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Home My WebLink About2012-01224 - wood fireplace CITY OF ORONO * 2 0 1 z - 0 1 2 2 4 * A � 2750 KELLEY PARKWAY DATE ISSUED: 12/OS/2012 ORONO, MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 700 SIXTH AVE N PIN : 25-118-23-32-0003 LEGAL DESC : UNPLATTED 25 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-WOOD VALUATION : $ 5,150.00 NOTE: WOOD STOVE LOPI 99600090 APPLICANT MECHANICAL 64.38 WOODLAND STOVES&FIREPLACES STATE SURCHARGE MECH(VALUATION) 2.58 2901 E. FRANKLIN AVE. MINNEAPOLIS,MN 55403- MAIL-IN FEE 2.00 (612)338-6606 TOTAL 68.96 OWNER BOLGAR,DANIEL 700 SIXTH AVE N 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 after 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 cause. �ll�. �� / / l l Applicant Permitee Signature Date Issued y nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . � r 'FOR CITY USE ONLY ��. City of Orono ' O¢ �O P•0.Box 66 Date Received: Permit# 2750 Kelley Parkway y� l -t Crystal Bay,MN 55323 Approved By: Amount$: ��R r�i�.,yG� Phone(952)249-4600 Fax(952)249-4616 �J� CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) '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 two working days. 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTI�.YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi¢ns—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation inchiding heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to typ�nufacturer and model. Data shall be presented on form 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 Building Code requirements. 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 �Residentiai ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs ❑Replace • Job Site/Owner Information: SiteAddress: 7Q0 C�unty Rd 6 oWner:Dan Bolgar Mailing Address: 700 COUtlty Rd 6 c;�,: Orono Z;p, 55391 Home Phone: �952) 476-0676 Alternate Phone: Contractor Information: Woodland Stoves&Fireplace ��n d y Contractor: Contact Person: Address: 2901 E Franklin State Bond#: M B003HO4 c��y: M P LS Zlp,55406 EXpiratlon Date: 10/21/14 - Phone: (612) 338-6606 Alternate Phone: � Insurance—Cunent: Exp. 03/26/13 1 , � Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �No HEATING SYSTEMS Quantity: Make: ModeL• Fuel: � Flue Size: r Input BTUs: �� Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: ' H.Power � FIREPLACES ❑ Gas Factory Fireplace Brand Name: LO p I ❑ Wood Buming Fireplace � Wood Stove Made,No.: 99600090 - ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating �� ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installatiori ❑ Removal ._ Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS L1NE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 .. -• �,', : w'�k. S k ❑ 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 Permit $ I5.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ � ' �� ; "� If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) • 5,150.00 X.o125$ 64.38 (contract price) (minimum$50.00) 2. STATE SURCHARGE 5,150.�� 2.5U x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $V o.�V ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials,labor,profit, and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations are furnished by the owner, tenantor any other party,the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the achial contract. � , , �. °„au The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. A licanYs Si ature: Date: I� �I�� PP S� . �,� -�S� r_V�,r� a 3 _ - - - _ �:,1 = -_ -_ _ _ . � -: .. ,� ,. . �: , - ._. : .;� ."�: � : .. - -- �_ ' ,, ,�, �� _ - _ - _ ,� � ,I F: - - - -.-y ��a��arntarPtinr�aer�-e�� M��i��IjC�►L C�1�[TR�4�T�R BC�ND�� .�ar�.� �r�c�u��r��r �- ; ,., � .. , , � Constfuctlon Codes and�Ao$inQl�Wi�lQn � llc9rising antl.�erNficaUoh¢e�viceg 449 L�fay,ette,�oad N St.�Paul;MN 55155 Website:.vvww dli.m�:-acsl�ficck�:asv = � '- Ema�l dit ifcense ��te fnd:Us ;.Phope:851.284.5034 = This is to certify that tti�c�ertt`t�"eat�r�id��-�s�gts��r�as,a�HA1�fi�C �ONTRA.CTOIt BOZ�ID in tl�e�tate of M�nriesota and is in camplian�e _ ;with�Minnesota Statutes 32�8.,1�7,and has filed a�2S,OQU h�"e,cl��ifioal,bon�tc�petf rm$as;�he�tdig,:"vCtftilaHvn,cooli'iig,,air.condidoning, , fuel burrung,,or refrigcratton:vvork tii all`areAs�f the stafe:durmg the regt�ttatiori erit�c�,prbvided the:work petfa ed complies with. #he 5tate ivlechaz�ical C�i,�,e an�ttac eethfi��te��d�„t`inai�a�ns co�p�i��,�_yith�i,e reqwred';bp�d an�vkorkers,'�peris�tion laws � _ : �' = r = ,s - _ ., ,,, , - �,�. ; : :— : Registration M�CHAIVICAL�O�ITRAC'LOf�BOND - �� ' RegNurnber .• MB003804 WQODI��I��T�V,�S$�FlREPL.�►G� _ $ � ` � Effe�:�iva Date �07�`1��C�"�� ,�'��fi �.�13/�NKLIN�/� - , „ - �E�cpi�ation D�t�9 �b�,�i��'4 - II�II�t�AW�CIS';JJ�- r5;��Q� _ — - � „ . �° d ' - ; �� — — , , a. — - ,, � ,,.. , x — - - „� , ,� '' V�RIFY UPs7d-DATE S'�ATUS,,B6Np,A,�D I�VSURq1NC�iNF�3 A7 www dli mn�ovl�cld/LicVecifii asa (�NtER NUMBER):' , . ,,,.. ,: ��.� -- =- � __ = �i_ .� � � - = _ _. � __ - -._ ._ .._ ._ �� .,. ,< , - - - - _ _ _ - -- -. .,,, , ., ,� ,. . . ., - I . _— - _ _ __ __. . ... ., ,,,,.,,, : _ - -- -- - - . � �/ ``�� DATE TIME " CITY OF ORONO CALLED IN �2"��/Z INSPECTION NOTICE ^D122 CHEDULED��/7�-/� PERMIT NO.a��a COMP�ETED ADDRESS � OWNER TE EP NE N 33�-��o-� CONTRACTOR �� DESCRIPTION ��_wC �iC�� (�%�r � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SE T C FINAL ❑ FOUNDATION/REMOVAL � WNE NTRACTOR TO MEET YOU�YES_NO � COMMENTS: � W C � J O � � O � W � Q � Z W � W k � d W� ❑WORK SATISFACTORY:PROCEED ��OJECT COMPLEfE W O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-4600 OwnerlContractor on si : Inspector. f White Copyllnspector's File Canary Copy/Site Notice