HomeMy WebLinkAbout2015-00871 - wood fireplace CITY OF ORONO * z 0 1 5 - 0 0 8 7 1 *
2750 KELLEY PARKWAY DATE ISSUED: 07/14/2015
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 185 BEDERWOOD DR
PIN : OS-117-23-12-0012
LEGAL DESC : AUDITOR'S SUBD.NO. 203
: LOT 037 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTIOIV TYPE : FIREPLACE- WOOD
VALUATION : $ 4,800.00
NOTE: BRAND:VERMONT CASTINGS
APPLICANT MECHANICAL 60.00
STATE SURCHARGE MECH(VALUATION) 2.40
WOODLAND STOVES&FIREPLACES MAIL-IN FEE 2.00
2901 E. FRANKLIN AVE.
MINNEAPOL[S, MN 55403- TOTAL 64.40
(612)338-6606 Payment(s)
CHECK 46457 64.40
OWNER
ABEL, KATHLEEN
185 BEDERWOOD DR
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 aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. , �'��
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Applicant Permitee Signature Date Issued By Signature Date
� . ��_ TOR CITI'l�SE O\'LY
��A �� City of Orono �✓'��Gj ���_b •'�l 7�
� ��/ P.O.Box 66 Date Received: I t I �"f'ermit#
2750 Kelley Parkway �
Crystal Bay,MN 5�323 Approved By: � Amount$ �__
Phone(952)249-4600 i'ax(9>2)249-4616 �y r
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� �.�' CITY OF ORONO—MECHANICAL PERMIT
"��'e.s rs��;�'
�...-- (All Commercial pernuts must be approved by the Building Official or Inspector and/or�ire Marshall)
GENERAL INFORMATION
l. You may apply for mechanical permits by mail or in person�t the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Pennit 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/l�eat gain calculation,design temperatures,equipn�ent 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 sub���itted hefore final.
TYPE OF PERMIT
(Check All That A 1 )
[v�Residential ❑ CommerciaL(Approval Required)
❑ New ❑ Additional ❑Repairs ❑ Replace
Job Site / Owner Information:
Site Address: I o� � ��< •
�-�-�, � � � `
Owner: �/ Mailing Address: .__���Y�� a--S �f?�
City: Zip: �3�Zv
Home Phone: ��� g������5 Alternate Phone:
Contractor I ormation:
Contractor: Lf K� V�S> Contact Person;
�S
Address: �0/ � �,L'.�., �� State Bond #: �1��
City: �5 Zip:��Expiration Date: _��
Phone: �l'� '��O��O�� Alternate Phone:
❑ Insurance—Current: � ' (e
1
MECHANICAL SYSTEMS BEING INSTALL�D � � •
Note: All Geothennal Systems will now req re a Site Plan& Review by our Building Official.
IS THIS GEOTIIERMAL? ❑ Yes No
HEATING SYSTEMS
Quantiry:
Make:
ModeL
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLiNG SY'STF,MS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES ,'n�� U��
d❑ Gas Factory Fireplace . � �and Name: �.�-1►"10/1T `j/'�
Wood Burning Fireplace i!'15�e-� Q S
❑ Wood Stove Model No.: �T�(�/�]
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ Na Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Marst be approved Gy Fire Marsknll ijproposirzg to rrGait�ton tnitk i�t p[nce.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
PERMIT FEE CALCULATION(S) �
BASED (�FF - 2002 STATE STATUE _�
❑ 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 af Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
PERMIT FEE CALCULAI'ION(S)-JOBS OVER $�00.00 ��
If above does not apply; foliow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
� �U� . � x .0125 $ �p��-�
(contract price) (minimum$50.00)
2. STATE SURCHARGE
gt� . � X .000s $ �,�c�
(contract price)
3. POSTAGE&HANDLING(Only on Mai(-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 lnstallations are furnished by
tl�e owner, tenant or any other party, the reasonable market value of such items must be added to tl�e
estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the
amou��t of the job cost, the City may request the submission of a signed copy of the actual contract.
MECHANICAL PERMIT APFLI�ATIC�N 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: �� ���
3
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� M�NwF���ofiPARTMEw,�bR =- == MECHANICAL CONTRACTOR BON� ` _
, , L,qBOR& INDUSTRY �
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• Construction Codes and Licensing Division Licensing and Certification Services 443 Cafayette Road N SL Paul,MN 55155
, ' `' dli:mn.qov/ccid.asp EmaiC dli.licenseC�siate.mn.us ' Phone: 651.284.5034
Website: www.
This is to'certify that the ceftificate holder is registered as a M�CHAMCAL CQN7'RACTORBOND in the state of Minnesota and is in compliance
with Minnesota Statutes 326B.197,and has filed a$25,000 mecfianicaI bond to perform gas,heating,ventilation�cooling,air conditioning'y
: fuel buming,or refrigeration work in all areas�f the state ducinglhe regisnation period;provided the work performed complies with
the State Mechanical Code a�id fhe c�rfificate halder matntalns compl1aiTce with the required bond and workers'comFensation laws. -- - -
Registration : MECHANICAL CONTRACTOR BOND �
RegNumber : MB003804 WOODLAND WAY INC B
Effective Date : 10/21/20]4 DBA WOODLAND STOVES&FIREPLACES'' ! ,!'.. : �
Expiration Date : 10/21/2016 2g01 E FRANKLIN AVE �
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MINNEAPOLIS, MN 55406 T
VERIFY UP-TO-DATE STATU5,BONQ,AND INSURANCEtNFO ATwww.dli.mn.�tov/ccld/LicVerify.asp (ENTER NUMBER).
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�_-��-- DATE TIME
CITY OF ORONO CALLED IN �-"�
INSPECTION NOT `�-���CHEDULED 7-Z9—!S �.30
PERMIT NO. cOMPLEfED '
ADDRESS ���� /-�'Q/11'�y.�,/"G���G�
OWNER /a' � 33��b�'o� TELEP NE NO. ' D5'S���
CONTRACTOR ��% � �
� DESCRIPTION
ty ❑ 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
J r�INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W �❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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J ❑ D E M O-SITE ❑ S TIC INSTALL
2 OWNERICONTRACTOR TO MEEf YOU:�ES_NO '
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� ❑WORKSATISFACTORY:PROCEED �C2ROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECO'VERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP RDER POST D.CALL INSPECTOR �CITATION ISSUED
F11C�' C�C�S.
Ca11 for the next inspection 2a hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector.
White Copyflnspector's File Canary CopylSite Notice