HomeMy WebLinkAbout2003-P06961 - chimney liner � �
PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P06961
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: ioi3oi2oo3
SITE ADDRESS: 2180 North Shore Dr
Wayzata,MN 55391
P I D: 10-117-23-31-0098
DESCRI PTION:
Proposed Use: Residential
Pernut Class: General
Fernut Type: Mechanical Permits Pernut Sub-type(s): Chimney C , ,;�, ��
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 1,805.00
State Surcharge Fee: $ 0.90
TOTAL FEE: $ 35.90
APPLICANT: City View Plumbing&Heating OWNER: Martin&Andrea Schneider
1880 B Wayzata Blvd W. 2180 North Shore Dr
P.O. Box 150 Wayzata MN 55391
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.
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APPLICA P RMITEE SIGNATURE % [SSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Annlicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMTT
Box 66 {2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical pernuts 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 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 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. Ideatification 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.
b. Ail 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 ali 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
Residential Commercial
JOB SITE: o r d d f Zip: S-5-.3�
Owner's Name: /-� ;' J/ 5� o n� Telephone Number: q S-��j�<-� 3��7
� Mailing Address: City: Zip:
C�ntractor'sName: C,�i U�t� � �o�� TelephoneNumber:���L� �]��
MailingAddress: �U. 13c�x 1 S Q City: LanU Lc�(,�P Zip: S��S�-,
SYSTEM DESCRIPTION
L-�'►��. C� �Yr N,Q,�
HEATING SYSTEMS � �
Quantity:
Make:
Model:
Fuel:
Flue Size: ���
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantiry:
Make:
Model:
Tons:
H. Power
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�^ '� � t .: .`.rJ� � '�'m �` � �, ..va.-�S '�' �i.`� � yi ° � ;w
��� �� S i` � �'�AP i�� �� � � L:' �3".£ r4 3�'. ,k: 9 1}\� � 6 � .,l`�4, 1a % � �?..
.y.�'�..�`�'�'' .���:.-�^.�.���..'.4,.c�"t'.�.`.^. . '!T='iPgt�' � �' '��'�i.�':�'-.�a.._�."^�.. � �.�: �„ m � ("�" ,t�
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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 Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
Total
VENTII.ATION
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
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
J�o�� x .0125 $
(contract price)
2. State SurcharL�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the permitted
work including materials, labor, profit, and other fiaed 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 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 Ciry and the regulations vf the Minnesota
State Building Code, and certifies that all sta ements made on this application are complete, true
and conect.
Applicant's Signature: ti--�
Date: IO �-a �
Approved By: Date:
DATE TIME �
CITY OF ORONO CALLED IN /G' � C-G
INSPECTION NO�I�� SCHEDULED % - S-U ��1�
PERMIT NO. / ��`' IS COMPLETED
ADDRESS <�lr�'� ,/L•t"k'"T� :��1 G'� -L.
OWNER CONTR.�^f l.��/��c.-J
TELEPHONE NO. fa��s — �73(G' C�/v. �
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� DESCRIPTION� i f�r i,.� L; L- � ��� r'
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAI 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNEWFIREPLACE 34 TREE REMOVAL
Z04 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HAFD COVER REMOVAL
v �� P}� 36 FOUNDATIOWREMOVAL
� OWI�fiH(CON�T TO MEET YOU:�ES_NO
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� COMMENTS:
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� �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANCaE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46��
Owner/Contr n site:
Inspector.
White Copyllnspector's File Canary CopylSite Nolice