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HomeMy WebLinkAbout2001-P03614 - gas fireplace PERMIT CI�`Y F ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po3614 Crystal Bay, Minnesota 55323 Permit Type: 1v�echanical Permits (952) 249-4600 Date Issued: 3i�9�2o01 SITE ADDRESS: 276o Countryside Dr W LONG LAKE, NIN 55356 f���: 04-117-23-12-OOII DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,000.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: STRUCTURES UNLIMITED, INC OWNER: R S& L A STODDART 5425 CLAYTON DRIVE 2760 COUNTRYSIDE DR W MAPLE PLAIN, MN 55359 LONG LAKE MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL INIPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. l �, , - � ( ( ��;��1��� [-L r"! �' � � - r. ���_� ,,,. _ ". ` � I �1N EE. GNATURE ISSUED Y SIGNATURE Copies: City, Applicant,Assessor, Finance Page 1 f CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 - 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. 4. When any new construction or remodeling is involved, a separate builc�ing 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 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 ,�,��y,� ',��i.,.L�� /�� _ _�Residential �� Com erci�l � JOBSITE: �,_� /�; ,✓'��G��l� ` ,-�� 1-c��' Zip: -� Owner's Name: Telephone Number: Mailing Address: � ity: Zip: Contractor's Name: - ' ,�, �L ��elephone u er: �—3 ��,��� Mailing Address:� 5 L7' City: � � ,,� Zi� 5� SYSTEM DESCRIPTION ��,L� � : ,(�' � HEATING SYSTEMS n � � Quantity: ���'� ? 1�1���� I� �f�' /1�"`�-L,L,' Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power � FIREPLACES Gas factory fireplace Wood burning factory fireplace with flue Wood Stove Wood stove with flue Brand Name Model No. 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) �p- x .Ol�25 $ l�Q ' (contract price) 2. State Surchar�e. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ or $.50, whichever is greater (contract price) 3. Postag,e and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (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 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 ma� 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 lies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordat�ce ith the ordinances of the City and the regulations of the Minnesota State Building Code,;and rtifies that al atements made on this application are complete, true and correct. Applicant's Signa , Date:� G�� � Approved By: Date: 3��� 3�v9� � E TIME CITY OF ORONO �d�p f� ca -0 i n�/J- INSPECTION NOTICE ��/' SCHEDULE�� � < < /(?A-�1 PERMIT NO. }�C� �S(t'V� COMPLETED ADDRESS ��7LvD �c�n77 c.� .��C� Ul� GlJ • OWNER ;.5�'GCfc���. r"� CONTR. -.!r�;�.Tvre.s u/�l�rv,� t�� TELEPHONE NO. CO I c� �O Y yC0(.�� � DESCRIPTION�T�� , ��vr�.- I�, (j f{S ��,� �-o FP� F,���1-t i,vG— lt� 01 FOOTING <1 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q0�2��F,R�-A-M--I�N�a� 13 M--�E ANICAL FINAL 19 LAKESHORE/WETLANDS � O�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 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL �T6�B G FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � C �M ENTS: � � � �P � �. � r� f ( 6�i'' �/1/CC Y .� � � l/ � r u � . W � Q z � �L�� � L� �5 C� - G�P � � ti.c � , W � � � d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W �ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. " -"" Call for the next inspection 24 hours in advan�e. (g52) 249-4600 OwnerlContractor on site: `~ _._...._.._----- Inspector.�f��L� f.,�2 , � White Copyllnspector's Ffle Canary CopylSite Notice VDATE TIME CITY OF ORONO CALLED IN INSPECTION Np I SCHEDULED �Q,' d U PERMIT NO. � COMPLETED �- �--� .0'�G' ADDRESS �- �'�'� `��'�'�""�.� OWNER ONTR.,��-7.�-1.C��a� TELEPHONE NO. ,� � DESCRIPTION ��—� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 3 MECHANICAL FINAL�'� 19 LAKESHORE/WETLANDS � 03 INSULATION �^�O� `"' NER/FI ER PLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q O5 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 Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � w a � � O � � O � W � Q � Z W � W � � d ORKSATISFACTORY:PROCEED �ROJECTCOMPLETE � C; CORRECT WORK&PROCEED / '::1SSUE CERTIFICATE OF OCCUPANCY O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT L� CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN INSPECTOR WILL RETURN f] STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContrac n site: Inspector. �- White Copyllnspector's File Canary CopylSite Notice