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Home My WebLink About2001-P04235 - wood fireplace CIT�' O� ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Po423s Crystal Bay, Minnesota 55323 Pe�mit Type: Mechanical Permits (952) 249-4600 Date Issued: gi2��2ooi SITE ADDRESS: 1050 Cox Farm Rd L,ong Lake,MN�5356 P I D: 27-118-23-32-0017 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: $ 53.51 Valuation: $ 4,281.00 State Surcharge Fee: $ 2.14 Misc. Fee: $ 1.50 TOTAL FEE: $ 57.15 APPLICANT: Woodland Stoves&Fireplaces OWNER: Alan&Cyndi Lloyd 1203 Washington Ave. S. 1050 Cox Farm Rd Minneapolis, MN 55415 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. , �\ . APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Coqies: 1-File(SiQnitures Required). 1-Applicant. 1-Monthlv Reoorts, 1-Assessin�. 1-Finance Page 1 CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) ;' �'�i;.;� Crystal Bay, MN 55323 � . � �.y�,:7 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 Desiens - 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. 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 Residential �Commercial JOB SITE: � �' - - Zip: ,��j� O�vner's Name: Telephqne Num er: ' - a - � Mailin Address: � � g � City: '�; ru ':` Zip: S� .3� � Contractor's Name: c �,��cf:'. Teleph ne Number: � -- �-� ��(� > > Mailing Address:l,� ` " _S City: � Zip: SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: ylake: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power ��3-��/ . FIREPLACES Gas factory fireplace � Wood burning factory fireplace with flue Wood Stove Wood o�e with flue %!"-" ��7' ,(� Brand Name � � �� /� Model No. �g�� /� � � , �� , _ � � 6�� 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) ��' x .0125 $ � (contract price) � 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. � '�a�t x .0005 $ o� , or $.50, whichever is greater (con�ract price) 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �7, ��j * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work inciudinJ rriaterials, labor, profit, and oth�r fixed costs. It is ihe amour.t ta be charged to the custo:r.er 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. G � , Applicant's Signature: � � �% Date: ��— -- �Q � Approved By: Date: � , / DATE TIME CITY OF ORONO ALLEDI� INSPECTION N �CE SCHEDULED /S'`� • �� PERMIT N0. � �� COMPLE I S OL /.�� ADDRESS �C v � ��- OWNER CONTR. TELEPHONE N0. �---� � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCP.\�/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 O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOILOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PIUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � 2 W � W � � d � ,�WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED 0 STOP ORDER POSTED.CALLINSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 2a hours in advance. (952) 249-46�0 OwnerlContractQrj on site: Inspector.�� Q-�2� White Copy/lnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALL iN INSPECTION NO C SCHEDULED " ' v U PERMIT N0. a3� COMPLETED 2 "'0 � � ADDRESS 5 � OWNER CONTR. �{�n'O�'L� �W`�t ��F-S TELEPHONE NO. �D OI,JJ � c� � �a �3 �3Gs-- � DESCRIPTION_��ln-��U✓rl/�� /" i � 01 FOOTING 11 MECHANIC RI 18 EXCA�//GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATICN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION 2 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � J O �. � O � W � Q � Z W � W � � O W��WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALIINSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContr c or on site: Inspector. �� /�i(�(/�� White Copyllnspector's File Canary Copy/Site Notice