HomeMy WebLinkAbout2014-01114 - wood fireplace � ~ CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 4 - 0 1 1 1 4 *
DATE ISSUED: 09/30/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 440 BIG ISLAND
P[N : 23-117-23-32-0078
LEGAL DESC : BIG ISLAND
: LOT MB BLOCK MB
PERMIT TYPE : MECHANICAL(> $500)
PROPFRTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE- WOOD
VALUATION : $ 9,450.00
NOTE: WOOD BURNING FIRGPLACF,-HEAT-N-GLO
APPLICANT MECHANICAL 118.13
STATE SURCHARGE MECH (VALUATION) 4.72
FIRESIDE HEARTH& HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE TOTAL 124.85
ROSEVILLE, MN 55113
(651)633-2561 Payment(s)
Minnesota State License#: mech-20512060 CREDIT CARD 4608 124.85
OWNER
RE[MANN,JOHN&ALICE
21957 MINNETONKA BLVD#12
EXCELSIOR, MN 553�1-
AGREEMENT AND SWORN STATEMENT
1-he�cork Yor which this pennit is issued shall be perlormed according to
the approved plans and specilications,applicable City approvals,and thc
State E3uilding 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.'Chis permit will
c�pire and become null and void if eonstruction 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.
l�he applicant is responsible for assurin�all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
�/� /� l i� i ��
Appli ant Permitee igna Date Issue y Signature Datc
� �9-29-'14 16:48 FROM- T-985 P0004/0047 F-090
�V�t CCTX'�JS�ONGY �
��r� Ciry oTOrono �
s y P.�.Box 66 T�etA�ceiveQ: N_�permic M S
2750 Kelley Parkway
Crystal aay,MN 55323 Approved ay: Amaunt S;_w_� �
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Phonc(9>2)?49-q600 'C�x(952)249-4616 � �,.,, �
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�1�KFSIION�`G` CITY OF ORQ1V0-1VIECHANxCA��E�tMYT f
(AIi Commcrciai pcnniu must be npprovnd by the Building Of�ciai o�Inspec[or ancUor Pirc Marshall) �
GENERA�,,��J�tMATION'
l. 'You may appiy for mechanical permits by mail or in person at the City offices. Applrcations will
bv rcviawed and a permit will be issucd within two working days, i
2. Permit cards will Ue sent by return mail after a review is complcted, PERMYTS ARE NOT
VA�,Ib UNTII.YOU RECEIVE A 1'�RMXT. 'VVOT2K MUST NOT��G1N �JNTCL THE j
p�12I14TT CA�IS POSTLD ON T��.�0�SITE. '
3. Mechanieal Desi2ns—Cotnplete calc�ll�tions,details and specifications are required for each �
1�eating,ventilation,humidificaEion-dehumidifieation,and air concJitionin�installation inch�ding �
tieat]oss/heat gain calculaCion,dcsign temperatures,cquipment ratings and identification as to
rype,manufacturer and model. 17ata shall be prescntcd on form provided. !
4. When any new construction or remodeling is involved,�se�aCate building permit must be
obtained.
5. All�vork n�ust be done in accordanee with tl�e C�niform Mechanical Code/State�3uilding Codo
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 musC be submitted before final.
TYpE 0�'�'ERMIT
_��hec�C All That Apply) �„
�esidential ❑Commercial(Apnroval Required)
New �J Additional ❑l�epairs ❑Replace j
s
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�o}�.Site'%Ovyner XnfQx•tnF�,tipn: E
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Sitc Address: ��,. •� I
, A,,�� �
Owner:�L�Y\C��S� �L1�I�P,t(�hn Mailing Address: PO'F�O`��j�'_�� (
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City: �— �ip: �J�G�� I
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Home Phone: ��0����� - �� Alternate �'hone:
Cox�tractor Tnformation:.
�A��pM &MQME TEGHIV4l.00i� Coc�tact Person: � r `� W J�~l�/,J�~����
Contract��.ba �ig�1-10M �
Lic 13C6626a6 I n I n �E
Address: w AV�NU� N State Bond#: Vl U'G � i
2 ROS�3�551�3 � � � �
c�ty: 651 �L�p: Expiration Date: .� +
Phorie: Alternate Phane:
❑ Insurance-Current: � �
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4 0�-29-'14 16:48 FROM- T-985 P0005/0007 F-090
° < �i ,y q� l r'��(��j� 7�� �v ���y � �. ��--t�yr^—.�.--y-'�^-T�,� t ),,,'T�lC ���N
��':;l ,��,n� r"r 1 ZJ � �.;i,arFa-«'i.'�A�l�\i���S7:IC����,��� ���'.�� �a����}�-/:�7�1.-! r M�,.�'�+e�.Y.:��.�;��>,t����:� .
Note:All Geothermal Systems will now require a Site Plan&RevieW by our Building Official. ;
�
Y$TXTTS G�OTHERMAI�" ❑ �es ❑No �
Y��ATYNG SYSTEMS
i
Quantiry:
�
Makc� r __...
Modei: —
Fuel: �_�_..� .. ��.— �
Fluc Si2e: w� �,_
Ynput�T�1s: __ _�_�.. �.._---
OuCput STUs: _,__ ,,,,._�—.
