HomeMy WebLinkAbout2016-01532 - wood fireplace , ., CITY OF ORONO * z 0 1 6 - 0 1 5 3 2 *
2750 KELLEY PARKWAY DATE ISSUED: 12/13/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3515 SIXTH AVE N
PIN : 29-118-23-43-0002
LEGAL DESC : UNPLATTED 29 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE- WOOD
VALUATION : $ 4,945.21
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL[NSPECTION.
WOOD BURNING FIREPLACE-VOYAGEUR GRAND
APPLICANT MECHANICAL 61.82
STATE SURCHARGE MECH(VALUATION) 2.47
FIRESIDE HEARTH& HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE, MN 55113 TOTAL 66.29
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4616 66.29
OWNER
PETERSON&DIANNE MILIANTA, DALE
3515 SIXTH AVE N
LONG LAKE,MN 55356-
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 separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void ifconstruction 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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
c� � � �'� l�i�� i �,�
Applicant Permitee Signature Date Issued B ignature Date
12-12-'16 09:50 FROM- T-559 P0401/0004 F-671
' ���f b'�fflC������
�an�rr�xrs�arrr.�
�O A r City of Orono
�y P.O.Box 66 Dete Reccived: PCm7it�!
� 2750 Kelley Parkway
CryStal Bily,MN 55323 ApproVCd$y: Amoun��;
Phonc(952)249-4600 rex(952)249-4616
y� �
�KESHOQ"�G CITY OF ORONO-M�CHANICAL PERIVIYT
(All Commcrciat�crmits must be approvea by cha Building Official or Inspector and/or Fire Mxrshalp
GENER.A�,YNFO�2MATX�N
1. You may apply for mechanical permits b�mail or in person at the Ciry offices. Applications will
be re'VieWed and 8 permit will be issued within two working days.
2. permit cards will bC sent by retum mttil after a re'view is completed. p�RMITS AR�NOT
'VAT,TD UNTTT.YOU RECEIVE A PLRi�T. 'WOTiK MUST NQ'T'B�GyN UNTTY.THE
��RMYT CARb IS POSTED ON T�Y�r0$SYTE.
3. M h ni al T�zsi ns—Complete e8iculations,details attd speeifieations are required for each
heating,ventil�tion,humidif[cation-dehumidific�tion,arld air eonditioning instslIation including
heat loss/heat gain calculation,design temptratures,equipment Yating3 and identifiCRtion as to
typt,manufacturer and model. bata shall bt presented on form provided.
4. �hen an�new constructian or remodelirtg is involved,a separate building permit must be
obtained.
5. All work rnust be done in aeeordance with the CTniform Meehanical Code/$tate guiiding Code
requiremenrs.
6. All work must be inspected(rough-in and finat). Call(952)249-4600.
(24-48 hour notice req�ired)
7. House Heat►na'�est Ttecord must be submitted before final.
TYPE OF PEY2MTT
Check All That A 1 )
�eS�dzntial ❑�CQriim�rGaal(,A,�provalRe�iCed
❑ ew ❑�dditjonal� � �epairs� �Iaae
7ob Site/Owner Znforrnation:
szt�.:�aa���� �5 lo� �
QVtim�r��:JGt�`� �Ut�c�Y ��6Y1 �Ma�lui�Address� S'�vV�Q _ �LS St��i
�Ci�M`i L�'t�1 1���-2 �Zip� ����
T�om phon�' q��" �'(��~ �'�D 3�] Alternate Phone:
�--___.._-�
Contractor Tn�'orrnation:
Contractor: FIRESIDE W�ARTH & HOME Contact Person: ����
Address: �700 �airview AvE N State Bond�:BC662656, MB662572, PC662571
City: Ftoseville, MN zi�;55113 �xpiration Date:
nhone: 651-633-2b61 Alternate Phone: Q�r�-�1/ ��I��0�0 r �,�0 �
❑ Insurance-Currer�t:
1
12-12-'16 09:54 FROM- T-559 P0002/0004 F-671
r , ,
1VIECHANYCAL SY"STEMS BEING iNSTALLBI? .
Note:All GeoChermal Systems will now require�Site Plan 8�ReviCw by our Building Official.
