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Home My WebLink About2009-00095 - fireplace CITY OF ORONO PERMIT NO.: 200�-0009s 2750 KELLEY PARKWAY � ORONO,MN 55356- DATE ISSUED: 03/09/2009 r 952 249-4600 FAX: 952 249-4616 ADDRESS : 2680 SHADYWOOD RD PIN : 21-117-23-24-0046 LEGAL DESC : SHORE HILLS : LOT O15 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 14,145.00 NOTE: 4 GAS FACTORY FIREPLACES HEAT N GLO&HEATILATOR APPLICANT IvIECHANICAL 176.81 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 7.07 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (651)633-2561 TOTAL 185.88 Minnesota State License#:20512060 OWNER SEWALL,BARRY 2680 SHADYWOOD RD EXCELSIOR,MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Bailding Code. 1'his permit is for only the work described and does not grant permission for additional or related work which requires sepuate permits. All provisions of laws and ordinances governing this type of work shall be compied with whe[her or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in confortnance with the State Building Code.This permit may be revoked at any time for due cause. //LGGGt� �/ l l / / Applicant Permitee Signature Date Issued B ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. � � � FOR CITY USE O�LY . �� City of Orono � � ��\ P.0 Box 6o Dace 2�cei�ed: Peiniit� I � %�;, � ',I '-'`G Kelfey Park,vay I I l-� Ili>R�;= F,I Cryscsl Bay.�(N��32; ' .-�pproved By -�mount$: \��R�f,E $��• !9�'_)_49-4600 CITY OF ORONO- �IECHaNIC�L PER�III' (:�ll Commercial pernu�s�nust be approved by�he Building O[ficial or[nspec�or andior Fire�farhall) GENERAL I�iFOR��iaTION I 1. You may apply for mechanicaf permits by mail or in person at the City offices. Applications will be reviewed and a permit wiil be issued within two working days. ?. Permit cards will be sent by return mail after a review is completed. PER��[ITS ARE NOT VALID UT1T[L YOli RECEIVE A PER1ti1IT. WORK MUST NOT BEGI�( U�iTIL TNE PER�tIT CARD [S POSTED OY THE JOS SITE. 3. Vtechanical Desisns—Complete calculations, details and specifications are rzquired for each heating, vzntilation, humidification-dehumidification, and air conditionin;installation includin, heat lossiheai ;ain calculation, design temperatures, equipment ratin�s and identification as to type, manufacturer and model. Data shall be presented on form provided. 4. W"hen any ne�.v construction or remodeling is involvzd, a separate building permic must be obtainzd. �. ,�Il work must be done in accordance with the Uniform titechanical Code-S�ate Buildin�Code requirement;. 6. All work must be inspected(rou�h-in and final). Cal((9�2)2=�9-4600. (Z-4-48 hour notice required) 7. House Heatin�T'est Record must be submitted beTore tinal. TYPE OF PER��IIT I , (Check all That Apply) � �Residential ❑ Commercial (Approval Required) �New ❑ :�ddicional ❑ Repairs ❑ Repface l� � Job Site / Owner Information: � Site Address: D Owner:3�C�e.��_�.P N'iailin' Address: Citv: Zip: Home Phone:��_��=,��lternate Phone: �� Contractor Information: � Contractor: Hearm�Home Tec�nar.,Mo.Contact Person: a treside Heanh d� Hom� Ucense 20512060 Addres�: 2�00 N. Fairvidw Avs. State Bond =: 851/633-2581 City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurancz - Current: l . � tiIECHANICAL SYSTEMS BENG I�ST'_�LLED HE.�TI'�G S�STE:�IS Quantity � ' � 1 ��Iake: �� v I�IodzL I�JST��4 Z .�"—�J�O�� y Fuzf: N 17�� N�5 l�'� Flue�ize: [nput BTL'"s: Ourput BTUs: � V � L7O (, CF�[: �� COOL[�G S�`ST'E�[S Quanti��: �take: �todel: Tons: H. Power F[REPL.�CE� , Gas Faciory Fireplace� � �L'ood Bumin; Firepface ❑ l�'Vood Stove ❑ Wood Stove With Flue Brsnd�ame: �Iodei No.: VENT[L.aT[O� ❑ �o. Kitchen Exhaust duct rzcirculating cfm ❑ No. Bach Exhaust(must have duc�oucside) cfm ❑ No Other Fans: Locations cfm EUEL ST'OR.�GE(�iUST BE .�PPltO�ED BY FIRE �t:�RSH.aLLj ❑ [n�ta(lacion ❑ Remova! Fuel Oii� gallons ❑ Under�round ❑ [nside ❑Outside LP Gas: gaflons Other: G.aS [.[YE O�LY ❑ Ou�door Gril( ❑ Other List �,bhat& �Lher�: � • . . ' ' , . k��`��E��C�A��,��(�� ,, ,� ; � ��A��i�aFF4 ,2�02 S�`A�`��'�;�'�'U� ' � �' � 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;excludine the cost of the fixture or appliance:and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section, if this applies; Cost of Pernut $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ - '. PE�1�1�T FEE�CAI,G�JI.,A1�(3�T(��:-t-�Q��j(��R,$54�.�Q°. :". _ '_ ' IFabove does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) l' � � + a� x.012� $ � � (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) . ��x.0005 $ �".(��' c tract price) (minimum$ .50) 3. POSTAGE&HANDL1Iv G(Only on Mail-In Applications) $ 2.00 4. TOTAL PERI�IIT FEE (Add Lines 1-3 Above) $ I ��j.. � ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pemutted 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 installations 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 pernut 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 si;ned copy of the actual contract. ■ **The STATE SURCHARGE is .000� of the Buildin�Department at(9�2)249-4600 for the price. MECHAI�ICAL PER�vIIT AL'PLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all �vork in strict accordance �vith the ordinances of the City and the regulations of the State of Minr�esota, and certifies that all statements made on this application are complete, true and correct. Applicant's Si�nature: Date: �—��v� , , � � � DATE TIME `" CITY OF ORONO CALLED IN a D INSPECTION N TICE SCHEDULED _�3�� lD:D-� PERMIT NO. � � C MPLETED ADDRESS � g� I,UDO�, OWNER CON . TELEPHONE NO. C�Gz-� !�(�I �P �� -�P3 g- �3� �Q � � DESCRIPTION -�7" �l • �- �� ❑ FOOTING HANI L RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMINCa ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPIAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO v�, COMMENTS: � W C � � O �. � O � W � Q � 2 W � W � � � WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑C RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on te: r Inspector. � � White Copyll�specto�'s File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION �TIC�O�9�SCHEDULED _�-� i PERMIT N COMPLETED ADDRESS ��D t,.,?��-��"D� /� OWNER CONTR.� �� TELEPHONE NO. �� o �3 7 � DESCRIPTION____�� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRAOING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO y COMMENTS: ¢ W a � J O � � O � W � Q � Z W � W � j �Q�WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE WI ❑�oRRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETl1RN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREWIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�0 Owner/Contractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice