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Home My WebLink About2014-01225 - wood fireplace CITY OF ORONO ��q�� ` � 2750 KELLEY PARKWAY * 2 0 1 4 — PJ 1 2 2 5 * DATE ISSUED: 10/22/2014 ORONO, MN 55356- (952) 249-4600 FAX: 952)249-4616 ADDRESS : 1480 SIXTH AVE N PIN : 26-118-23-32-0008 LEGAL DESC : DOUGLAS ESTATES : LOT 001 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-WOOD VALUATION : $ 8,900.00 NOTE: WOOD BURNING FIREPLACE-HHT RUTHERFORD-50-B APPLICANT MECHANICAL 111.25 STATE SURCHARGE MECH(VALUATION) 4.45 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 TOTAL 117.70 (651)633-2561 Payment(s) Minnesota State License#: mech-20512060 CREDIT CARD 4608 117.70 OWNER GULBRANDSON,DAN&ERICKA � 1480 SIXTH AVE N LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfortned 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 separate permiu. 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 afrer work has commenced. The applicant is responsible for assuring all required inspections ar� requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �e--�� c-.�� 'aT� Applicant Permitee Signature Date Issued By Signature Date 10-21-'14 16:41 FROM- T-094 P0001/0004 F-206 , � - � ;';,>' "'';�QlI�:C�'-Y;��1�IE�QN�:X�;�,;:r;^�;i�::'��;,,V CiCy of Oroao " ��'� ' ' `' . "'2' v`�';'�';� "'�:�':);�' �if;i: ;�:1' '��i`�.r:�;,.;.�y;..,, �' �'::`; ,...,,::';�':(�r�;::.:('�;:?: P''��''`'�?:,t�Gl.�;'��t: ��T� r.Q.eoX66 :Date�te��ivoa�.�,-.�:�!p�c4mlr�E . :�: 'r�; 2750�:r11eyParkway -�:,�;,: �.�t:��i:�1....,"`:i.;'�t::;;�1i5�'::�ia�::;�y,i4-��::i�`-i��;'4�;;; C stal Ba ,MN'55323 ?;i� oy ''�`:e.,�,,:'�(;,�;,.�� ;�:. ��'t'�,'.','.ti;..,� ; �v v Pl#�.:.4,,�:�Xr';?.: ;;:.,''��,: W,�:,;�;`` ,"�--��'�:r, Phona(952)249-4600 Fax(9S2)249•4416 c,..:::::.c�.�'.��;':-�;��•�;�'�"r`;.:;:;,;:;�� ;:s:�i�:.;. �r`5 � .�...:,� `�� ,�.��. CXT'Y'O�O�ONO-MECAANICA,X�PEZtMYT K�S�� (All Commerciel petmits mus[be apptoved by the Bullding Official or InspeCtor end/or Fire Marshall) y :ls�a;,�;��.. ,;a.- :;k,: �.�.,•;,,•,..._.. •;;:t . ..,yG�, �',P,r'.:i•y!.%:";,;"�'�!�'�;7 ,:i.,;;s;� 0 '4 '��G'>;.� . - . . . . -.GENERP►I�:� .. .� ' A��' . ..,..:.,, <: ...,..,, ,.,�- -- . � ..:....., ,..,.<;; . �.:;�,�>, {< 1. 'You may appiy for meehanical permits by mail or in person at the City offices. Applieations witl bo rcvicwed and a permiE will be issued within two working days. � 2. P�rmit cards will be sent by return mail after a reviow;s completed. P�TtMI'('S Al2�NOT VAC.Yb�'NTI�,'Y0�R�C�T'VE A PERMIT. WORK MUST NOT��GYN'YINTIY.THE P��tMYT CA�YS POSTED ON THE JOB SITE. 3. Mechanical Desiens—Complet�ealeulations,details and specificatians are required for eaeh hoating,ventifation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temper�turts,equipmant ratings and identification as ta rype,manufacturer and model. Data shatl be presented on form provided. 4. 