HomeMy WebLinkAbout2003-P07143 - mechanical � 5' PERMIT
C ITY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P07143
Crystal Bay, Minnesota 55323 Permlt Type: Mechanical Perniits
(952) 249-4600 Date Issued: i2i3ii2oo3
SITE ADDRESS: 1005 HuntFarmRd
I.ong Lake,MN 55356
P��: 30-118-23-42-0006
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: Pernut Fee: $ 35.00 Valuation: $ 2,800.00
State Surcharge Fee: $ 1.40
TOTAL FEE: $ 36.40
APPLICANT: �llied Fireside OWNER: Steve&Kathy Persian
DBA: Fireside Hearth&Home 1005 Hunt Farm Rd
2700 Fairview Long Lake,MN 55356
Roseville,MN 55113
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMP NCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNE �3'A IL�N , DE REQUIREMENTS.
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PPLICANT PERMITEE SIGNATURE SSUED BY S[GN TURE
Cooies 1-File(SiQr�iti�res Required), 1-Apvlicant, 1-Monthlv Reports. 1-Assessin�, 1-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 by mail or in person at the City offices. Applications will be
re�zewed and a permit will be issued within two warking days.
�. 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 BEG1N UNTII,THE PERMIT CARD IS
POSTED ON THE JOB SITE.
�. Mechanical Desig�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.
-�. When any new construction or remodeling is involved, a separate building permit rnust be obtained.
�. All w-ork 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 (952)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.
LtiCONIPLETE APPLICATIONS «'II,L NOT BE PROCESSED. If you have questions, call
(9�2) 249-4600.
Please check one: ❑ New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial
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JOB SITE: � Lt'/L� 7`"�'f Zip:
Owner's Name, '�i.->% i5�► � . ' 'rl Phone Number: �'�� - �� ' �
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,liailing Address: City: % Q�Zr�; Zip: ,�S�3��,�
�/ ��_Sit��� ���iC/����/�I�
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Contractor's Name: Phon��mber: �..5/-��� �/G'1��
�Iailing Address.:-� G}�� �'�/�l�/r�T_/ City:-���f-'c.�i���Zip: 5�-5�/_j
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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 Permit $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125%of job with a Nlinimum Fee of($35.001
•�r���/�� x .0125 $
(contract price) (minimum 535.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
x .0005 $
(contract price) (minimum$.50)
3. Postage and Handling (Only mail-in app[ications) $ 1.50
4. TOTAL PERNIIT 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 is fumished 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 Ciry 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. -
T'he 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 re tio o he � esota State Building Code, d certifies that all statements made on this
application are complete, an rre .
Applicant's Signature: Date: ✓ %7
Approved By: Date:
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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 GAS LP1E ONLY
Gas factory'�rPn�,�..,_ �.,.��—._-.L,�_��,��` ❑ Installing a Gas Line Only-
Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name � ��� Model No. �-- -��/
C�c.���� ���-S ���t���-._
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
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� � DATE TIME
CITY OF ORONO CALLED IN l
INSPECTION TIC SCHEDULED �-� � �
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PERMIT NO. COMPLETE
ADDRESS ��OS 1'�7��� F��rn---- ,r��
OWNER CONTR._f''�i�� �{'f'
TELEPHONE NO.___ ��2— .3�3 �3�
� DESCRIPTION P � �� 'F vl, ���
� 01 FOOTING 11 MECHANIC RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANI INAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PIUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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� iNORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOFi REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTIONREQUIRED.CALLTOARRANGEACGESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contra 't •
Inspector. !lili
White CopyMspector's File Canary Copy/Sfte Not�e