HomeMy WebLinkAbout2000-P02381 - fireplace t �,
CI��Y t�F R N PERMIT
O O O
27�0 Kelley Parkway - PO Box 66 Permit Number: Po23si
Crystal Bay, Minnesota 55323 Permit Type: �vte�han�c �ts
(612) 249-4600
Date Issued: ai26ioo �"" ��'�����e
�
SITE ADDRESS: 345 Leaf St
LONG LAKE, MN 55356
PID: OS-117-23-14-0003
DESCRtPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Fireplace
DETAILS:
Approved per resolution#:
Separate per►nits 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: C C DEVOR&J W DEVOR
2700 N FARVIEW LANE 345 LEAF ST
ROSEVILLE,MN 55113 LONG LAKE MN 55356
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' G' -� C,�/ � �—E�2�1�7
� APPLI ANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor, Finance Page 1
j �' �..,_. ' ; r..::u r `� �;s �`$1;.�' _
, � t/=�
CITY OF ORONO APPLICATION FOR MECHANiCAL PERIVICT �d��
Box 66 (2750 Kelley Parkway) `<`;''"1�
Crystal Bay, 1VIN 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 pernut 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 instaliation 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 sepazate 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 permit 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
� �2esidential Commercial
JOB STI'E. �, {- _� „-� Zip:
Owner's Name: � l� � � � ' 3� �� Telephone Number:
Mailing Address: City: Zip:
Contractor'sName: AfRed FNestd� TelephoneNumber:
MailingAddress: a Finside t�tn� City: Zip:
2100 N.Fakview Avr.
SYSTEM DESCRIPTION�sevHN,MN 5511�
65U633-25&1
HEATING SYSTEMS
Quantity: � j
Make: ��;;.� i�- G_� -�'�; c r��;�—
ModeL• (-, ��,._�� >�� ����i�
FueL• ���. , �� �
� Flue Size:
Input BTUs:
Output BTUs: _;"� �' ��'�
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model: -
Tons:
H. Power
.� ►
. -
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 Modei No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
Total
VENTILATION
No. Kitchen Exhaust 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 CALCULATI4?�
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 D�ivi�i�r�u����
Surcharge to each permit. . ;;;��� . '�;'"'"x 0045' $ ; <.�,
(contract pn'c�- '� �
3. Postage and Handlin� (Only mail-in applica�ians) . ', ; ' $ �
y.�: ,
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 pernut 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 regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct. �
,
1
Applicant's Signature: �2�� � �`� �,�,�._-- Date: �r_� > �.�
Approved By: Date:
, DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC� scHE�u�E� �- C'�-' ��-�
PERMIT NO. 6�-,� COMPLETED .l� � �) 2'�" �U
ADDRESS `�� �-fGt S�� �� � `
°�, ��� ����.��-'
OWNER CONTR. �. �%
TELEPHONE NO. � S I� �„�3 "��� ��-' ►
� DESCRIPTION ��-�- ""�`-��-c'��C"�- I Y� '�C-1;�i� ��%�I"`'1
W 01 FOOTING /11 MECHANICAL Ri 18 EXCAV/GRADING/FILLING
� �_.._.----�
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
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
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� CO�M TS:
� � `� ��.� �G � � --
o . �'e. G -� n
� � �� ���
0
�
W wr �o �� ��� c._ � �
�
Q
� .,'� �c lz
z
W
�
� �G't �� r"�G�,�
j
d ❑WORK SATISFACTORY:PROCEED C1 PROJECT COMPLETE S�
W
� ❑ CORRECT WORK&PROCEED I- ISSUE CERTIFICATE OF OCCUPANCY
W
O �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� EFORECOVERINC�
C] CORRECT UNSAFE CONDITION WITHIN HOURS. �� pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR `- CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. 249-4600
OwnerlContra tor on site:
Inspector. Ct..G�1�
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OPORONiO CALLED IN
INSPECTION NOTICE SCHEDULED —�S� �' ��7d�
PERMIT NO. ("sa3 �'S? COMPLETED � �� � �L/
ADDRESS ��.� L�'�t� S�' t� ,
OWNER CONTR. l
TELEPHONE NO. ��(^�O�''J� a��l � �
� DESCRIPTION
l� 01 FOOTWG 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� CO ME TS:
� � � �,
i , ��,, ���- L Ce: L> �t c-�--5
�
J
O
'� �-JSe
�
0
�
� �� j�S �C �"C����-e�r
Q
z � ��� �
w
�
w
�
�
d }�NORK SATISFACTORY:PROCEED C PROJECT COMPLETE
� �❑ CORRECT WORK&PROCEED fl ISSUE CERTIFICATE OF OCCUPANCY
O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
C' CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
Cl INSPECTION REQUIRED.CALL TO AFRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
Owner/Contractor on site:
Inspector. /ii�l-��T �. �� -�
White Copyllnspector's File Canary CopylSite Notice