YS T�IlS GEOTHERMA�,? �'Yes ❑No
H�ATYNG SYSTEMS
Quantity:
Make:
Model:
puel:
Flue Size:
Input BTVs:
Output�T'U's:
CFM:
COOY,1lNG S'YST�MS
Quantity:
Make:
Model:
Tons:
H.Power
�IREPI:ACES
�] Gas,Pac4q'i�+�ir.spla�e �Bra�d N��
:....;� ... . ..:
qod;�urnii��Fie� lace
� :;�,i: ,,,�...�. � .� _
.�.,RRd�.S,,tove. . ...,.;.:..___ .de.l No,� —
_ r
,
:.�:;.:
❑ _4�,:�Satpvz wi�l►`Fliie:/.Ivt�son' ._
VENTILATION
0 No. K;tchen�xhaust duct recircuiating cfm
[� No. Bath Exhaust(must have duct outside) cfm
❑ No. Othcr Fans: Locations cfm
FUEL STORAG� (Must bc appPoved by Fire Marsl�all ijpl�+oposl��g to nb[tndo�t ta��k i�t plRc�)
Q Installation ❑ Removal
�uel 0i1: gallons ❑ CJndtrground ❑Cnside Q Outside
LP Gas: gallons
Other:
CAS�,Y1V'E O1VLY
❑ Outdoor Grili ❑ Other/List'I�Vhat&Where:
2
12-12—'16 09:50 FROM— T-559 P0003/0004 F-671
� . ,
pEI�MIT FEE..CALCCJ7,;A,TION(S)
.. ..
�BASED Q�F-2002 STATfi.STA.�`UE. .
[� 'Yes,this section�pplies
Thc replacement of a�tesidenCial fixGuo or apuliance that meers all three af the fplloWing r'r,quirements:
1. Does not requi�e modifieation to electrical or gas serviee.
2. Has a total cost of$500.00 or less;cxcl i the cost of the fixture or appliance:and
3. 1s improvcd,installed or replaced b�+tht homeowner or licensed contractor_
Skip nexC stction,if this applizs; Cost of Pcrmit $ 15_00
Statz Surchargc $ 5.00
Mail-In fiee(If Applicable) $ 2.00
Total I'ermit Fee $
PERMIT�EE CALCULATION S �-ra�s ovER ssoo.00 : �
Yf above does not apply;follow guidelines below:
1. CONTRACT PRICE �is 1?5%of contrttct price with a(Minimum�ee of$50.00)
L � /I�I ;j•Q �W���1� ,ri����rh'.:
� ,��� ��� �
2_ STr#'x�S�lYiCHARGE �a�5.7i�
x: bps:,'� �.`'{''� �.�
3. POSTAGE&HANDLJI�iG(Only on Msil-in Applicadons) �_� .s��:�:'
4. TOTAY,p�RMIT FEE(Add Lines 1-3 Above) �:��•9;t° � , u" }'a'`r`'*�`'�1':�
a. ;>3. t�..�.�i..M;'E:• �':•v,
■ '� CONIRACT PRICL or 70$ COST mtans the actual or estimated dollar amount charged for the
permittcd work including materials,labor,profit,and other fixed eosts. It is the amount to be charg�d
to the customcr for the wo1'k done. If any mattrial,cquipment,labor or installxCions are furnished by
tha owner,tenant or any other party,the reasonable market value of such items must bc added to the
esumated eost or eontracE price for permit fee purpo3es_ In the event that there is a dispute on the
amaunt of the job eost, the City may request the submission of a signed copy of the aetual eontract.
IVIECHAN7CAL�ERMIT APPLICATION'AGREEMENT
The undersigned hereby applies to ih�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 ma on this application are complete, true and
cor�ect.
Applicant's Signature: ���gq;: l�Z������,0
3
� �� �
�r -��— DATE TIME
CITY OF ORONO cnLLED IN �? D � ��
INSPECTION N�O-�/IC�E _�`53�HEDULED � y.�30
PERMIT NO. v���—"—��MPLETED
ADDRESS —3-�`� ��._�-0 �-2 �
�IYNER TELE HONE NO.�a ��-� ' �� �3 )
CONTRACTOR ��- ��� ��-/iYt�
� DESCRIPTION � �� �-� � � "^
W ❑ FOOTING ❑ DEMO INAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�Q ❑ 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
_
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
? OMINERI�CONTNACTOR TO MEET YiOU:_YES_NO
y COMMENTS:
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tdil ❑WORKSATISFACTOFiY:PROCEED �OJECT COMPLETE
� ❑CORRECT WORK h PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑COFRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CdVERIN(3 PERMANENT
❑CORRECT UNSAFE CONDITION WITHiN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS.
Catl for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspecta:
VYhite CoPYAnspectors File C�nary CoPYISMs Notics