'When ar►y neW construction or remodeling i3 involved,a sepal'ate building permit must be � obtaintd. ` � S. All work must bz done in aceordance with the Unifarm Mcchanical Codc/5tate�uilding Code : requirements. � 6. All work mast be inspectect(rough-in and final). Gall(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted bcfora�inal. ,�s:,:�,.. �,;s•.:�.r::,,,.� .,�•.:, `� ,�,;;- �� ,,,,,,,,,,,,;;;, .. . ��, �:�I:"� � ;(;,� ��/:'.7:� i��. .��.' �iJ.i,h�• '). :`Ii' .f' rV:I,�.i.�... .�. �'�: ��y' �j �.� �:' ,.:I.t .!,/'. '��,�. _ .lr��.� ii�';:'��e�� Y�;57�� "i:. ��;}. "�r :'Y'! .4 �T1��""�' i��':�4:.�' !.� '"j'�� .:(:��'�.,i, �:��.�'��::.�Ju�'. v�.:� ^��f:..�:. V�:11� .1�:' 1:� 1 i �• ...�:��,�. '1� .� h::;a•. �.�. ;..V:•'• ��;; :.�' ;;,:.; r d:,.,-,..,.. ;'7'" '�5.��. - "�i��' �:a ;� "� '��. i' !,�'t .,�,.r';..'�� '.�. r((� :��+�p �k,All�, i� ''i'•'r"�c. .1.� F .h�.� �`y`; `:'}'� �t 1�,; �"�:,� �.'�:f�, ;'A'.. �.}I�G ..`�ha :. ,::.; . ::.;::�.::.:.., ,,..,. >.�. �..�,:.:,..� :: ..., .. ::�., ...., .:.:: ,.,.,,.. ,. ,...: ..,,:.�--' : , . .:.. „ - ::.::,;�,<;, :;.-;; >. . ,.: . : ,;;: . ,,;:,; .+., �: � ::.��: :�,w' •.��;, _ . .. . . ,,. . . . .. , .. . . . .....: ...... �,� ! esidzntial (�Gommercial(Approval Rcquired) f i ew ❑Additional (�Repairs ❑Replace . :,JQ[%��.itc�;O�u'►ieC��.Xti.��.r�i�atiqn;;i;� "� ' , .:.. . � Site Address: � 1 lJ� l_Q ��e • O�ner:_��,)Y�� .�� M�iling Address: i'��l� J�� City: ,,.N��1�� Zip: �J-�r� } I Home Phone: "�l0�'��+l�4� Alternate Phone: ,�`' � �� 2~�7�t�� '.C�ori"..��p�';�nfoi�hia,"t.io�i;'�;:- •��„ •;,�',�::��?',. ;;�:'';:;:;; i .�', i N�ARTH &HOME 7�CHIVl1i,G ' ��h��C.��,�I� • ContraCtor: �h, �Y6ccinC ur_nnr� &��tact Person: ; Lic �C662656 � Address: �700.FAIRVIEIN_A1L�NUE lVStAtC BOtld#: MEARTH & HdNI_ 7 _ Nhl.QGI��.: � ROSEVTLlE, MN 55113 dba FIR�SIDE HEA#tTM &MOME 1 City: �S�•��t E�cpiration Date: Lic BC662656 z� rvu� n� j Phone: Alternate�hone: R�S�VILLE, MN 55S13 � . _ . .. . . .. ...... .. � ❑ Insurance-Current: „� , � 1 � I � � 10-21-'14 16:41 FROM- T-094 P0402/4044 F-206 , � r� , , Note:All Geoihcrmal Systems will noW requirc a Si �!an 8z Review'by our Building Official. 4 IS TH1S G�UT��t1VIAL? ❑Yes No HEATYNG S'YSTEMS Quantity: --- Make: Madel: ---- Fuel: � �iue Sizc: Input BTUs: 4utput BTUs� CFM: _ � � COOLy1V('r S'YSTEMS Quantity: �w Make: _,,.,, . ,. — Modei: • Tons: �_,,. ,� � i H,Power � T�CTt��ACES � (�, / Gas Faceory�iraplace �rand Namc: �l T` � ' [��4�LQ�..@1i[i]i��g��I�sG�� U ��' �.1- ^.�J�`� : ❑ Wood Stove Model I�o.: � ❑ 'W'ood Stovc wieh Flua/Masonry ; VENTY�,A1'XQN � ❑ No. Kitchen�xhaust duct recirculating cfm ❑ No. Bath�xhaust(must have duct ouuide) �� - (] No. Other Fans: Locations cfm ' ( �'CJ�Y,STOItAGE (MNst be app►oved by FYre MarsJ'ra/l rf proparing lo abandon ta�k in plac�J � [] Installation [� Rcmoval i �uel Oil: . gallons ❑ YJ'nderground ❑Inside ❑Outside � �,T'Gas: gallons � i Other: � GAS�,YNE ONLY 1 � Outdoor C�rill ❑ Other/List What&Where: 1 2 I 10-21-'14 16:42 FROM- T-094 P0003/0004 F-206 , � . , � _: ❑ 'Yes,this section applies z Thc replacement of a Rosidential fixtur�or appliance that meets all three of the following rcquirements: 1. Does not require mvdification to electrical or gas serviee. 