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HomeMy WebLinkAbout2017-01573 - wood fireplace I 111 CITY OF ORONO [ III 0 i j I 0 II f5 7 3 2750 KELLEY PARKWAY DATE ISSUED: 11/30/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2380 SHADYWOOD RD PIN : 17-117-23-44-0011 LEGAL DESC : WILEYS NAVARRE ADDN LAKE MTKA : LOT MB BLOCK MB PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-WOOD VALUATION : $ 6,185.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. WOOD FIREPLACE-RUTHERFORD 42 APPLICANT MECHANICAL 77.31 STATE SURCHARGE MECH(VALUATION) 3.09 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 TOTAL 82.40 (651)633-2561 Payment(s) Minnesota State License#:mech-20512060 CREDIT CARD 4616 82.40 OWNER Redmond Family Companies REDMOND,CINDY 5314 SHORELINE DRIVE MOUND,MN 55364- 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. ems , 1/ / 36 / 17 Applicant Permitee Signature Date Issued By ature Date 11-29—'17 15:21 FROM— T-216 P0001/0004 F-611 '3g7L136/- 6001 FO CITYUSF ONLY 41, A} City of Orono Receive": 3 2 {V P.O.Box 66 Date Receive":/ ` 02017-6/5-- �ermit# ���'�I5�y 0 2750 Kelley Parkway Q Crystal Bay.MN 55323 Approved By: Amount$: V g /. `) Phone(952)249-4600 Fax(952)249-4616 ri ��K sHo�s G CITY OF ORONO—MECHANICAL PERMIT (AU 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. Metanical Desiens—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. TYPE OF PERMIT (Check All That Apply) ❑ ❑ 17 e`�Cs Job Site/Owner Information:: t {e z�sa SittACjY va4000( pew( r, -. af` .. 6Y- C tvl-f- giffirarda Isom:""; t2(z._ 3g3 nateAlternate Phone: (2-3‘,3- 0Y53 Contractor Information: +_ Contractor: FIRC=SIDE HEARTH &HOME Contact Person: ' C'" -12-4 Address: 2700 Fairview Ave N State Bond#:130662656, MB662572, PC662571 City: Roseville, MN zip:55113 Expiration Date: Phone: 651-633-2561 Alternate Phone: 651-638-3312 [] Insurance—Current: 1 11-29-'17 15:21 FROM- T-216 P0002/0004 F-611 . . MECHANICAL SYSTtMS 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 �� ❑ c3 s:4aat Fy ?�• cepiaC.104, (lieZaNari►e-,: < Q IIr "lace `7 ❑ *000,0„„.....,•,...,: VgQd a tyel T godel T,6 1 ❑ W. $0.A.**:Flue/;Maso kY VENTILATION f No. Kitchen Exhaust duct recirculating cfm [] No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations fin FUEL STORAGE (Mast be approved by Fire Marshall if proposing to abandon tank In place.) • -Installation-- — ---Tttrri4Wal-- Fuel Oil: gallons D Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY O Outdoor Grill ❑ Other/List What&Where: 2 11-29-'17 15:21 FROM- T-216 P0003/0004 F-611 PtRMIT FEE CAI,CULATION(S) ,BASED QPP:'2O02,STATE STATO 0 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 $ 15.00 State Surcharge $ 5.00 Mail-In Fcc(If Applicable) $ 2.00 Total Permit Fee $ PERMIT S'EE'CALCULATION(S)H.TOBS.OVER'$500:00. If above does not apply;follow guidelines below: 1. CONTRACT PRICE §is 1,25%of contract n,tract price with a(Minimum Fee off$$50.00) 7J :d. 2. STATE SURCHARGE /( r5- 4:6014) 3 ©`1' 3. POSTAGE&HANDLING(Only on Mail-In Applications) ($ 4. TOTAL PERMIT FEE(Add Lines 1.3 Above) x:g.fklY)144,,,. „ • * CONTRACT PRICE or JOE 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. MECHANXCAL PERMIT:APPLICATIONAGR.EEMENT . The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work—in stiiR 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: arAlAildik/ xa.., 1 ,1'47 3