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Home My WebLink About2013-01072 - wood fireplace CITY OF ORONO * 2013 - 01072 *I 2750 KELLEY PARKWAY DATE ISSUED: 10/14/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS 760 TONKAWA RD PIN 05-117-23-34-0007 LEGAL DESC PARTENS POINT 1 ST DIV : LOT 013 BLOCK 000 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIREPLACE-WOOD VALUATION $ 6,000.00 NOTE: HEATILATOR BIRMINGHAM 42 WOOD BURNING FP APPLICANT MECHANICAL 75.00 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 3.00 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (651)633-2561 TOTAL 80.00 Minnesota State License#:20512060 OWNER BORDSON,BRENT&NANCY 760 TONKAWA RD 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 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 at any time for dqe cause. \I� tom' / / Applicant Permitee Signature Date Issued ITY S' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . w FOR CrrY USE Y O City of Orono P.O.Box 66 Date Received: Permlit# 2750 Kelley Parkway I Crystal Bay,MN 55323 Approved By: Amo�mt$: Phone(952)249-4600 Fax(952)249-4616 yF l�kfSH09 CITY OF ORONO—MECHANICAL PERN$IT (All Commercial permits must be approved by the Building Official or Inspector ancUor 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 return mail after a review is completed. PERMITS NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN L THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations,details and specifications are required Ifor each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identificajtion 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 m st be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Buil ing 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 Apply) Residential ❑Commercial(Approval Required) [ New ❑Additional ❑Repairs ❑ReplacEe Job Site/Owner Information: p Site Address: 7ZP0 Owner: a nc y S o/'d. ^i1 Mailing Address: Z�'n Ac w c. Rd City: Qrof\ca Zip: .SS34V Home Phone: l�/a?- �S(e b- l�7(Q 7 Alternate Phone: Contractor Information: Contractor: Contact Person: NOLOGIES dba FIRE IDE HEARTH & HOME Address: State Bond#: Li BC662656 2700 FIRV E ENUE N City: Zip: Expiration Date: ROSE ILLE, MN 55113 1 Phone: Alternate Phone: ❑ Insurance—Current: I .4, ft MECHANICAL SYSTEMS BEING INSTALLED 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: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES f ❑ Gas Factory Fireplace Brand Name: r►�h� ',�^�D/— Wood Burning Fireplace ❑ Wood Stove Model No.: R,rr,, n e,M �� ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall f 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: 2 >t n PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or annliance 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 section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION(S) --JOBS OVER$304.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) l� • Vr_> x.0125$ -76--&o (contract price) (minimum$50.00) 2. STATE SURCHARGE �pf-V'co x.0005 (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ go- c-le ■ * 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 patty,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. MECHANICAL PERMIT APPLICATION AGREEMENT 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: 4 0 ✓3 3 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.r?a!3-O!o TT COMPLETED ADDRESS 74of> T a k4w Q "- OWNER TELEPHONE NO. CONTRACTOR DESCRIPTION fy F' ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS y ❑ 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. 4<101-LOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ RD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: CC W O T/IL��d/ws� f'/K.tf�•.0 l�L L'�� !N. LL -�r- W cc Q 2 e rlj2 e W cc J Uj ❑WORK SATISFACTORY:PROCEED L�B0JECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White CopylInspector's File Canary Copy/Site Notice