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HomeMy WebLinkAbout2000-P02828 - fireplace. PERMIT t Ci�Y OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po2g2g Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (612) 249-4600 Date Issued: g�16�200 SITE ADDRESS: 539 Keene Ave WAYZATA,MN 55391 P ID: 02-117-23-31-0028 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Sub-type(s): Fireplace Permit Type: Mechanical Permits DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: � I FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,000.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: GUYERS BUILDERS EXPRESS OWNER: B A PAINE&V E PAINE 13405 15TH AVE N 539 KEENE AVE PLYMOUTH,MN 55441 WAYZATA MN 55391 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. , /1�'1 I A PLI A ERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: City,Applicant,Assessor, Finance Page 1 1 ♦ I � � CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, NIlv 55323 GENERAL IlVFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit wiil be issued within 2 working days. 2. Permit cards will be sent by retum mail after a review is completed. PER��ITTS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns - Complete calculations, details and specifications are required for each heating, ventilation, humidification-dehumidification, and air conditioninQ installation including heat loss/heat gain calculation, design temperatures, equipment ratings and identification as to rype, manufacturer and model. Data shall be presented on form provided. Identification of and specifications for water heating equipment sha':1 also be provided. 4. �;:�.:� 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 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 Addition Repair Replace _� Residential Commercial JOB SITE• S.3�' j�L C�s/� ��,-r'i/�r Zip: � Owner's Name: Telephone 1\umber: Mailing Address: City: Zip: Contractor's Name�������- �jv,-�,�,c�,.s��.�,�C� Telephone Number: 7���.3 ��,/r�s� Mailing Address:/��p S /5�>>,�1/,�/Q City�?y�,-���;;id Zip: ,S�y� 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 factory fireplace Wood burning factory fireplace with flue Wood Stove Wood stove with flue Brand Name sL�����2 Model No. ./� � �OC`� C-''��` �->,z�r'Lr4� �L�S T�G.L (i�o t�,Cj,t-/ cLJ✓ �NL L/, VENTILATION No. Kitchen Exhaust ducted recirculatin� 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 Surchar�e. *�` Add the State Building Code Division Surcharge to each permit. x .0005 $ or $.50, whichever is greater (contract price) 3. Posta7e and HandlinQ (Only mail-in applications) $ 1.50 4. TOTAL PERMIT 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 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[here 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. Applicant's Signature: � ,,�.��,✓` � Date: � /� oC� Approved By: Date: D� AT�_ � �T� CITY F ORONO CALLED IN INSP CTION OTICE SCHEDUIED �� -� PERM T NO. d �� COMPLETED � � ADDR SS^��nl ��=aP-�`� V.IV" OWNE CONTR. �� TELEPH NE NO. �P ` `7 � DESCRIP ION -��✓�aC�' l� 01 FOOTING 1 MECHANICAL RI � 18 EXCAV/GRADING/FILLING � 02 FRAMING �-GFfANiCAL FINAL 19 LAKESHORE/WETLANDS H Q 03 INSULATIO 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAI. 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FIN 36 FOUNDATION/REMOVAL � OWNERICONTRAC OR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d W� ORK SATISFACTORY:PR CEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCE D C ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FO REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITI WITHIN HOURS. r pHOTOTAKEN INSPECTOR WILL RETUR �STOP ORDER POSTED.CALL I SPECTOR ' CITATION ISSUED ❑ INSPECTION REQUIRED.CALL O ARRANGE ACCESS. Cali for the next in ction 24 hours in advance. 249-46�0 OwnerlContractor on site: Inspector. ��C�a- v� White Copyllnspector's 'le Canary CopylSite Notice