HomeMy WebLinkAbout2016-01197 - wood fireplace . � CITY OF ORONO * z 0 1 6 - 0 1 1 9 7 *
2750 KELLEY PAI2KWAY DATE ISSUED: 09/26/2016
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1820 FOX ST
PII� : 03-117-23-42-0009
LEGAL DESC : HI ACRES TWO
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-WOOD
VALUATION : $ 3,000.00
NOTF;: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECT[ON.
W'OOD BURNING FIREPLACE
HEATNGLO
MODEL ROYAL HEARTH 36
APPLICANT MECHAN[CAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.50
FIRESIDE HEARTH& HOME MAIL-1N FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE, MN 55113 TOTAL 53.50
(651)633-2561 Payment(s)
Minnesota State License#: mech-20512060 CHECK 2007051 53.50
OWNER
MCDONOUGH, PAUL& LYNNE
1820 FOX STREET
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which diis permit is issued shall be performed according[o
the approved plans and specifications,applicable City approvals,and the
State Building Code. This pennit 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 auNiorized 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 afrer work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
9� -��� � �
Applicant Permitee Signature Date Issued By nature Date
� � � RECEIVED
P 2 6 2016
F R CITY US NLY
�OA TO Ci of Orono
<�/ P.Box 66 a[e e : Pe�#���1 OF ORONO
2750 Keiley Parkway -��
Crystal Bay,MN 55323 Approved By: Amoun[$:
Phone(952)249-4600 Fax(952)249-4616
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�qkfSHo���' CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by[he Building Ofticial or Inspec[or and/or Fire Marshall)
GENERAL INFORMATION
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 atter a review is completed. PERMITS ARE NOT
VALTD UNTIL YOU RECENE 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 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 befare final.
TYPE OF PERMIT
(Check All That A 1
Residential ❑Commercial(Approval Required) [Backflow Device: ❑ AVB ❑PVB]
New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: � �f7 a
Owner: +, -� /� T ��� .,C��s� ailing Address: � ��� �x � �
c��: b �o n a Z;p: 5�39 r
Home Phone: Alternate Phone: � ��'r34�'y//��
Contractor Information:
y-�ARTH & HOME TECHNQLOGIES
Contractor: db���,TB� NFARTH &HONl�ontact Person:
Lic BC662656
Address: ��nn FAIRVIEW AVENUE N State Bond#: � g� ���'f 7C�
ROSEVILLE, MN 55113
C�ty. 651.633�61 Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
MECHANICAL SYSTEMS BEING INSTALLED
Note:All Geothermal Systems will now reqUire a Site Plan&Review by our Building Official.
IS THtS GEOTHERMAL? ❑Yes ❑No
HEATING SYSTEMS
Quantiry:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name: �y�e�}r�(S ( "
� Wood Buming Fireplacc I�
❑ Wood Stove Mo de l No.: e � �i G�•r 7'� ��
❑ Wood Stove with Flue/Masonry
V ENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall if proposing 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
. �
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PERMiT FEE CALCULATIONS
1. CONTRACT PR10E *is L25%of contract price with a(Minimum Fee of$50.00)
r
���'� x.0125$ � �-�
(contract price) (minimum$50.00)
2. STATE SURCHARGE �7 /
J��•� x.0005 $ �• J�
(contract priccl
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMTT FEE(Add Lines 1-3 Above) $ �,3.��
• * 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 fec purposes. In the event that therc is a dispute on thc amount
of the job cost, the City may request the submission of a signed copy of the actual contraet.
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 ardinances 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: � p� �
3
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CITY OF ORONO CAILED IN � �
INSPECTION N�T/I'CE / SCHEDULED �f— ��(� �
PERMIT NO. ✓"�1 " ���COMPLEfED
ADDRESS � � �e
OWNER LEPHO NO � ��`��s ��
CONTRACTOR � � � --��--
� DESCRIPTION ���- � `�'�
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Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLiNG
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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V BEFORE CONERINO PERMANENT
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❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Ca8 for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContraator on site: /'Y,ls r
inspector: �� '�
White CopyAnspeetw's FII� Canary CopylSk�Notles
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�� DATE TIME
CITY OF ORONO CALLED IN - �'�
iNSPECTION NOTICE SCHEDULED l/- � �v
PERMR NO. - ���� COMPLETED
ADDRESS / g�� �� ' �-�
OWNER - �LEPH NE NO. -s� ��
CONTRACTOR ��-y�� 'r� ��"
� DESCRIPTION � �
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 ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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2 OWNENCOPITRACTOR TO MEET Y�OU:_YES_NO
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CdVERiN(i PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HWRS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advanoe. (952) 249-48��
OwnertContractor on site:
Inspector. ^^-
Whits CopyAnspector's FIi� C�n�ry CopylSib Notfe�
DATE TIME �
CITY OF ORONO cnLLED IN
INSPECTION NOTIC� SCHEDULED
PERMR NO. ab� � bvI�S7 COMPLETED
ADDRESS ,L�d� '�� ,�� .
OWNER TELEPHONE NO.
CONTRACTOR �►r rS���• �'�'�✓� f�''�-
� DESCRIPTION �o � ��� 'd . G� � •�•
�y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FI A ��
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINCa
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
� �FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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� COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERIN(i PEqMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHpTOTAKEN
INSPECTOR WFLL RETURN .
❑STOP OR�ER P�TED.CALL INSPECTOR �GTATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca8 tor the next inspectfon 24 hours in advanoe. (952) 249-4600
OwnerlContractor on site:
Inspector: �� � �
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