 Washington Ave. S. 4355 Chippewa Ln
Minneapolis,MN 55415 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 SSUED BY SIGNATURE
Conies: 1-File(SiQnitures Repuired). 1-Applicant. 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO . AP ON FOR MECHANICAL PERNIIT
Box 66 (2750 Kelley Parkway) �ECI�IVED
Crystal Bay, MN 55323
�ov � 3 2003
GENERAL INFORMATION
l. You may apply for mechanical permits by mail or in person at the City offices. ApplicaConYw�i11���NO
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
YOC7 RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON
THE JOB SITE.
3. Nlechanical Designs - Complete calculations, details and specitications are required for each heating,
ven[ilation, humidification-dehumidification, and air conditioning installation including heat loss/heat gain
calcula�ion, design temperatures, equipment ratings and identification as to rype, 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. All w�ork 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 notiGe 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, call 249-4600.
Please check one: New Addition Repair Replace
esidential Commercial
JOB SITE: � J�� ' Zip: �" c:c
Owner's Name: " ) � ° Telephone Number:�'�a��j�
Nlailing Address: " ' l � City�� -� � Zi � 5�5�'
P�
Contractor's Name: ti� � -�y°� -? Tel phone Number: Q�fp/�-�'� -���
MailingAddress: City• Zip• < <
SYSTENI DESCRIPTION
HEATING SYSTEMS
Quantity:
Make: '� , , � �
Model: � �- , �, �
Fuel: �,�) �,r�,? '_
Flue Size: ��
Input BTUs:
Output BTUs: /� q
CFM: j�' �
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
f
S
r
FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
� Wood stove with flue ` �� �, . -.��
Brand Name �� � �ti� � ���1 Model No. J���
VENTILATION
No. Kitchen Eachaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfr_�
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
) � x .0125 $ ,37, 5�
(c ntract price)
2. State Surchar�e. �`�` Add the State Building Code Division
Surcharge to each permit. � � �� x .0005 $ j,��
or $.50, whichever is greater contract price)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �, SQ
* CONTRACT FnICE or JOB CQST me�s :he actual or es?ima!ed dollar amount charaed 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 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 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: � �--����'� '� ��� � Date: ��0�7����
Approved By: Date:
'�' � . ���H��f,,, Department of Commerce Licensing Division
i � :: • F State of Minnesota
� a� -�°� —�.� Departmenl of Commerce Telephone: (65�)296-6319
��--�� ` E-mail address: licensing.commerce@state.mn.us
i yx:p R ' � 85-71h Place East; Suite d00
� �i4,�rir s r' St. Paul, MN 5510'I-3165 Website address: commerce.state.mn.us
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Residential Buiidin Contractar L.ic�nse
Lagal Name:
1/VOODLAND STOVES FiREPLACES eUs��,ess st�u�c���:
GORPORATION
� � DdA:
;,�aress- 1'%03 WASHINGTON AVE S
(�9PLS, MN 55415
�icense�dentlfica��on Number. BC- Z�JSH Qualifying Person: PETER E SOLAC
Licanse Expir4�ion Data: 3I31IZOO4 Continuing Education: 7 Hrs CE du0 by 3/31/2004 I
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/z A�� TIME
CITY OF ORONO CALLED IN
INSPECTION ICE SCHEDULED _=�-s�� -��
PERMIT N0. �7��� COMPLEfED �— ��
ADDRESS T�S �
OWNER CONTR. GC�O?��QG'-s� c�l�x�
TELEPHONE NO. , , b�Z g67-���'7
� DESCRIPTION ��� `����
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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 O6 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
� OWNEHICONTRACTOR TO MEET YOU:_YES_NO
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W �WORK SATISFACTORY:PROCEED �ROJECT COMPLEiE
W ❑CORRECT WORK 8.PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� �CORRECT WORK,CALL FOR REINSPECTION 7EMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETUFN
❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-46��
OwnedContract si •
Inspector.
White Copy/inspector's File Canary Copy/Site Notice