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HomeMy WebLinkAbout2016-01469 - wood fireplace CITY OF ORONO * 2 0 1 6 - 0 1 4 6 9 2750 KELLEY PARKWAY DATE ISSUED: i V23/2016 �r ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS 3685 WATERTOWN RD PIN 32-118-23-34-0011 LEGAL DESC UNPLATTED 32 118 23 LOT 000 BLOCK 000 PERMIT TYPE MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-WOOD VALUATION : $ 4,352.20 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. REP CE: �D FIRE CE(HHT) APPLICANT MECHANICAL 54.40 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 2.18 2700 FAIRVIEW AVE MAIL-IN FEE 2.00 ROSEVILLE,MN 55113 TOTAL 58.58 (651)633-2561 Payment(s) Minnesota State License#:mech-20512060 CREDIT CARD 4616 58.58 OWNER SHATZER,WADE 3685 WATERTOWN RD MAPLE PLAIN,MN 55359- 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. Applicant Permitee Signature Date Issued By SignAture Date 11-22-'16 14:56 FROM- T-440 P0001/0003 F-536 FOR 0TY City of Orono ,, f P.O.Box 66 Date Received: .„r/46mit# 0 T 2750 Kelley Parkway Crystal Bay.MN 55323 Approved By: • -Amouat.$:. Phone(952)249-4600 Fax(932)249-4616 � lr� s o&tr' CIT'Y'OF ORONO-MECHANICAL PERMIT (Alf Commercial permits must be approved by the Building Official or fnspeetor and/or Fire Marshall) GEN_EP,AL 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 MOIST 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 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 Heating Test Record must be submitted before final. TYPEOF PERMIT:-. (Check All ThatA l Residential ❑Commercial(Approval Required) ❑New ❑Additional Q Repairs )Replaee Job.Site/Owner Infortnatioii;; v Site Address: � _ GL��'U T�)Lj^ 1 ZI Owner:L,jjrv,- � �v�ZL���d�6(G Mailing Address: City: Zip: 1/ Home Phone: Alternate Phone: Contractor information: Contractor: FIRESIDE HEARTH &HOME Contact person: Leah Address: 2700 Fairview Ave N State Bond#.BC662656, MB662572, PC662571 city. Roseville, MN dip 55113 Expiration Date: Phone: 651-633-2561 Alternate Phone:Leah#651-638-3312 ❑ insurance-Current: 1 11-22-'16 14:56 FROM- T-440 P0002/0003 F-536 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: CPM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES tt� ALT Gas Factory Fireplace Brand Name: ,] Wood Burning Fireplace ^1 Wood Stove Model No.: M ,^ �J Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm [] No. Other Fans: Locations cfm FUEL STORAGE;I(Must be approved by Fire Marshall ijproposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: CAS LINE ONLY ❑ Outdoor Grill [f Other/Gist What&Where: 2 11-22-'16 14:56 FROM- T-440 P0003/0003 F-536 HIM V11MUM.N..itllpk- V W N* _... !M= f�rI - - - -- (] Yes,this section applies The replacement of a Residential fixture or appliance 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 S 15.00 State Surcharge S 5.00 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$50.00) c y X.0125$ syr (COr trw pr1C0) (minimum$50.00) 2. STATE SUAC> HARGE C,/3 52� X.0005 2 - (contact 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 parry,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. 10 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: 3 TIME CITY OF ORONO CALLED IN INSPECTION NOTICE / SCHEDULED PERMIT NO. �_b COMPLETED ADDRESS- OWNER DDRESSOWNER TELEP NE NO. CONTRACTOR n DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT 4.4 E IAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ElFOUNDATION/REMOVAL r ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO 1 // COMMENTS: %L/ a 02W QQC a�1� cc � � �C4dCr�r('.GS d 'LG r�.vt c�t4L`is., - /�✓ �v,Qe.GS _ 0 Plyuid� s /Te Q�� �cf� �rwt-Z W Qr W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE QZ ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. Cl PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED [ISTOP 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 Copynnspectoes File Canary CopyMhe Notice