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CF'M: -�--, --�--
COOLING SYSTEMS
Quantity: � �,�
Make: �,,,� �,.._�r
Model: �
�____� ,
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TUns: ,_�_ °
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T�1.Power �,,,� _._w,„_ _
�IIi�T'LACES I
(� Gas Facfory Fireplace Brand Name: "� �'�a7 �� "' �?�� ��
�� Wood Burning Fireplace In�, L � � •-r ��
❑ Wood Stove Mode1 No.; Y ' �UV\`I�1'1��� ��
❑ Wood Stove with Flue/Masonry ;
VENTIT�A"�'X01`I '
I
❑ No. Kitchen Exhaust duct rcoirculating �__Cfm {
❑ No. � Bath Exhaust(must have duct outsidc) cfin �
� Np, Okher Fans: Locations _� cfm �
FUEL STORAG� (hlust be npproverl by 1�`ir'e Marsliall�f propus7n�to aba►tdon tank tn place.)
❑ Installation ❑ Rcmoval
Fuel Oil: gallons [� �1r�derground ❑Cnside ❑Outside i
LP Gas: � gallons �
Oil7er: '
�... ;
CJAS�,,M1V�OiVY,Y
Q Outdoor Grill ❑ Otl�er/List What&Wherc;_
2
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09-29-'14 16:48 FROM- T-985 P0006/0007 F-090
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ii'�.5�'QF�1 bp�5+�/ �> YJ,�Y'++,�d10�� �* i ° / �� )i�„�ftr� f �,Ih,l. � v� t��f(3�#�.H�y�,ffw`��(�o��i�\TrPf
� � � �r . � v''�,���'F�RN�iT�t' �' ����'�.1T�����I'I���, .X��-, ' � � `F
«ux,�..U-., ��"�'G1s�7h�l+� .r �,tp, },7S Yy w. `v,n� C�}-�h� tr 1�a�y� rt� t;v.`ii� '�5 �-u t ���
.tlw F3;,! °r'%�'�,�s�>��F.i �,���i f+Y:��R/�2�i.,i; >Q��—1�{)Q2/„`�c�'+l`l1�1f��f�:��S:�N' o:'! o-v o,�„�r��a r��t���Yir�c,1��.�a>��
- �
[� Ycs,this sect;on applies g
The replacement of a�tesidential YrcR�re or apnlitsn�e ihat mccts all Chree ofthe fallowing requirements: �
i
1, i7oes nnt require modification to clectricsl or gas sarvice, i
2. Has a total C�,�of�500.00 or less;exclu�l'�the cost of thc fixture or appliance:and
3, �s'rn►proved>installcd or replaeed by the ho�reowncr or lieensed contractor.
�
Skip ncxt seetion,if this applics; Cost of E'ermit $� '
State Surcharge $ 5A0 '
;
Mail-In�ee(If Applicable) $ 2.00 ;
TOtA) �'Crmi�Fee $ �
�`r��r---r—s--� �ca . � �
,x`.,,�,'-�'���';'.�I3��`,I���?�1��;��,��Cl�"h1�'T:�`1??I��)����;4 � �: E�'i$:�00 OQ�::,;",�,;�;>y,��«y r,�;
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Tf above cloes not ap��ly; follow guidel;nes below:
l. CO1VTTiACT PRIC� '" is 1,25°'0 of conYract price rvith a(iVlinimum�'ee of$50.00)
� / r � t3
`�i� x,oizs� ( � (��
(contract prlce) (minimum�50,00)
M. STATE SURCHAR(;�� C� (� � � �) �3
� x.00OS $ / 1 -"'�'
(conlrac[priCc) �
3. nQSTAGE&HANDLING(Only on tvfail-In Applications) $ 2.00 ___
4. T4TAl,p��iIv1IT FEE(Add l..ines 1-3 Abovc) � � �� � `"— ,,,_ �
0
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■ * GONTRACT PRIC� or y4B COST means the actua! or estimated dallar amount charged for the ;
permitted work including materials,labor,profit,and other fixed costs. It is thc amount to be chargcd �
to Yhe customer for the work done. If any m3terial,equipmeni, labor or'rnstallations are furnished by �
the owner,tenant w•any other pacty,the reasonable market value of such items must be added to the
estimated cost or contract price for permit fcc purposes. 7n tl�e event that thcre is a dispute on the E
amount of the job eost, the Ciry may request the submissian of a signed copy of the aetual contract. �
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�f�•a`? P 1 -��,, ,4,. �y.Y+' a 1 � ti 1 v C � � r j�y`^���h��k.�A.L�� ���s �<!'
>,<n���°>.,<"�.�.>�,r�..�,f�11���,AI�Y��1���1�,`�''��P���A.�'C?N ACi����`�;r.,��- ,..,,>,�.��,yx xy
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Thc undersigned hereby �ppliCs to the City for issuance of a Mechanical Permit, agrees ca do all
work in strict accordance with thC ardinflnces of the Ciry and the regulatials of the State of
Minnesota, and certifies th:�t �11 statements made on this application a,re complete, true and
correct.
Applicant's Signature: � �,,, �ate: � C�� �
3
DATE TIME
- ,
CITY OF ORONO CALLED IN _�
INSPECTION NOTICE�l�l� --scHeou�Eo
PERMIT NO.9�-� COMPLETED 6� �
ADDRESS !y�f��„�����'�
OWNER TELEPHONE NO.
CONTRACTOR S��lt*'t �C��' •
� DESCRIPTION ���4L� ��
ly ❑ 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 ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
� ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
� ���� �� �
o �/'G 5 tops dr�a v cfJ�d V C�ea•-�.�.aS Od�
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2 �ns� �
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W �ATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT VYORK$PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site: 6�'�K�
Inspector. "^� �
�� hite CopyAnspector's File Canary CopyfSfte Notice
w di�� `►� ��`
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