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Home My WebLink About2004-P08149 - wood fireplace PERMIT CITY OF,ORONO Permit Number: 2750 Keliey Parkway - PO Box 66 Pog149 Crystal Bay, Minnesota 55323 Pet'mit Type: Mechanical Permits (952) 249-4600 Date Issued: 11�3�2004 SITE ADDRESS: 2695 Kelly Ave Excelsior,MN55331 P I D: 20-117-23-14-0008 DESCRI PTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Wood Fireplace DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Wood burning factory fireplace with flue FEE SUMMARY: PermitFee: $ 35.00 Valuation: $ 2,730.00 State Surcharge Fee: $ 1.37 TOTAL FEE: $ 36.37 APPLICANT: Automatic Garage Door&Fireplace, Inc. OWNER: Charles&Roseanne Simpson 8900-109th Ave N-#1000 2695 Kelly Ave Champlin,MN 55316 Excelsior,MN 55331 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. , - C� f'/�—y( AP L ANT PERMITEE SIGNATURE SUED BY SIGNATURE `k� Copies: 1-File(Siunitures Reauired). 1-Apvlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 � 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 reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi r�is-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 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 (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. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call (952) 249-4600. Please check one: �New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial JOB SITE: �pCl� Zip: SS�� 1 Owner's Name: ` Phone Number: �(S� -y 1 I -��S�-J Mailing Address: �y�, ' ��; �� City: �i,p: S�-� � Jjc�.�� Contractor's Name: , : f Phone Number: �(,��`� : -��5`� Mailing Address: �6I_�,.� ;,� ��,� 3 �!+ j �ity:(�' ' '� Y✓�,�,Zip: �;� ��.,.� ' � 1 SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: Make: ModeL• FueL• Flue Size: Input BTUs: Output BTUs: CFI:�: 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(�/�...w.�a�� Model No. S��`�� 0 V�.i+1TIfi.ATIGN No. Kitchen Exhaust duct recalculating cfm No. Bath E�chaust(must have duct outside) cfm No: Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIItE MARSHAL) ❑ Installation or ❑ Removal ❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside ❑ LP Gas: gallons ❑ Other Gas opening 2 PERMIT FEE CALCULATION(S) 2002 State Statute ❑ Yes This Section Applies The replacement of a Residential fixture or a� liance 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; excludina 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 Minimum Fee of($35.00) ��3� x.0125 $ (contract price) (minimum$35.00) 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) x .0005 $ (contract price) (minimum$.50) 3. Posta�e and Handling(Only mail-in applications) $ 1.50 4. TOTAL PERMIT F'EE (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 furnished by the owner,tenant or any oth�r party the reasonable market va(ae 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 SURCFIARGE is.000�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 regu(ations of the Minnesota State Building Code,and certifies that afl statements made on this application are complete,true and correct. Applicant's Signature: 9�1�.�,� h�t.M,'�,�_•+-�, Date: I I 3 Approved By: Date: 3 z � � � �`� DATE L TIME CITY OF ORONO CALLED IN `�/ INSPECTION NOT SCHEDULED / ' �"� � PERMIT NO. �? COMPLETED ADDRESS -��l'�S �-E'-c.-i ,�-� OWNER CONTR. l�G/Lic�j c. (r TELEPHONE N0. 7�sJ �> J��C��'"��fl � DESCRIPTION hL L �� .J�v �� '��— � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL _--_ 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BUR /FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-U� 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � d W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContra�,tor�site: Inspector. �- White Copyllnspector's File Canary CopylSite Notice � �� DATE TIME CITY OF ORONO CALLED IN �� ""�'S INSPECTION NOTICE SCHEDULED �_c��5_ .��'I PERMIT N0. :SCI u� COMPLETED ADDRESS �� /C F,f��_,T(�l/l� QWNER CONTR. vj�' �Ya►e� TELEPHONENO. ��f� � �,f G� � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 ME AL. 19 LAKESHORE/WETLANDS � 03 INSULATION 24/2 WOOD BUR E /FI CE'', 34 TREE REMOVAL Z04 WALL BD. 12 WATER OK-U 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP ` 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 P�UMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNOATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J o �� O � W � Q � Z W � W � � a W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContra r o site: Inspector. White Copyllnspector's File Canary CopylSite Notice