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Home My WebLink About2012-00280 - wood fireplace CITY OF ORONO * 2 0 1 z - a 0 z 8 0 * ` 2750 KELLEY PARKWAY DATE ISSUED: 04/12/2012 � ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 75 LEAF ST PIN : OS-117-23-11-0014 LEGAL DESC : GRAHAM HILL PRESERVE 3 : LOT 1 BLOCK 3 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-WOOD VALUATION : $ 3,000.00 NOTE: HEATILATOR CI80 APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 1.50 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (651)633-2561 TOTAL 53.50 Minnesota State License#:20512060 OWNER KAPSNER,JASON&JULIE 760 DICKEY LAKE ROAD LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry 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 goveming 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 time after work has commenced. The applicant is responsible for assuring all required inspections are requested in confortnance with the State Building Code.This permit may be revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issued By Si ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO FOR C17�1'USE ONLY � ( ity of Orono „ �'��., p�� gox�,�, Date Received� Permit# ��::_ . ��' �7�0 Kelle��Parkwa�� .� �t � �' Cn�stal Bay,MN 55323 Approved By� _ Amount$: �d� '"� e'-- Phone(952)249-4600 I�a.�(9�2)2-49-161(� ��iasa�'�y'', 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�ards will be sent by return mail after a review is completed. PERMITS ARE NOT V,4LIU l vTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERhllT CARU IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each heating. ��entilation,humidification-dehumidification,and air conditioning installation including heat loss�heat gai��calculation,design te��peratw�es,equipment ratings and identification as to type, manufacturer and modei. Data shail be presented on form provided. 4. When anr new construction or remodeling is involved,a separate building pennit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All worl< 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 ply) �Residential ❑ Commercial(Approval Required) �New ❑ Additional ❑ Repairs ❑ Replace Job Site /Owi�er Information: Site Address: �� .��%� Owner: Mailing Address: � �'�3� l.� !0� ' � �� L.� 1 r..� c�ty: � � p: 5 S '�`t� Home Phone: Alternate Phone: �h Z' L��, Contractor Information: CO�F.a��lf'� $t HOME TFC'HNr11 rir_res� i��Contact Person: �� dba FIRESIDE HEARTH & HOME Address: Lic. BC0512060 State Bond #: (7�S �1 I N �I7 2700 FAIRVIEW AVENUE iV � City: ROSEVILLE, MN 55�� Expiration Date: 7^ �— 1�J • . 1 Phone: Alternate Phone: �'�Z�3(��— Z] �� ❑ Insurance—Current: 1 ` MECHANICAL S'YSTEMS BEING T�iSTALLEI} 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: In�at BTUs: __ __ _ Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: ModeL• Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: � � Wood Burning Fireplace � Z,� Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAG E (Must be approved by Fire Marsha[l 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 STA"rUE ❑ Yes,this section applies The replacement of a Residential fixture or a�pliance 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, instal(ed or replaced by the homeowner or licensed contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT�FEE CALCULATION(S)—JOBS QVER$500.00 � If above does not apply; follow guidelines below: 1. CONTRACT FRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �3o�tic� c� X .o��s � .��aC� (contract price) (minimum$50.00) 2. ST,a"rE SURCHARGG � �f/ f7" ✓D�� x .0005 $ �" 1� (contrac[pricc) 3. POS��1GE& HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT 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 �naterial, 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 o�� the amount of the job cost, the Ciry may request the submission of a signed copy of the actual contract. � MECHANICAL PERMIT AP�PLICATION AGREEMENT' � The undersigncd 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, an�1 certifies that all statements made on this application are complete, true and correct. , Applicant's Signature: �C/y" �-- Date: _� — / �� Reset Form , � �� '��,�'�r� Owner's Manual Installation and Operation 3'he�rst name ir�fire�taee.s O Models: C180 Woodburning Fireplace � oo� � �J � �� 00o L��Ea (Traditional refractory shown.) CAUTION � OD �� DO NOT DISCARD THIS MANUAL �tS�C �� _ � • Important operating • Read, understand • Leave this manual with 9� � � ; and maintenance and follow these party responsible for � / instructions included. instructions for safe use and operation. � _�/ installation and operation. A WARNING AWARNING HOTI DO NOT TOUCH. If the information in these instruc- SEVERE BURNS MAY RESULT. tions is not followed exactly, 8 CLOTHING IGNITION MAY RESULT. fire may result causing property Glass and other surfaces are hot damage, personal injury, or death. ;,�`1`��=5� during operation and cool down. • Do not store or use gasoline or other flam- ma�� va�,crs and I;;�ui�� in the vicin�ty cf • �eer�h�!dren a��ay. this or any other appliance. • CAREFULLY SUPERVISE children in same room • Do not overfire. Overfiring will void your war- as firep�ace. ranty. • Alert children and adults to hazards of high temperatures. • Comply with all minimum clearances to • Keep clothing, furniture, draperies and other combustibles as specified. Failure to combustibles away. comply may cause house fire. Installation and service of this fireplace should �WARNING P.,*,9 be performed by qualified personnel. Hearth Fire Risk o= `�< & Home Technolo ies su ests NFI certified : � ' or factory-trained professio als,or technicians • For use with solid wood fuel or decorative '"=*�T�� supervised by an NFI certified 0 gas appliance only. ��E��9Y • Do not install unvented gas logs. professional. r.«�,�o�.o,�,�, Heatilator• C180 •4013-032 Rev N • 10/06 1 �— �J �' ^, DATE TIME ✓ CITY OF ORONO �a,LLED IN INSPECTION NOT�a_��b SCHEDULED� Y o�� PERMIT NO. �> COMPLETED ADDRESS S OWNER ' TELEPHONE N�� °G CONTRACTOR � DESCRIPTION `�- �"v�. '" � ❑ FOOTING ❑ PLUMBING INAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOILOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOFi TO MEET YOU:_YES_NO y COMMENTS: � W 0. � � �",� —1" S� 0 � � a � W � Q � 2 W � W � � � d W� /�WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECT UNSAFE CANDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. �� White Copyflnspector's File Canary Copy/Sfte Notice