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HomeMy WebLinkAbout2002-P04874 - gas fireplace • ,�- i CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Po4g�4 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 2i6i2oo2 SITE ADDRESS: 4365 North Shore Dr Mound,MN 55364 PID: 07-117-23-43-0031 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: $ 55.00 Valuation: $ 4,400.00 State Surcharge Fee: $ 2.20 TOTAL FEE: $ 57.20 APPLICANT: Fireside Corner OWNER: W��liam&Laura Stoddard 2700 N Fairview Lane 4365 North Shore Dr Roseville, MN 55113 Mound,MN 55364 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. ��,. _ `� ��--� __ ��,� �;,�._ �-�_ APPLICANT PERMITEE SIGNATURE ISSUEDBY SIGNATURE Cooies: I-File(SiQnitures Reauired). 1-Applicant. 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1 r CITY OF ORONO APPLICATION FOR MECHANICAL PERI�IIT Box 66 (2750 Kelley Parkway) Crystal Bay, N1N 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 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 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 Buildi:lg 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. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600. Please chec'_ one: �New Addition Repair Replace �_ Residential Commercial JOB SITE: y�51�+� ti p��i�.�v;� � Zip: Owner's Name: ��1�cc�.�r� (,tas}cm �C,,Y,�.� Telephone Number: Mailing Address: City: Zip• Contractor's Name: Atiiad�reside Telephone Number: Mailing Address: dba Fireside Corner City: Zip• License SYSTEM DESCRIPTION 2�00 N.fairview Ave. Roseville, tJIN 55113 � �� �,��(C� (� 651/633-2561 HEATING SYSTEMS Quantity: � 1 1 � Make: c>.� �J l� l�eu-k +� l•��SD �� �: �—i� l�lb Model: 1�� � Y��—t�. (—�P—C� C�-��-c�c-- Fuel: N'�� N .���S�J.] N LOL41 N .��5 Flue Size: Input BTUs: ��;�� Output BTUs: �U!�Z , � , �x�i � U � ,- .� :���: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power � FIREPL ES Gas factory fireplace Wood burning factory fireplace with flue Wood Stove Wood stove with flue Brand Name Model No. VENTILATION No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. Other Fans: Locations cfm FLTEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation Removal Fuel oil: gallons underground inside outside LP Gas: gallons Other Gas opening PERNIIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) �C �� r�L( �0 x .0125 $ J (contract price) 2. State Surchar�e. ** Add the State Building Code Division � �r-e Surcharge to each permit. x .0005 $ � or $.50, whichever is greater (contract price) 3. Posta�e and Handlin� (Only mail-in applications) $ 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 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 City and the regulations of the Minnesota State Building Code, and tifies that all statements made on this application are complete, true and correct. � �1 �. � / Applicant's Signature: 7� (QJ� Date: ti ��1 ��� Approved By: __ Date: DATE TIME CITY OF ORONO CALLED IN �a INSPECTION N TICE SCHEDULED .-0� PERMIT N0. 0 t�7 COMPLETED � .'��c�� ADDRESS���� /1�a S!'/G'�P� p�<t/�� OWNER S�-f c,-:cl c�4�Ca� CONTR. ���Z��'��- TELEPHONE N0. � DESCRIPTION � 01 FOOTING `11 MECHANICAL RI 18 EXCP.`�/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 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING Rf 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATlON/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � �.. J . G I ._ 1 O � ` � O � W � Q � 2 W � W � � � d ��IORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W�O CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN p CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: Inspector.n/'%L�2 Lfi����/� While Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI/C,E'/G SCHEDULED � PERMIT NO. �(� Y 0 �Y COMPLETED - '�' ` '�� � ADDRESS �.�/P � /��G'r� --� ll C�'� OWNER CONTR.��^��' S '.� TELEPHONE NO. �S—� — �r����o� S�(�I � DESCRIPTION� �� - <� tJ �f � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTHACTOR TO MEET YOU:_YES_NO � C� E a � '"-� � C G �f:-P/ �� o ✓1 l � G� �_ � �-�C � � �� �y- � , W , � Q � z W � W � � � d W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W �CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 Owner/Contractor on site: Inspector.� _i1 f White Copyllnspector's File Canary CopylSite Notice