HomeMy WebLinkAbout2001-P04207 - gas fireplace / �
PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P04207
Crystal Bay, Minnesota 55323 P@�I711t Typ@: Mechanical Permits
(952) 249�600 Date Issued: a�2ii2ooi
SITE ADDRESS: 375 Leaf St
Long Lake,MN 55356
P I D: OS-117-23-14-0059
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,349.00
State Surcharge Fee: $ 1.17
TOTAL FEE: $ 36.17
APPLICANT: Countryside Heating&Cooling OWNER: M�'•&Mrs.Crowther
6511 Hwy 12 375 Leaf St
Maple Plain,MN 55359 Long Lake MN 55356
THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE TI�REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII.DING CODE REQUIREMENTS.
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SSUED BY SIGNATURE
Copies: 1-File(Signitures Required), 1-Applicatrt, 1-Monti�lyReports, 1-Assessing, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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GENERAL INFOR1�iATION
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 return 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 Desiens - 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 249-4600. 24-hour notice required.
7. House Heatina 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 249-4600.
Please check one: New �dition Repair Replace �
L/�Zesidential Commercial
JOB SITE: �31 S 'L C d�F 5'�, Zip: s"S 35 �,
Owner's Name: Clt�� N p r.��F w�� L(�- Telephone Number:
Mailing Address: �os�yp �2A1 l. NA�vC-.�., 2t� City: 12� ��,�C2�Zip: 55 3� �
Contractor's Name: co u ti-t-cz�s��. 1-���-�-c.L� Telephone Number: ��3-��� � ( ��-�
MailingAddress: ��i� �-�� wA� �� City:rn/�pLEPe..A)n�p: �S3
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
ModeL•
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
- H. Power
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�';� FIREPLACES ' � � � '��
,�: �s factory fireplace �� � �� � ��'�P� ,��
��" Wood burning factory fireplace with flue ;;- � .
Wood Stove ��"
'� Wood stove with flue - '
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Brand Name t�-1 C-.�--t—N -- G� �-� Model No. S�-'�5 C� �R' �
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�°� VENTILATION
�:�; No. Kitchen Exhaust ducted recirculating cfm
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�- No. Bath Exhaust (must be ducted outside) cfm "�''
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��'' No. Other Fans: Locations cfm V`'
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FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
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Installation Removal ' .;�
��{ Fuel oil: gallons underground inside outside
� > LP Gas: gallons
Other Gas opening
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$-�� PERMIT FEE CALCULATION � V'�
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1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�::: �3�!`? � o � x .0125 $ "3S , e,�-O
�`, : ' (contract price)
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� 2. State Surchar�e. ** Add the State Building Code Division
�� `` Surcharge to each permit. x .0005 $ 1 . l r?
£`�`� or $.50, whichever is reater (concract rice)
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�,' 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
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4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � � . 1 `t
- - * CONTRACT PRICE or JOB COST means the acmal or estimated dollar amount charoed for the permitted
�'� work including materials, labor,profit, and other fixed costs. It is the amount to be charged to the customer ';
>"p for the work done. If any material, equipment, labor, or installation are furnished by the owner, tenant or ?
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�"� 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. � ,�
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�'= ** The STATE SURCHARGE is .0005 of the contract price under�1,000,000 or $.50 - whichever is greater. :;
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For valuations over $1,000,000 call the Department of Inspectional Services for the price.
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`g� The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all X
�-�, �' work in strict accordance with the ordinances of the Ciry and the regulations of the Minnesota �
� 1 State Building Code, and certifies that all statements made on this application are complete, true `.�
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x and correct.
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kk"�� Applicant's Signature• Date: $ '3�-�'� (
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Approved By: Date: '
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DATE TIME
CITY OF ORONO CALLED IN �_
INSPECTION NO E /� 7 SCHEDULED ��1�
PERMIT NO. ��/ r COMPLETED .� �
ADDRESS � �J G2G�' �� �
OWNER CONTR. �� �D /I,��IQ
TELEPHONE N0. ""!l�--�7 9 -l/�(��
� DESCRIPTION � C�� L/ �/�
� Ot FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWEF HOOK-UP O6 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 FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �ORK SATISFACTORY:PROCEED ROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR W4LL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnedConUactor on site:
InspectorT ' � �
White Copyllnspector's File Canary Copy/Site Notice