HomeMy WebLinkAbout2000-P02620 - fireplace k '� PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po262o
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(612) 249-4600 Date Issued: �isioo
SITE ADDRESS: 3680 Jacobs Mill Rd
LONG LAKE, MN 55356
P ID: 32-118-23-24-0009
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: $ 2,200.00
State Surcharge Fee: $ 1.10
TOTAL FEE: $ 3610
APPLICANT: FIRESIDE CORNER OWNER: 7ames Deanovic
2700 N FARVIEW LANE 3465 Amesbury La
ROSEVILLE, MN 55113 Eden Prairie,MN 55347
THE UNDERSIGNED HEREBY REQUESTS PERM[SSION 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.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERNII'T
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 retum 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 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 be presented on form provided. Identification of and specifications for water heating equipment
shall also be provided.
4. When any new constraction 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 473-7357. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Compute the pemut fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: � New Addition Repair Replace
�— Residential Commercial
JOB SITE: ?� =�. � , .� �; ' `%�� Zip:
Owner's Name: � - , :.<�-,,,_ Telephone Number:
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Mailing Address: City: Zip:
Contractor'sName: Al�ed fbesfd� TelephoneNumber:
MailingAddress: be���{�� City: Zip:
2100 M.Fairoiew Aw.
SYSTEM DESCRIPTIONRoseviiN,MN 5511�
651I633-2563
HEATING SYSTEMS
Quantity: l
Make: tl��� �� �-�� ��1�wr �� � �
Model: -�° ;�� +�
Fuel: � ���--�
,
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
r t
WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
Total
VENTILATION
No. Kitchen E�aust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
pERMI�' FEE CALCULATIOI�1
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
;,;. - x 1.25 $ _ =�
(contract price)
2. State Surchar�e. ** Add the State Building Code I��visi�r��•���.
Surcharge to each permit. .»<l _, �;=P"''x .0005' $ ,
(contract pric � '�� }
3. Posta�e and Handlin� (Only mail-in applica�iari's) . �, ' $ =�-
c_=�� .�
4. TOTAL PERMIT FEE (Add lines 1-3 above) � y.� ;,,y: ,.; $ ="'- '
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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 may request the submission of a signed copy of the actual contract.
** The STATE SURCHARGE is .0005 of the contract price under $1,0OO,OdO 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. ;�
Applicant's Signature: �—�����, � �f�� ����_ Date: � � _
Approved By: Date:
DATE_�.\ TIME
CITY OF ORONO CALLED IN �� �w �g ` a' --
INSPECTION NOTICE /--�^SCHEDULED — '� �
PERMIT NO. �af�(JCOMPLETED � ��
ADDRESS 3�gQ S�c��S n"l��l I R�
OWNER ' CONTR. ��-�� �'��r
TELEPHONE NO. � LJ�' '��a��
� DESCRIPTION C�vc�-t.c_;�t�i �r�5 ��� iaC� M�ii:tie
ty� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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d ❑WORKSATISFACTORY:PROCEED f, PROJECTCOMPLETE
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� �' CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
C 1 CORRECT UNSAFE CONDITION WITHIN HOURS. ;, pHOTO TAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C! INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cali for the next inspection 24 hours in advance. 249-460�
OwnerlContr�e��i�q�
Inspector�y �
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