HomeMy WebLinkAbout2009-00657 - wood fireplace �
'` - ^ CITY OF ORONO PERMTT NO.: 200�-oo6s�
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuEn: 10/OU2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 2108 SUGARWOOD DR
PIN : 34-118-23-21-0024
LEGAL DESC : SUGAR WOODS
� : LOT 005 BLOCK 004
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-WOOD
VALUATION : $ 17,000.00
NOTE:
MASONRY FIREPLACE
APPLICANT MECHANICAL 212.50
CARVER BRICK& STONE STATE SURCHARGE MECH(VALUATION) 8.50
13960 KRISTIN LANE TOTAL 221.00
CARVER,MN 55315-
(952)292-4457 PAID WITH CC# 2491
OWNER
RICKS,MICHEAL&JACQELINE
2108 SUGARWOOD DR
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 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 are
requested in conformance with the State Building Code.This permit may be
revoked a any tim��cause.
L- � �
Applicant Permitee Signature Date � G a� ��
Is By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
r. � • �.s.
FOR CITY USE ONLY
O,�p�,O City of Orono
P.O.Box 66 Date Received:�_��� Permit#��9"Q �'S7
" 2750 Kelley Parkway
� � �.� Crystal Bay,MN 55323 Approved By: Amount : �•
� " �`$y (952)249-4600
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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. Pernut 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 UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desgns—Complete calculations, details and specifications are required for each
hearing,ventilation,humidification-dehumidification,and air conditioning installarion including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer 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 Hearing Test Record must be submitted before final.
TYPE �F:PERMIT ''
(Check All That A 1 j
,�Residential ❑ Commercial(Approval Required)
,�New /�r<��'f ❑Additional ❑ Repairs ❑ Re lace
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Job Site/Owner Information:
Site Address: � i o � ��5,���,,,�� � /��
Owner: �C��S Mailing Address:
City: Or�•�•v Zip: .J�,�3 S Cn
Home Phone: Alternate Phone:
Contractor Information:
Contractor: � � ,-,�/l�,J,�,,�Contact Person: ��--f
Address: /,�9G0 �I'.,��� �,v State Bond#:
City: ���� Zip: S�S3�,f Expiration Date:
Phone: `�.S"�o�-a��- S/�/,j'� Alternate Phone: lS� .�G£s / 9S�
❑ Insurance-Current: G��S
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Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS TffiS GEOTHERMAL? ❑ Yes ❑ No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quanrity:
Make:
Model:
Tons:
H.Power �
FIItEPLACES
❑ Gas Factory Fireplace Brand Name: i9,s �!� ��P��.af�
`�-' Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove With Flue
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) ��
❑ No. Other Fans: Locations cfm
FIJEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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❑ Yes,this section applies
The replacement of a Residential fixture or anpliance 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;excluding the cost of the fixture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next secrion,if this applies; Cost of Pernnt $ 15.00
State Surcharge $ .50
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$50.00)
i �],UUD x.0125$
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTR.ACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pernutted 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 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 actual contract.
■ **T'he STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price.
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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.
, ��� / ...—...-�
Applicant s Signature: Date: ��/�/9
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