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Home My WebLink About2012-00165 - wood fireplace ` CITY OF ORONO * 2 0 1 z - 0 0 1 6 5 * 2750 KELLEY PARKWAY UATE ISSUED: 03/OU2012 ' ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2165 COLIN DR PIN : 03-117-23-21-0017 LEGAL DESC : KELLEY GREEN : LOT 002 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE- WOOD VALUATION : $ 7,990.00 NOTI?: CHANGF."Il II? I'LIJI?TILES-NEW STAWLGSS STEEL LINGR APPLICANT MECHANICAL 99.88 ]ST CHOICE CHIMNEY COMPANY STATE SURCHARGE MECH (VALUATION) 4.00 4179 149TH AVE NW ANDOVER, MN 55304- TOTAL 103.88 (763)422-0481 PAID WITH CC# 0171 OWIYER EARLING,JOHN 2165 COLIN DR LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT "l�he work for which this permit is issucd shall be performed according to the approvcd plans and specifications,applicable City approvals,and the State[3uilding 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 specitied 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 lor a period of 180 days at any time aRer work has commenced. The applicant is responsible for assuring all required inspections are requcsted in conformance with the State F3uilding Code.This permit may be revoked at any time ior due cause. 4 �_ �y�� 3i�< i �t� G �i �/ i / a- App ica�t Permitee Signa�ure Date [ssue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. _ •� _ . FOR CI Y L'SE ONLY ,�` City of Orono � �� -��J.r. ' O4O`rO P.O.Box 66 Date Recei rmit# �/ ' �,, , 2750 Kelley Parkway � � //� �/ a �� ?��_ F Crystal Bay,MN 55323 Approved By: Amount$: ` �/�• G �d� ��'�'�;�,G` Phone(952)249-4600 Fax(952)249-4616 � �i'S��p8�, ssx CITY OF ORONO -MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marsl�all) GENERAL INFORMATION 1. You may apply for mechanical perniits by mail ar in person at the City offices. Applications will be reviewed and a pernut 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. Mechanical Desi�ns—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 wark 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) � Residential ❑ Connnercial(Approval Required) ❑ New ❑ Additiona] �Repairs ❑ Replace Job Site/Owner Infornzation: Site Address: oZ,l(,J C6� �n /,�/'�`✓e- Owner: C��in �Q r`i hey Mailing Address: ,�/��,�,� /J��✓� City: Gon�- lalc� fYI„ Zip: 5$3S'� Home Phone: RSa,Z - G�73!�.?� Alternate Phone: �/�-�(�.3-�✓ 7� Contractor Information: .�sf CG,o;'e,� G�i�vv,.►�� Co:.�jax.,� Contractor: ��.� Contact Person: J��od�r� Address: ��7�' /�!�l �`�� "'� State Bond#: 0�/��3�' City: p� ev /�� Zip:5S3a�Expiration Date: ,>�,3f"070/,3 Phone: �G3- �/�a�d`��/ Alternate Phone: 7�.�-o�G- �55`f T c l f ❑ Insurance-Current: ��S � 1 . •. _ '`A �� ` MECHA�� , �"�TEIVIS BE1NG]NSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. � IS THIS GEOTHERMAL? ❑ Yes ❑ No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES � Gas Factory Fireplace Brand Name: Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath E�aust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in p[ace.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 ,�v��l ��1.�� - 1�� S � ��1,�$S �i-�J� G�C�� , i . . • I PERMIT FEE CALCULATION(S) �I BASED OFF - 2002 STATE STATUE ! ❑ Yes,this secrion 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; excludin� 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 Pernut $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION(S) —'JOBS OVER�500.00 ' If above does not apply;follow guidelines below: 1. CONTRACT PWCE *is 1.25%of contract pnce with a(Minimum Fee of$50.00) �7 �qo,�° X .o�zs $ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 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 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. , Yrt��, :��, MECHANICAL PERMIT APPLICATI�N AGREEMENT , .,..,_ u: : The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all wark in strict accardance 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: ��%?��(�}'J Date: �"0�—�O l� ,- 3 C'� � � l ,DATE TIME " CITY F ORONO CALLED IN � �k �� INSPECTION NOTICE r SCHEDULED 1� ` � PERMIT NO. �=�C I:� -0�?��G"7 COMPLETED ADDRESS � - S � ��' � I �j2 : OWNER TELEPH NE N�. � �� `�� ^�� CONTRACTOR r ��r��1 ��1(1� CQ . ,� �; DESCRIPTION --� i1 � ( l �S� � �' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPT��I///C�� INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEP�/C FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:��YES_NO � COMMENTS: � W a � J o `�� '�� Q�.C ='� � ` c� �� 0 � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED D�ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑iNSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call tor the next inspection 24 hours in advance. (952� 249-46�0 Owner/Contractor on site: Inspector. LtJ �/ c White Copyllnspector's File Canary CopylSite Notice