HomeMy WebLinkAbout2006-P09728 - wood fireplace � PERMIT
CITY OF ORONO
275.0 Kelley Parkway - PO Box 66 Permit Number: P09728
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
4/5/2006
SITE ADDRESS: 4203 North Shore Dr Unit#
Mound,MN 55364
PID: 07-117-23-43-0008
DESCRIPTION:
Proposed Usc: Residential
Permit Class: General �'.��-`''�
Permit Type: Mechanical Permits Permit Sub-type(s): �as Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 va►uation: $ 2,491.00
State Surcharge Fee: $ 1.25
TOTAL FEE: $ 36.25
APPLICANT: Automatic Garage Door&Fireplace,Inc. OWNER: JeffGustafson
8900-109th Ave N-#1000 4420 Shareline Dr
Champlin,MN 55316 Spring Park,MN 55384
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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PPL[CANT PERMITEE SIGtiATURE ISSUED BY SIGNATURE
Copies: i-File(Signatures Required), 1-Applicant, I-Monthly Reports, 1-Assessing,(If Septic, I-Septic) 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 two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTII,THE PERMIT CA.RD IS
POSTED ON TI�JOB SITE.
3. Mechanical Desi r►s-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 (952)24913600. 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
(952) 249-4600.
Please check one: �ew ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial
JOB SITE: �a.03 � ;j�,`.� Q,,,_, Zip: SS:3��
Owner's Name: - ,�;� 1�0�,� � �,,, Phone Number: 9�'��Y7i _n�-�y
Mailing Address: "7yp�7 (,.�p.�;�,,�.�J, /3�.,,..�/ City: Zip:
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Contractor's Name: _�_ .� ��Phone Number• � ,���f�� � -�5�S�
Mailing Address: �9�}� ���,��•<, �� �� City:���,Zip: � ��f,�
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make: �
Madel: �
Fuel:
Flue Size:
Input BTUs:
Output BT'Us: '
CFM:
COOLING SYSTEMS
Quantity.
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas factory fireplace
� Wood buming factory fireplace with flue
Wood Stove
❑ Wood stove with flue
Brand Name Model No. �U�► -y3'�
.- -
�1�TTILATI�N �
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No: Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MA.RSHAL)
❑Installation or ❑Removal
❑Fuel oil: gallons ❑underground ❑ inside ❑outside
❑LP Gas: gallons
❑Other Gas opening
2
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture or a� liance that meets all three of the following requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 or less; excludin�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)
� `��� � . ��� x.0125 $
(contract price) (minimum$35.00)
2. State Surchar�e. **Add the State Building Code Division a Minimum Fee of($.50)
x .0005 $
(contract price) (minimum$.50)
3. Posta�e and Handlin�(Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE(Add lines 1-3 above) $ ��� �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 chazged to the customer for the work done.If any material,
equipmen[,labor,or installation is fumished by the owner,tenant or any oth�r party the reasonable ma:ket 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 SURCf�ARGE 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.
Applicant's Signature: ��,��r1�,-v..,�,�r,,..�.-,,.�,� Date:__ ��'��QCp
Approved By: Date:
3
�� �,/ L�ATE/) TIME ✓
CITY OF ORONO CALLED IN / ���/�
INSPECTION OTICE SCHEDULED � "O(9 �
PERMIT NO COMPLETED
ADDRESS G/.�G 3 /t,ic�i f�l . l�G,"�- l�i�'.
OWNER CONTR. ,�vfi_�M�.�.� C�z�«4,� _. ,
TELEPHONE NO. � �% � S ��" ����i
� DESCRIPTION ✓ C%r��-
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADfNG/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL/.r� 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/ IRFi EPLACE 34 TREE REMOVAL
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
� 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
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOA REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. G PHOTOTAKEN
INSPECTOR WlLL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z) Z49-460�
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Inspector. � ���4
White Copyllnspector's File Canary CopylSife Notice