2. Has a to cost of$SOO.UO or less;excludin thc eost of the fixYure or applianca:and � 3. Is imprpved,installed or replaced by the homeowner ar liconsul contractor. � Slcip next section,if this applies; Gost of Permtt $ 15.00 � State Surcharge $ 5.00 Mail-Tn�'ee(1f Applicable) $ 2.�0 Toral permit�ee S � � �• _ � Tf above daes not apply;follow guidelines below: i l, CO1V'Y'RACT PRYC� �is 1.25%of contract price with a(Minimum Fee of$50,00) j �� C�l��_�- X.oizs s i 1 I � 1--�- �contracc priec) (minimum 550.00) 2. STA'�'E SURCHAXiC� r`� �� /' ( � v�•"-"`� x_4005 $ "—T 1"�r (cqntraCt price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.Q0 � ( �r� � 4. TOTAC�PERMIT�'��(Add Lines 1-3 Above) � � � � `J— ' i i ■ '" CONTTtACT PRTCL or JOB COST means the actual or estimated dollar amount charged for the permitted work including materfals,labor,proft,and othe�fixed cost�. It is the amount to be charged to thc customer for the work done. !f any materfal,equipment,labor or installaCions are furnished b�+ � thc owner,tenant or any other party,the xeasonable market value of such iCems must be added to the � estimated cost or oontract price for permit fee purposcs. Tn the evont that there is a dispuC� on the amount of thc job cost,the City may request tho submission of a signed copy of thc actual contract. ; ; F B i t 9. � � The under3igned hereb�applies to the Ciry for issuanCe of a Mechanical Permit,agrees Co do all i work in strict accordance with the ordinances of the City and the re�ulations of the State of Minnesota, and certifies that al! statements made on this application are completz, true and correct. Applicant's Signature• - ' Date: l �� 3 �-� � ✓ DATE TIME CITY OF ORONO �Q�6�,�,� CALLED IN `�.Zcl�� INSPECTION NOTICE SCHEDULED �3-.',�/—�L� �}':� PERMIT NOc COMPLEfED ADDRESS ��B�O rT(�e..� OWNER TELEPHON NO.6��7 -$g9-3a�7 CONTRACTOR � G('�� DESCRIPTION�al/vW- � %c� �'l G� G2. 41 ❑ FOOTING ❑ EMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEEf ll'OU:_YES_NO /I v�, COMMENTS: LfdYS �c-E C LGK� DyL 7''j!'1' QdQ � W a j �^''l� `-�� 0 � N� S'�a�� G ��cv'�a�' ��e�r�' v'a-�i m�ls 0 � W � � 1�� c�o Q � z W � W � � J O W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOYERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContra r on site: Inspector: White Copylinspector's File Canary CopylSfte Notice J DATE TIME CITY OF ORONO �� CALLED IN INSPECTION NOTIC sCHEDULED PERMIT NO.�/2 � COMPLETED / `�=� _ ADDRESS � i � OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION tL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL Z J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 01NNER/CONTRACTOR TO MEET YOU:_YES_NO � CO MENTS: � �a�m � � o ec � vf�d - � � � �° � � wvr�� Gd�'i,4 �� i�a; '- W � Q z -� �a� o��l. tl�er� ,� 5 W � W � � � ❑WORK SATISFACTOR�F PROCEED �PROJECT COMPLETE w ❑CORRECT WORK�PROCEED �❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContra on site: Inspector: White Copyllnspector's File Canary CopylSite Notice