HomeMy WebLinkAbout2004-P07484 - mechanical tTl�' F R PERMIT
�' � � �NO Permit Number:
2750 Kelley Parkway- PO Box 66 P07484
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: s�ii�2ooa
SITE ADDRESS: 560 Kokesh Farm Rd
Maple Plain,MN 55359
PID: 31-118-23-11-0012
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Pernuts Pernut Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 87•48 Valuation• $ 6,998.00
State Surcharge Fee: $ 3.50
TOTAL FEE: $ 90.98
APPLICANT: Automaric Garage Door&Fireplace,Inc. �WNER: Brian&Nancy Siska
8900-109th Ave N-#1000 560 Kokesh Farm Rd
Champlin,MN 55316 Maple Plain,MN 55359
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.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SI�iNATURE
Copies: 1-File(SiQnitures Required), 1-Aunlicant, 1-Monthlv Reuorts, 1-Assessin¢, 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
UNTII.,YOU RECEIVE A PERMIT.WORK MUST NOT BEGIN UNTII.,TI�PERNIIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desig_ns-Complete calculations,details and specifications aze required for ea.ch 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. Ali work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirerr�ents.
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 WII.,L NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one: �New ❑Addition ❑ Repair ❑ Replace � Residential ❑ Commercial
JOB SITE:���o�e.�_�, �Qi�o�-r, �rQ Zip: 553�'?/
Owner's Name: Phone Number: 95�-y7c�"-apg�
Mailing Address: City:�J2f�,:,.,., Q�Zip: S�3�%S�'
�
Contractor's Name: Q�c�,�-F��..���..�Phone Number: "7(�3-3/5 7`��G
Mailing Address: 90U /0���!� _'City:����,.-, ,,Zip:_��.�/(�,�
1
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: 1
Make:
Model: �1 OOT ��/ .�
Fuel: C3� �
Flue Size:
Input BT[Js: �/�,(�
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 —Q� ����� Model No.
VENTILATI�N .
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfin
No: Other Fans: Locations cfrn
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
❑Installation or ❑ Removal
❑Fuel oil: gallons ❑underground ❑ inside ❑outside
❑ LP Gas: gallons
❑Other Gas opening
2
PERNIIT FEE CALCULATIO�T(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 electrica.l or gas service.
2) Has a total cost of$500.00 or less;excludins 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)
� �� xA125 $_ � ��
(contract price) - (minimum 535.00)
2. State SurcharEe. ** Add the State Building Code Division a Minimum Fee of($.50)
l� /�
X.000s $ 3.SO
(contract price) (minimum$.50)
3.Posta�e and Handlin�(Only mail-in applications� $ 1.50
4.TOTAL PERMIT FEE(Add lines 1-3 above) $ 9Q,�
*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 chatged 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 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 regutations of the Minnesota State Building Code,and certifies that all statements made on this
application are complete,true and correct.
Applicant's Signature: A����,��,�v,-L..e�?�z Date: �/_`!'/O�
Approved By: Date:
3
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DATE TIME
CITY OF ORONO CALLED IN S— Z'O
INSPECTION NOTICE SCHEDULED �/N-Oy 1
PERMIT NO. �o"?�(gN COMPLETED
ADDRESS �_�� �0�(��Zv�m �
OWNER CONTR. ��`-wI'i�—G0.� 0�• �f��
TELEPHONE N0.�Q� S��Q�2 I �
� DESCRIPTION Z - FP
� 01 FOOTING 1 ECHANICAL R 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECH AL FINAL 19 LAKESHORE/WETLANDS
y 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PIUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W� ORKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 4 hours in advance. (g52) 249-46�0
OwnerlContractor si :
Inspector.
White Copyllnspector's File Canary Copy/Site Notice