HomeMy WebLinkAbout2000-P02841 - fireplace CIY'Y OF ORONO PERMIT
2750�Kelley Parkway - PO Box 66 Permit Number: Po2s41
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(612) 249-4600 Date Issued: ailvoo
SITE ADDRESS: 175 Crystal Creek Rd
LONG LAKE, MN 55356
PID: 33-118-23-33-0006
DESCRIPTION:
Proposed Use: Residential
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: $ 1,000.00
State Surcharge Fee: $ 0.50
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MAIL IN
TOTAL FEE: $ 37.00
APPLICANT: FIREPLACE CENTER OWNER: JYLAND DEVELOPMENT INC
12460 WAYZATA BLVD 38 ADDRESS PENDING
MINNETONKA,MN 55305 MN 00000
TI�UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVIMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII,DING CODE REQUIREMENTS.
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APPLICANT PERMITEE IGNATURE ISS D BY SIGNATURE ��,y� �7
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Copies: City,Applicant,Assessor, Finance Page 1
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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 b�- mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within ? working days.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL
YOU RECEIVE A PERMIT. WORK ML:ST NOT BEGIN 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, equipmenc 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. �Vhen any new construction or remodelin�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 nnal). Call 249-4600. 24-hour notice required.
7. House Heating Test Record must be submit�ed before fmal.
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 Additiea Repair Replace
Residential Commercial
JOB SITE: /7S ��,�-��S f i�.f L,f��(C- Zip: 5 J 3 � 3
Owner's Name: i�; V, C, ff�'/n�S Telephone Number: �,��,?-� 73 -l0 7�-1
Mailing Address: City: Zip:
Contractor's Name: "7"j�� �//�"�L�VC�� �%t7�T�-�'` Telephone Number: �15� -,��s`� 71 7
Mailing Address: /�}�{(p l.�_y ��,.�`a /���� City: %�Zi�UN�f� Zip: 5��3(Z(�
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
t/ Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
.
Brand Name /�'1 p,j L ST1 C Model No. y � �l3 ,[) �' j�' /�/
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. rJther Fans: Lo�ations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: aallons underground inside outside
LP Gas: aallons
Other � Gas opening
PERMIT FEE CALCULATION
l. 1.25% of Contract Price* or Vlinimum Fee ($35.00)
�''; �n�;� .`: x .0125 $ �s : C� U
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. ��/, C c:'U `= x .0005 $ • S �
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ :3"I• �� �
* 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, equipm�nt, labor, or installation are iurnished'o�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 .000�of the contract price under$1,000,000 or $.50 - whichever is greater.
For valua[ions over $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the Cin� 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.
,
Applicant's Signature: � � ��� •��L-�.�� �� � • Date: � (� U�
Approved By: Date:
DATE TI�E
CITY OF ORONO CALLED IN ��-�'�� ��`�"
INSPECTION TIC SCHEDULED ��-� �
PERMIT N0. � COMPLETED �
ADDRESS �7v� GYN S�t�l CG'e��
OWNER CONTR. �✓��aC� �QXI'�`�
TELEPHONENO. S��- ��q'7
� DESCRIPTION ��� �aCe��'1w►-1 Lc.�-1
�
L� 01 FOOTING 11 MECH 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS
�
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 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
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W [;WORK SATISFACTORY:PROCEED ' PROJECT COMPLETE
� (7 CORRECT WORK 8�PROCEED ' ISSUE CERTIFICATE OF OCCUPANCY
W
O C; CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING
PERMANENT
[7 CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
Cl STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
[1 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContr tor on site:
Inspector. � �
White Copyllnspector's File Canary CopylSite Notice