HomeMy WebLinkAbout2003-P06878 - mechanical R--
PERMIT
CI�Y OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 Po6g�s
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: io�io�2oo3
SITE ADDRESS: 1453 Park Dr
Mound,MN 55364
PID: o�-ii�-23-4z-oo22
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Pernuts Pernut Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 2,600.00
State Surcharge Fee: $ 1.30
TOTAL FEE: $ 36.30
APPLICANT: Allied Fireside OWNER: Timothy Riviere
DBA: Fireside Hearth&Home 1453 Park Dr
2700 Fairview Mound,MN 55364
Roseville,MN 55113
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 BUILDIAIG COJ,?E REQUIREMENTS.
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APP �T�ERMITEE SI TURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 "
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GENERAL I�TFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a pernut 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
UNTII.YOU RECENE 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 '`'a
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 far water heating �>'��
equipment shall also be provided.
4. When any new construction or remodeling is involved, a separate building permit must be obtained. °{
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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)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 ,;�
(952) 249-4600. �
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Please check one: New ❑ p ❑ p ❑ Commercial �
❑ � ❑ Addition Re air Re lace esidential
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JOB SITE: �7� � / ',� Zip: s� �� w
Owner's Name: " ,��_" Phone Number: �.S��.y��Z—��<� �-�
Mailing Address: City: dF���L�E� Zip• `°�'
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Contracto 's Name: Phone Nu ber: ��%�3 3 �/05/� �'
Niailing Address: L�� ,��i�u� ,��� City: •-� �_ Zip• `5==�i/� '��
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑Yes This Section Applies
The replacement of a Residential fixture or appliance 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 ;_�
�i��i' 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 Handling(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 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 is 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 th u ion f the Minnesota State Building Code,and certifies that all statements made on this
application are complete, e and co c
Applicant's Signature� Date: l
Approved By: Date:
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SYSTEM DESCRIPTION -
HEATING SYSTEMS
Quantity:
Make:
Model:
F
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES GAS LINE ONLY
,�Gas factory fireplace � !1� ��� ���-�G ❑ Installing a Gas Line Only
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
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Brand Name�f�'i,�/—�/_�tC�'� Model No. ��� ;�J C� �'�.s
VENTILATION
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 MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
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DATE TIME
CITY OF ORONO CALLED IN /0�,�GG"�
INSPECTION NO ICE SCHEDULED /U•a/-GL3 �
PERMIT N0. � CO PLETED
ADDRESS_ ��J�� �Cc(`/� I /e: ••
OWNER CONTR. ���-f�
TELEPHONE N0. /p /� �L� �J �G=3 �/
� DESCRIPTION �!" �J /� ���
� 01 FOOTING 1 ECHANICAL 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 IC Fl 19 LAKESHORE/WETLANDS •
y 03 INSULATION 24/25 WOOD BURNER7FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD• 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 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 RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
UMBING FINAL 36 FOUNOATIOWREMOVAL
OWN ONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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� WORKSATISFACTORY:PROCEED O PROJECTCOMPLETE
W ❑CORRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CO�IERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
�INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. (952) 249-46��
OwnerlContr ct on i e:
Inspector.
Whita CopyMspector's File Canary CopylSite Notice