HomeMy WebLinkAbout2000-P02469 - fireplace � '� PERMIT
CITY OF ORONO Permit Number:
2750 Keltey Parkway - PO Box 66 P02469
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(612) 249-4600 Date Issued: si»ioo
SITE ADDRESS: 2635 Countryside Dr W
LONG LAKE, NtN 55356
PID: 04-117-23-13-0007
DESCRIPTION:
Proposed Use:
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00
Valuation: $ 2,135.00
State Surcharge Fee: $ 1.07
TOTAL FEE: $ 36.07
APPLICANT: Guyers Building Express OWNER: D L SCALITI&D M SCALITT
13405 18th Ave N 2635 COLJNTRYSIDE DR W
Plymouth, MN 55441 LONG LAKE MN 55356
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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APPLI ANT PERM[TEE SIGNATURE ISSUED BY S[GNATCJRE
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Copies: City,Applicant,Assessor, Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2�50 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INF012MATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued wi[hin 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 DesiQns - 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 iden[ification 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. 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 473-7357. 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, call 473-7357.
Plcase check one: New Addition Repair Replace
� Residential Commercial
JOB SITE: d"l!�3.� �'av�vr.e y�,�- D,��,�� �/ Zip:
O�mer's N.:�e: � Telephone Number:
iVlailing Address: City: 'Lip:
Contractor'sName:�,�vy��s .�v;����2s 1�-�Ss TelephoneNumber: 7�,�-�s3- ��1�3
MailingAddress:i3�:{os /s� ���,_ City:�y,�-,�L-;,� Zip: ��-��/
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
I�lue Size:
Input BTUs: , _
Output BTUs: __
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
. `
UIPn1ENT
Wood stove with flue
Wood combination or add-on
��5 -� Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name �',���d� Model No. �f/ f�(= — �'—%�ti�S
Mfgr's Min., Clearances, side `/z , rear %z , min. flue dia. F"`
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STO�tAGE (MUST RE 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)
Z1 ��� �x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
or $.50, which�ver is greater (contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT PEE (Add lines 1-3 above) $
* 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 ro 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 S'fATE 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 a�pli�;� to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accur�ance 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.
A licant's Si nature: �`�C���h� � Date: S /lo o v
rr �
Approved By: Date: