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Home My WebLink About2013-00980 - chimney repair R � CITY OF ORONO * 2 0 1 3 - 0 0 9 8 0 * 2750 KELLEY PARKWAY DATE ISSUED: 09/20/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1745 FOX ST PIN : 03-117-23-44-0009 LEGAL DESC : FOX ISLAND : LOT 6 BLOCK 1 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : CHIMNEY- REPAIR VALUATION : $ I,000.00 NOTE: NEW CH[MNEY LINER-INS"[ALL NGW S' FLEX LINt?R AND NI?W COMMON VENT PIPI',. APPLICANT MECHANICAL 50.00 STAFFORD HOME SERVICE INC. STATE SURCHARGE MECH (VALUATION) 0.50 6225 CAMBRIDGE STREET ST LOUIS PARK, MN 55416- MAIL-IN FEE 2.00 (952)927-7194 TOTAL 52.50 PAID WITH CC# 3307 OWNER ABUKHADRA, HASHEM 1745 FOX ST WAYZATA, MN 55391- 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 [he 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[ime after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the St te Building Code.This permit may be revoked at any time for due cause. �� 9 vi / npplicant ermit�e Signature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 1 F CI' 1USE ONLX City of Orono � �Q� P.O.Box 66 Date Receive . � � Permit#.�i7t 3" � Q 2750 Kefley Parkway Crystal Bay,MN�5323 Approved B . Amounc$: �� Phone(952)249-4600 Fax(952)249�6i6 y� �' �'Kes�ro��'� C�TX O�ORONO--�C�ANrCAL PERN��' (All Commercial permics mnst be approved by the Building Official or Inspector and/or Firc Macshall) GENERA�ZNk'O�tMATION 1. You may appiy for mechFinical permits by mail or in person at the City offices. Applications will be revicwed and a permit wi11 be issued within two working days. 2. Permit cards will be sent by return mai)�tfter a�•eview is compleCed. P�RM1TS ARE NOT VALID LJNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIx.'�'H� PERMIT C�1R�xS POST�D OIv THE JOB Si'T'�. 3. �vtechanical Desi�ns—�omplete calculations,details and specifications are required for each heating,ventilaiion,humidification-dehumidification,and air conditioning insta�lation including heat loss/heat gain calculation,design teinperatures,equipment ratings and�denti�ication as to rype,manufactu�er and model. Data shall be presented on form provided. 4, When any new construotion or remodeling is iqvolved,a sepaYate building pennit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical CodeJState Building Code requirements. 6_ /�11 work must be inspected(rough-in and final). Call(952)249-4600_ (24-45 hour notice required) 7_ �ouse Heating Test Record must be submitted before final. TYPE OF PERMI�" Check Al1 That A 1 �Residential ❑Commercial(Approval RequiKed) �New ❑Additional ❑Repairs �teplace Job Site I Owner Infor�nnatioa�: Site Address: �� I✓�(� � ' 1�� Owner: �`t"�� 1'f'�J�� Mai�ing Address: /�� ' "`"`�'�� Ciry: �� - -- Z�p: �� / _ Home Phone: -��-�-'�"-'��J"' Alternate Plnone� Contractor Infoa-rt�ation: U,�(; � Contractor: Contact Person: �. _. � �.. � Address: �� State Bond#: �d�r �� o l� City: �i�'J Zip: Expiration Date: Pho�� a�~� (�� Alternate Pk�or�e: [� Insurance—Current; 1 1 . - , ;�,�5'x'�IvfS.R�X�G:ll�I;S,T•,AI�]�D. �, > -��,��I-�4�C' Note:All Geothermal Systeims will now require a Sfte Plan&Rev�ew by our Suilding Of�cial. IS'THIS GEOTH�RMAL? ❑ Yes�No HEATING SYSTEMS Quantiry: �.,,,_ �,. _.__... Make: ! Model: Fuel: � f Flue Size: P Input BTUs� Output BTUs: CFM: COOLING SYSTEMS Quantity: ... — lvzake_ Model: Tons: H.Power _ FlREPLAC�S ❑ Gas Factory Fireplace Brand Na�z�e� ❑ Wood 13urning Fireplace ❑ Wood Stove Model No.: _ � Woad Stove with Flue/Masonry V�N'CI LA'I'ION ❑ No. Kitcher�Exhaust duct recircvlating cfm ❑ No. � �acl�6xhaust(must h�ve duct ouFside) cfin ❑ No. Other Fans: Locxtions cfm FUEI.,STORAGE (Must be approved by Fire Mar.slrall if pro,posing to abandon tank in p(ace.) ❑ Installation ❑ Removal Fuel Oi�: gallons 0 Underground ❑ [nside ❑Outside LP Gas: gallons Other: GA5 LIN�OIVLY (] Outdoor Grzll ❑ Other/List What&Whe�re: 2 � � :::;^51� ,z5� ti�� u \.r�'' �,F��;"�"''.E,ll.."' �t"I:A��'.'VL�L��1��,�� i�� ...,�� '\. ;... .�� :� � , �� , .. • >:; ti .:;; .��;� l�.C}�•�'-��2002 S�'��,STATL7E :. L� � . .,,� . ,::,.. . .c,;:. '. :Y��. � 1 a� e 0 Yes,thas section applies The replacemer�t of a esidcntial fxture r a 'ance that meets all tfaree ofthe following requirements: t. Does_t�SLc require modifcation to eaectrical or gas service. 2. Has a totai cost of$500.00 or iess;excludin�the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homcowner or licensed contractor. Skip next section,if this applies; Cost of�ermit $ t 5.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 'I'Ota1 Permit Fee $ �x.;:�; � �p��T��`CAT��,�'�'IibN S '='7(��S.-OV�'�.$SOU:C}Q "., ;. ,,",R �,;.;.:. If above does not apply;follow guidelines below: 1. CONTRACT PRiC,� * is 1.25%of conCractpT�ce with a(Minimam Fee of$50.00),�,J-� �� U� X_o�zs$ (contrt�ct pnce) (minimum�50.00) 2. STA.T�SU�2CHARGE � 1b�o X.�ao> � n � (cOniract price) 3. POSTAGE&HAND�.CNG(Only on Mail-In A,p�lications) $ 2,OQ �.J� 4. TOTAL�'ERMI'�FEE(Add Lines 1-3 Above) $ �� "` C4NTRACT PRICE or Jb8 COST means the actual or estimated dollar amount charged for the permitted work including materials,Iabor,profit,and other fixed costs. [t is Yhe amount to be charged to the customer for the work done. If any material,equipmen[, labor or instaliations are fi�mished by the owner, tenant or any other party,the reasonab#e��arket vafue of such items must be added to the estin�ated cost or conCract price for permit fee purposes. In tkae event that there is a dispute Ott the amount of the job cast, the City may request the submission of a signed eopy of ihe actual contract. �;;';. . iV��:�T�CAT�PEI7NIIT API�LZC`A`,l�b�'�1?�Y��C.xYt�EIV1�N'� ,, �'", The undersigned hereby applzes to the City for issuance of a Mech2rtical�ermit, agrees to do all work in strict accordance With the ordinanees of the City and the reguiations of the State of Minnesota, arcd certifies that a]I statements made on thzs application are complete, true and correct. ' Appl icant's Signature: Date: �J�/J� ( ��"'"''"� - . 3 S�1 DATE TIME ✓ CITY OF ORONO CALLED IN �b"Z INSPECTION N,OTI a CHEDULED ��-�-�3 � PERMIT NO.aD �D G��OMPLE ED ADDRESS �� S� OWNER _/TELEP ONE NO. 7.�z 9z7 �� T' CONTRACTOR ��ry �� DESCRIPTION /�l�� 7—��C � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNOATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W � J � — O � � � O � W � Q � Z W � w � j � ❑WORKSATISFACTORY:PROCEED /fYPROJECTCOMPLEfE W ❑ CORRECT WORK&PROCEED I r 15SUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�0 Owner/Contractor on site: Inspector. White Copy/lnspector's File Canary CopylSite Notice