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Home My WebLink About2010-00971 - wood fireplace � �y CITY OF ORONO PERMIT NO.: 2oiaoo9�i 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 10/1 U2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2050 SHORELINE DR PIN : 10-117-23-34-0014 LEGAL DESC : HARTWOOD : LOT 001 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-WOOD VALUATION : $ 5,200.00 NOTE: FACTORY WOOD FIREPLACE APPLICANT MECHANICAL \ 64.60 WOODLAND STOVES&FIREPLACES STATE SURCHARGE MECH(VALUATION) 5.00 2901 E. FRANKLIN AVE. TOTAL 69.60 MINNEAPOLIS,MN 5540� (612)33&6606 OWNER KVAMME TRUST(TOM BROSTROM),BERTA 2050 SHORELINE DR WAYZATA,MN 55391- 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 Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether 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 aRer work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due ca se. (,cl�e /CI //l /d /D l // l /D Applic t Permitee Signature Date Is By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. l� F I Y USE ONLY %"�-` Cit of Orono '^ �/� / '�'�4` ��'� P.O Box 66 Date Receive� �K� Permit#�(/V � . '��,, , �,'�� 2750 Kelley Parkway �'�' y� Crystal Bay,MN 55323 Approved By: Amount$:� �'. �,a 1 �, �.�I a ��,� �t�% i.c`�,�� Phone(952)249-4600 Fax(952)249-4616 ;.•:.i,�'.,� _, ��;!xsesoeE: ; ;�� CITY OF ORONO—MECHANICAL PERMIT � (All Commercial permits must be approved by the[3uilding Ofticial or Inspector and/or Fire Marshall) !: '`� :r: Y GENERAL INFORMATION .r;. z` 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 RECEIVE A PERMIT. WORK MUST NOT BEGIN UN'I7L THE ,�;...�. PERMIT CARD IS POSTED ON THE JOB SITE. }•;;g ' 3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each ;p; -;�; heating,ventilation,humidification-dehumidification,and air conditioning installation including `� k' heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to 4.'.` •`� � �� type,manufacb�rer and model. Data sh�all be presented on form provided. � 4. When any new construction or remodeling is involved,a separate building permit must be " s'' obtained. ��'' .� 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code ,, requirements. s:: 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. `°�. � TYPE OF PERMIT �� ;. - <- - Check All That A 1 ) �, � Residential ❑ Commercial(Approval Required) ;;�,, �f � ',� �` ❑ New ❑ Additional ❑ Repairs ❑ Replace r' , �(",:: ��' 'j' Job Site/Owner Information: s�te adaress: 2050 Shoreline Drive `� Tom Brostrom Owner: Mailing Address: 2050 Shoreline Drive �XYY cit Orono Zi 55391 � ;:::; y: p; ��<. �� (952) 224-6445 ' Hnme Phone: Alternate Phone: ..ti; ; �' Contractor Information: ;;: '�"� Cindy +++'c,, Woodland Stoves 8 Fireplaces � :�;_ Contractor: Contact Person: 2901 E Franklin Avenue 3804-M 8 Address: State Bond#: ; -. �w*:� Minneapolis 55406 r� �,� � I) . -,�: City: � Zip: Expiration Date: , �,� �� (612) 338-6606 �;� � Phone: Alternate Phone: ;�+ *�� Auto Owners ��, ❑ �`: Insurance—Current: '�.''. 1 J'� �.p �� >, :'�;'; �� ,i; t. :�',m��T�:.�:�:�MECHANICAL'SYSTEMS BEING INSTALLED � ,= Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. S, �, IS THIS GEOTHERMAL? ❑ Yes 0 No :-IEATING SYSTEMS ° �:' Quantity: ��, Make: � Model: �' Fuel: ; Flue Size: . Input BTUs: '� �x; V11�_ . , �,. �utput BTUs: �, '�'w CFM: �?:. :,. COOLING SYSTEMS � � Quantity: � '' Make: .�; � Model: ��, �; � Tons: �; I-;. Power � FIREPLACES � FMI �,. Gas Factory Fireplace Brand Name: Y Wood Burning Firepiace JM36H I �� Wood Stove Model No.: Wood Stove With Flue VENTILATION ;ti` Y� No. Kitchen Exhaust duct recirculating cfm �` No. Bath Exhaust(must have duct outside) cfm No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Mars/�nll iJproposing to nbandon tank in p/nce.) V�; � Installation � Removal � Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside _�` LP Gas: gallons �' Other: S% '�• GAS LINE ONLY � Outdoor Grill ❑ Other/List What& Where: 2 +f'- �' . �, � ��'��-PERMIT FEE CALGULATION S , _, .., . � ) ,�. , .. �*��?�r��'.bs��+�'.r�w�x»�«�g�-.. ...: ._ . , _ -��-�--��.k��:�x��BASED OFF -2002 STATE STATUE i� � 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; excludino 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 Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ �' ��"" "'�F-PERMIT-FEE C'ALGULATION S -JOBS OVER$500.00 — If above does not apply;follow guidelines below: 1. CONTRACT PRiCE * is l.25%of contract price with a(Minimum Fee of$50.00) 5,200.00 X .o,2s $ 65.00 (contract price) (minimum$�0.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�5.00) 5,200.00 X .000s $2.60 (contract price) (minimum$5.00) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 4. TOT'AL PERMIT FEE(Add Lines 1-3 Above) $69.60 ■ * 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 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 permit fee piarposes. 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 times the Contract Price or a minimum of$5.00. rk� �a�`° �� r4P1VIECHANI'CAL�PERMIT APPLICATION AGREEMENT Tl::; 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 State of Minnesota, and certifies that all statements made on this application ace compiete, true and correct. Applicant's Signature: Date: l/ S c��d ��. - �¢:.�,t� ,Rese#`Form�n 3 1� : =a_.., , � �� DATE TIME � �/ CITY OF ORONO CALLED IN j ��' �I �� INSPECTION f�IQTICE SCHEDULED (c�,�/C� � PERMIT NO. ��U« -��7� COMPLETED ADDRESS ��SO �6'►��e % i G'� ,/�/Z- OWNER TELEPHONE NO�� -�d5� �3 CONTRACTOR ��{ �� (�2 �"r`� � �� "��IC�C�) - - >; DESCRIP �--- � � ❑ FOOTING _ �'Ll � ❑ PLUMBING FINAL XCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI � .��ESHORE/WETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL � � ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP,TIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � ----__ _ - W � ` C � � O � � O � W � Q � Z W � W � � d W� ��WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 , OwnerlContractor on site: i Inspector. w � � - White Copyllnspector's File Canary CopylSite Notice