HomeMy WebLinkAbout2013-00732 (Fireplace) CITY OF ORONO * Z 0 1 3 — P1 0 7 3 2 *
- 2750 KELLEY PARKWAY DATE ISSUED: 07/29/2013
ORONO, MN 55356-
' (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2380 ABINGDON WAY
PIN : 03-117-23-23-0016
LEGAL DESC : ABINGDON GLEN
: LOT O10 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 3,600.00
NOTE: HEAT N GLO ESCAPE I35-C
APPLICANT MECHANICAL 50.00
FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 1.80
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 MAIL-IN FEE 2.00
(651)633-2561 TOTAL 53.80
Minnesota State License#:20512060
OWNER
MONICO, SCOTT&ELIZABETH
2384ABINGDON WAY
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 1 SO 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.
��i.. �� / / / /
Applicant Permitee Signature Date Issued B gnature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED VE.
�oxe��us�flxz.�
" ;¢p� City of Orono
P.O.Box 66 Data lteceived Petmit#
���_� � 2750 Kelley Parkway
� � h`''�� Cryatal Bay,MN 55323 Appmved By: Amount$:
��'�����y�� Phane(952)249-4600 Fax(952)249-4616 T`
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial peimita muat be approved by the Building Official or Iaspector 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�sent by retum mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE A PERMTI'. WORK MUST NOT BEGIN UNTIL THE
PEIZMIT CARD IS POSTED ON TI�JOB STTE.
3. Mechanical Desians—Complete calculations,details and spec�cations are required for each
heating,ventilation,humidif°ication-dehumidification,and air conditioning installation including
heat losslheat gain calculation,design tempetatures,equipment ratings and identification as to
type,manufacturer and madel. Data sha11 be presented on form provided
4. When any new constcuction 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 A 1
esidential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: 23� �+,C�d-r✓ �GWY'
Owner��,����. Mailing Address: �e5�
City: � d�a�. Zip: � 3�G+
Home Phone: Alternate Phone:
Contractor Information:
ContradYf�RTH & HOME TECHNO�orIES Contact Person: ��'u�
dba FIRESIDE HEARTH & HOME
Address: 270 Lic 662656 State Bond#: B�� l�
NUE N
ROSEVILLE, MN 55� E iration Date: �—�"'�
c�ri: ��, ,..,� .... i� �� `/
--o..._ .�.,:.i
Phone: Alternate Phone: �a��"'��3'21 7�
❑ Insurance—Cunent:
1
�IECH�I��,�L �YS`T�MS BF�tNG�NSTALLED , � .
Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes ❑No
HEATING SYSTEMS
Quantity:
Malce:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTLTs:
• CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
� Gas Factory Fireplace Brand Name: i,� ��_
❑ Wood Butning Fireplace
❑ Wood Stove Model No.: �.,O.�iQ�'���'�`�'
❑ 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
FIJEL STORAGE (Must be�rpproved by F'rre Marshall if proposing to aba�rdon ta.ttik in place)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
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` ❑ Yes,this section applies
' The replacement of a Residential fixtute 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;excl ' 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 Pemut $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Tota1 Permit Fee $
_ r �-��T�il����C:�:��`:T,�T:%;�T�+�1'+T � ,-^+;�C�►$�'�1�R�$Sfl�.�I:'__'
If above does not apply;follow guidelines below:
1. CONTItA�T P�C� °is 1.25%of contract price with a(Minimum Fee of 550.00)
V Ti �V r�V X.�I2.1.D ��i��
(contract pnce) (minlmum 550.00)
2. STATE SURCHARGE '���� �D x.0005 $ ?, ��
(��Pr►�)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ V ✓� V�
■ '� CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials,labor,profit,and other fiared costs. It is the amount to be charged
to the customer for the work done. If any material,equipment,labor or installations are fumished by
the owner,tena.nt 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.
Iit���1�1��� ��'.E''•�'�'`LICA�'IQN L�.�RE�1V.�.E�',;."_`;<:_'��,�::�<;'<r�,w=�'v';
The undersigne�hereby applies to the City for issuai►ce of a Mechanical Permit,agrees to do a11
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that a11 statements made on this application are complete, true and
correct.
Applicant's Signature: ���/'(f'�''�Jx� Date: �"" ��?,
�"�`�$Sr e•�`������.f ���.r�Y4.n
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3
�� � 'D�A E, TIME "
CITY OF ORONO CALLED IN �
INSPECTION OTI E�^ SCHEDULED -g Z-/.� �l:3a
PERMIT NO D �VD�� � COMPLETED
ADDRESS �O� �fJ/I�GI C�J�'l ��G�l
OWNER TELEPHONE NO. ������ ����
CONTRACTOR I reS�
� DESCRIPTION �� /'—""
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
Q
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNERlFIREPLACE ❑ SITE INSPECTION
Q ❑ RADOId SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v � DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � WARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_Id0
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED JECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ISSU ERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFECONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTORIMLLRETURN ❑CITATIONISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OuvnedContractor on site:
Inspector.
White Copyllnspector's Flle Canary CopylSRe Notice