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.
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APPLICANT PERMITEE SIGNATURE ISSUEDBY SIGNATURE
Cooies: I-File(SiQnitures Reauired). 1-Applicant. 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1
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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
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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
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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:
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��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
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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