HomeMy WebLinkAbout2002-P05217 - gas fireplace PERMIT
C��Y O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 Pos2i�
Crystal Bay, Minnesota 55323 Permit Type: Me�n���at Per�its
(952) 249-4600 Date Issued: si23i2oo2
SITE ADDRESS: 580 North Arm Dr
Mound,MN 55364
P I D: 06-117-23-42-0005
DESCRIPTION:
Proposed Use: Residenrial
Perxnit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolurion#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 38.53 Valuation• $ 3,082.00
State Surcharge Fee: $ 1.54
Misc.Fee: $ 1.50
TOTAL FEE: $ 41.57
APPLICANT: Countryside Heating&Cooling OWNER: Bryce&Paula Johnson
6511 Hwy 12 580 North Arm Dr
Maple Plain,MN 55359 Mound MN 55364
THE UNDERSIGNED HEREBY REQUESI'S 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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PLICANT PERMITEE SIGNATURE ISSUED SIGNATURE
Couies: 1-File(SiQnitures Required), 1-Avplicant 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
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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 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 Designs - 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 sepa:ate 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 final.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCONiPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600.
Please check one: New `� Addition Repair Replace
C�Ptesidential �Commercial
JOBSITE: SBc� NaC�--��..� �2rv� p2 _ Zip: �5`3���-
Owner's Name: (3 2�:�-C �� ��-!�; c� r� Telephone Number: �S 1� -��1-S 11-7
Mailing Address: ��v� C City: Zip:
Contractor's Name:�r;,�2Y�,p� �;�_,L��, Telephone Number: 7�'3-�t7�i -1�;c��.;
Mailing Address: i�S1 l t-� c u,v A� 1 �-- City: mq(��C�qi�ip: SS
SYSTEl�i DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantit� :
Make:
Model:
Tons:
H. Power
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FIREPLACES ---"
� as factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name t-1C:��- N -- �L � Model No. SZ--35G � (ZS
VENTILATION
No. Kitchen E�aust ducted recirculatinQ 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
PERIVIIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
3C�� �� x .0125 S �3� .5 �
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. 3��.,v� x .0005 S ` � S�-
or $.50, whichever is greater (contract price)
3. Postage and Handling (Only mail-in applications) S 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) S �� � , S �
* 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 o«�ner, 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, che 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 5.�0 -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, aQrees 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. f
Applicant's Signature: ��"- Date: S • � � -Z-`�' �
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Approved By: Date:
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J �;�� DATE TIME
CITY OF ORONO CALIED IN � �
INSPECTION NOTIC cHEou�E� `
PERMIT NO. �/�OMPLETED
ADDRESS
OWNER CONTR. r
TELEPHONE NO. ��/ " �
� DESCRIPTION �/��
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE FEMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 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
= 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� WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-4600
Owner ontractor on s'
Inspector.
Whi opyllnspector's File anary CopylSite Notice