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Home My WebLink About2013-01157 - wood fireplace CITY OF ORONO * 2 0 1 3 - 0 1 1 5 7 * 2750 KELLEY PARKWAY DATE ISSUED: 10/30/2013 r ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 519 FERNDALE RD N PIN : 36-118-23-14-0008 LEGAL DESC : UNPLATTED 36 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-WOOD VALUATION : $ 4,322.24 NOTG: WOOD I3URN[NG FIREPLACG REGENCY 131001, APPLICANT MECHANICAL 54.03 JACK PIXLEY SWEEPS INC. STATE SURCHARGE MECH (VALUATION) 2.16 4179 149TH AVE.NW TOTAL 56.19 ANDOVER, MN 55304 (763)422-0011 PAID WITH CC# 5822 Minnesota State License#: BC183369 OWIYER MICHELETTI, TOM 519 FERNDALE RD N WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The�vork f�or which this permit is issued shall be performed according to the approvcd 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 rcla[ed work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied wi[h whether or not specified herein.'Chis permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if constructioi�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[he State Building Code.This permit may be revoked at any time f due cause. ,/ f� / ;° / 13 / / plicant Permitee Signature Date Issued By Si ture ate SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABOVE. " ' � FOR CITY USE ONLY � City of Orono • , �-�NO P.O. Box 66 Date Received: Permit# 2750 Keliey Parkway Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 a >, yF � tq ��' CITY OF ORONO-MECHANICAL PERMIT KESH O� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL 1NFORMATION 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 RECENE A PERMIT. WORK MUST NOT BEGIN LJ1vTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical 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 Ap ly) �Residential ❑ Commercial (Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site / Owner Information: Site Address: � �� :�� P��- �Z� �� Owner��. '�� e�r�1�'� Mailing Address: City: ��(� Zip: �S '�� Home Phone:nS Z-' �'��' 'I ` �� Alternate Phone: Contractor Information: Contractor: �T��- ��•�� P� Contact Person: �� r` Address: y 1�� \L1��`,' � h�`a State Bond#: City: ��c�� "-J Zip'�� -`1 Expiration Date: Phone: ��,��-4 Z'L-`�'-'1`�\ Alternate Phone: [� Insurance-Current: 1 r � r MECHANICAL SYSTEMS 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 ❑ Gas Factory Fireplace Brand Name: `�-�z- �'��`^� [� • Wood Burning Fireplace ❑ Wood Stove Model No.: � � � J O � ❑ 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 ijproposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 . _�a PERMIT FEE CALCULATION(S) BASED OFF - 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; 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 Permit $ 15.00 State Surcharge $ 5.00 Mail-ln Fee(If Applicable) $ 2.00 Total Permit Fee � PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 If above does not apply; follow guidelines below: i. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) y4�22, , -2.-�� x .0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE& HANDLING (Only on Mail-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 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. MECHANICAL PERMIT APPLICATION 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: / v-�'L� �"O Date: �O ' ��'' 13 3 ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.a�S�3 "D//•S� COMPLETED �//a'��j ADDRESS S!1 �er�o�a/� /1� �F. OWNER TELEPHONE NO. CONTRACTOR �4c� ��e `Swee,,¢S T-I� � DESCRIPTION � ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS H Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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. GT�QLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTFiACTOR TO MEET YOU:_YES_NO � COMMENTS: � pL✓wl.Z` /l�s f�4.10 r �rf�/� � G4 � l I'�r 0 Q �✓l.F� �✓1 S.��•f5�� . � L � � �� d�Q /Ld�'� � W � Q z e�SL G.�6� ��a.c� Gs�S !u<l t�- � ��.(.o��.l.� � � ��rt4G ��i�ae�� j GW ❑WORKSATISFACTOFY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERT�FICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOPORDER POSTED.CALI INSPECTOR INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advi ce. g 249-46�� OwnerlContractor on site: � Inspector. '�"' White Copyllnspector's File Canary CopylSite Notice � �� DATE TIME � CITY OF ORONO A� ►-�Z o N �l�—�-�� INSPECTION NOTICE / .�"EDULED f�'� /� PERMIT NO. ��.�oMPLETED ADDRESS OWNER ELEPHONE NO.��S✓��-'�� CONTRACTOR G �: DESCRIPTION � v r � ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETIANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J � DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTFiACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a j __�� o ,� � ��,�, o� :. i � 0 � W � Q � 2 W � W � J d W ❑WORKSATISFACTORY:PROCEED OJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED � ISS E CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR W4LL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 ho in advanc�.,�( 5�) 249-4600 / y�.. . OwrterlContractor on site: C - - Inspector_ `� % White Copyllnspector's File � Canary CopylSite Notice