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Home My WebLink About2009-00815 - wood fireplace w• CITY OF ORONO PERMIT IVO.: 2009-00815 � 2750 KELLEY PARKWAY ORONO, MN 55356- nATE IssUEn: 1U12/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 3235 GRAHAM HILL RD PIN : OS-117-23-14-0068 LEGAL DESC : GRAHAM HILL PRESERVE : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-WOOD VALUATION : $ 11,000.00 NOTE: (1)GAS FACTORY GASLOG-I IEAT-N-GLO-VWL-24 (2)WOOD BURNING FIREPLACES-HEAT-N-GLO-RUT[IER}'ORD 50 AND EXCLAIM 36 APPLICANT MECHANICAL 137.50 FIRESIDE HEARTH & HOME STATE SURCHARGE MECH(VALUATION) 5.50 2700 FA[RVIEW AVE ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (651)633-2561 TOTAL 145.00 Minnesota State License#: 20512060 OWNER KILL, BOB&COURTNEY 350 NORTH ARM LANE MOUND, MN 55364- 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 the 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 specitied herein.This permit will expire and become null and void if construction authorized is no[ commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days a[any time after work has conunenced. The applicant is responsible for assuring all required inspec[ions are requested in conformance with the State Building Code.This permit may be revoked at afry time for due cause. ��ZGz.�� /�l /�-1- O� //l / l D Applicant Permitee Signature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRBED ABOVE. FOR TI' USE ONLY �yC �p� City of Orono /� G^ a�-y�p �/� nGC�`��O¢ `rQ:, P.O.Box 66 Date Received JPermit#(/rif/ /+ 0 . 2750 Kelley Parkway � N O`� � � ��,i " R Crystai Bay,MN 55323 Approved By: Amount$: � � �..:, o��,o` (952)249-4600 COTY �F Q�� CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector 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 after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�—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 A 1 ) �Q Residential �Commercial(Approval Required) / � �New ❑ Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: 3�2 3 S G r��•�•M- �:�l ed Owner: ��or"e►y Q�cn �oM�S Mailing Address: City: Zip: Home Phone: �S�o?-��75� �t7�� Alternate Phone: Contractor Information: Hearth 8�Home Technolog��nc. Contractor: dba Fireside Hearth & Home Contact Person: ce Rose Nle,a�N 55 13 Address: State Bond#: City: Zip: 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 THIS GEOTHERMAL? ❑ Yes ❑No NEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: __ _ Make: Model: Tons: H. Power FIREPLACES �e�,��a � t t �'� �, Gas Factory Fs�i�e�ace G F•f �d� Brand Name: � a— ,'� Wood Burning Fireplace ,I ,�-G aS �p,� B Wood Stove Model No.: 1�w(- "2'1 ❑ Wood Stove With Flue QK��e�f o�� S� VENTILATION ��(G I ti�^'� J� ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfin 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 PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appiiance 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;excludine 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 $ .50 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 PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) -� II Ovv.v� X.o�2s$ �37. Sv contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50) � 1 I rrW , � � d , X.000s $ � - �(cont�act price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � 7.5 �, ■ * 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. ■ **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. 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: � �— Date: /b U Reset Form 3 y�� TE TIME � C CITY OF ORONO � CALLED IN � � '-��'-� � � WSPECTION NOTICE,/�p r SCHEDULED ��:'�'o'G � � PERMiT NO:��C'�-f '�.l JO��J COMPLETED ADDRESS � �� C�r� l� vY, N I ( I �� OWNER CONTR. t-I 1��idQ� TELEPHONE NO. �-F I �' �J��' � ��U �� DESCRIPTION � ��C-t '- �� ;�C'� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTA�L. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a o �- ; <t St-o ►� a f0��. G� Lv C�U a � —i lC�I� l r1 �C- �, � 0 � W � Q � Z W � W � � d � ORK SATISFACTORY:PROCEED �� PROJECT COMPLETE W ❑ ORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED � INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on sit�: Inspector. White Copyllnspector's File Canary CopylSite Notice