HomeMy WebLinkAbout2016-00947 - wood fireplace 1 CITY OF ORONO 111111111111111111111 IN 111111111111111111111 IM
2750 KELLEY PARKWAY * 2 PJ 1 6 - 0 0 7
DATE ISSUED: 08/11 0/22 016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 3085 WATERTOWN RD
PIN : 04-117-23-22-0032
LEGAL DESC : WALNUT CREEK
LOT 001 BLOCK 001
PERMIT TYPE MECHANICAL
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE FIREPLACE-WOOD
VALUATION $ 4,600.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
MORSO WOOD STOVE
APPLICANT MECHANICAL 57.50
WOODLAND STOVES&FIREPLACES
STATE SURCHARGE MECH(VALUATION) 2.30 2901 E.FRANKLIN AVE. MAIL-IN FEE 2.00
MINNEAPOLIS,MN 55403- TOTAL 61.80
(612)338-6606 Payment(s)
CHECK 47366 61.80
OWNER
GERHART,RICHARD&JANICE
3085 WATERTOWN 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 due cause.
ey)'t cu,& P
Applicant Permitee Signature Date Issued By LlIgnature Date
f 1
City
CEf Y ED FO ITY USE ONLY
O�r Ci of AFm E Y G
1 VO P.O.Box 66 Date Rece' �� Permit# �/�j _
Crys Kelley W531 01016
Crystal Bay, 53 3 L Y Approved By: Amount$:
Phone(952)249-4600 Fax(952)249-4616
CITY OF ORONO
`q k1;S 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 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 Designs—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation 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 pen-nit 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.
(2448 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That Apply)
Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
❑New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information: ,
Site Address: e/2-
Owner: / _ � � G C �`%<'\ Mailing Address: JI
City: Zip:
Home Phone: 11 �`�� — _,��45 Altemate Phone:
Contractor Igforrnation:
Contractor: .�,.C�C tL�IG t �'i/_e�kntact Person:
Address: � � 1 /()I/) State Bond#:
City: Zip��. Expiration Date: _/ /
Phone: �� , �J'S �% L��� Alternate Phone:
Insurance-Current: 6-Y-
I
1
Ipp ► r
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
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace _
❑ Wood Stove Model No.: �� Cjc��J e,4'
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfin
FUEL 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:
2
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
x .0125 $ �.
(contract price) (minimum$50.00)
2. STATE SURCHARGE
x.0005
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above)
■ * 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 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.
The undersigned hereby applies to the City for issuance of a Mechanical Pennit, 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 madep, is application are complete,true and correct.
Applicant's Signature: %C-d�_ . Date:
(�
3
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TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE 117 SCHEDULED l
PERMIT NO. _,V gQrMpl ETED
ADDRESS 0?S
OWNERf�LEPHONE NO. 9.s�-ma39--373A
CONTRACTOR Yhr "f-S .5
DESCRIPTION &aely C� Z,_ `sz-h�
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ 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
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W �JQ(Dii1tS'I�TISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORKS PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN C3 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal pection 24 hours in advance. (952) 249-4600
Ovine Mractor on sit ��/L A,Ins
White Copyllnspector's File Canary CopylSfte Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TICE �/ SCHEDULED (�Oo
PERMIT NO. 1 COMPLETED
ADDRESS RTA ctj tc>r- D�, )n
OWNER TELEPHONE NO. Ula - 3�-&
CONTRACTOR
DESCRIPTION
❑ FOOTING ❑ DEMO-FINAL ❑ 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
❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ E TIC INSTALL
2 OINNERICONTRACTOR TO MEET YOU- YES_NO
cin COMMENTS: /// _ J'
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W ❑WORK SATISFACTORY PROCEED >::/RROJECTCOMPLETE
cc ❑CORRECT WORK E PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
C3 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
OwnertContractor or+e;
Inspector. �
White Copyllnspector's File Canary CopylSite Notice