HomeMy WebLinkAbout2004-P07983 - wood stove/flue PERMIT
C!TY,OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P07983
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: 9i23�2o04
SITE ADDRESS: 3435 Crystal Bay Rd
WAYZATA,MN 55391
PID: 17-117-23-43-0120
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Sub-type(s): Wood Stove/Flue
Pernut Type: Mechanical Permits
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 38.75 Valuation: $ 3,100.00
State Surcharge Fee: $ 1.55
TOTAL FEE: $ 40.30
APPLICANT: Allied Fireside(See Comments) OWNER: SCOTT A BROWN
DBA: Fireside Hearth&Home 3435 CRYSTAL BAY RD
2700 Fairview WAYZATA MN 55391
Roseville,MN 55113
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT IANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA UILD QUIRE NTS.
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AP C RMITEESIGNATURE I UEDBYSIGNATURE
Covies: 1-File(SiQnitures Required), 1-Annlicant, 1-Monthlv Renorts, 1-Assessing, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (27�0 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical permits Uy mail or in person at the City offices. Applications will be
reviewed and a pennit will be issued within two working days.
2. Pei7nit cards will Ue sent Uy return mail after a review is completed. PERMITS ARE NOT VALID
LTNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEG1N UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Designs -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 Ue presented on fonn provided. Identification of and specifications for water heatin�
equipment shall also Ue provided.
4. When any new construction or remodeling is involved, a separate building pennit must Ue obtained.
5. All work inust be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All worl:must Ue inspected (rough-in and final). Call (952) 249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted Uefore final.
Instructions
Con�plete all items on this application. Compute the pennit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one: ❑ New ❑ Addition ❑ Repair ❑ Replace Residential ❑ Coinmercial
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JOB SITE: r �� ,S' 1.� - C� � Zip:
Owner's Name: - �� �,'� � P one Number: 1:��-�- �J%-����
Mailing Address: City: ��'�.�� p Zip: ,�:���i
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�-��G��� �— � � ,��5 %�
Contractor's l�ame�����������/ ��-���Phone�mbe� < �
��_S%- � .3.��/O,I�Z
Mailing Address: City: Zip:
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SYSTEM DESCRIPTION •
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Ii�put BTUs:
Output BTUs:
CFM:
COOLINC SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES GAS LINE ONLY
❑ Gas factory fireplace ❑ Installing a Gas Line Only
❑ Wood buming factory fireplace with flue
�Wood Stove
Wood stove with flue
Brand Nam 1 � /2 �'l Model No. -< �— � i �
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
2
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 or less; excludin�the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Pernzit $ 1�.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If aUove does not apply, follow guidelines below:
1. Contract Price* is .0125% of joU with a Minimum Fee of($35.00)
"—� C� ..�� x .O125 $
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add tlle State Building Code Division a Nlinimum Fee of($ .50)
x .0005 $
(contract price) (minimum�.50)
3. Posta�e and Handlin� (O�tly nrail-i�i applicatioiis) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 aUove) $
*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. (t is the amount to be charged to the customer for the work done. If any material,
equipment,labor,or installation is fiirnished 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 Cit or is�uan f a Mechanical Permit,agrees to do all work in strict accordance with
the ordinances of the City an e regu a o s f the Min esota te Buildin Code,and certifies that all statements made on this
application are complete ue and cor `�
Applicant's Signature: Date: ��
Approved By: Date:
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�� DATE TIME V
CITY OF ORONO '" cA��Eo iN
INSPECTION TI SCHEDULED Z Z� �
PERMIT NO. � COMPLETED � �
ADDRESS 3 J� �
OWNER CONTR.
TELEPHONE N0. _ ��- � 3 T?J �72� �
� 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
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W � ORKSATISFACTORY:PROCEED L� PROJECTCOMPLETE
❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. �, PHOTO TAKEN
INSPECTOR WlLL RETURN
7 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContract s' .
Inspector
ite Copyllnspector's File Canary CopylSite Notice