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HomeMy WebLinkAbout2017-00307 - fireplace wood r � CITY OF ORONO * z 0 1 � - 0 0 � 0 � * 2750 KELLEY PARKWAY DATE ISSUED: 04/03/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1050 EDGEWOOD HILLS RD PIN : 02-117-23-13-0003 LEGAL DESC : REG. LAND SURVEY NO. 1098 : LOT 000 BLOCK 000 PERMIT TYPE : MECHAMCAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-WOOD VALUATION : $ 7,752.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT F[NAL INSPECTION. MASON LITE-WOOD STOVE WITH FLUE/MASONRY APPLICANT MECHANICAL 96.90 STATE SURCHARGE MECH(VALUATION) 3.88 TWIN CITY FIREPLACE STONE CO INC MAIL-IN FEE 2.00 6521 CECILIA CIR EDINA, MN 55439- TOTAL 102J8 (952)777-4125 Payment(s) Minnesota State License#: mech-MB682977 CREDIT CARD 5715 102.78 OWNER STEINER, BARBARA ]O50 EDGEWOOD HILLS RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMEIYT 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 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 1 SO 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. '�y../'�� ��_v�l.�l__l�� .. � _ � � Applicant Permitee Signature Date Issued ignature Date Apr 03 17 07:35a Twin City Fireplace 9529422093 p.1 _�q�c�t us�o�vLt• �� � Citv of Orono 1// ; � � � � � �O P.O.Box 56 Date Receivdr�('`///'/ Pemiit� / 2750 Kelley Pazlcway �r�r-� � Crystal Bay,MI�55323 Approved By: Amourn$: /b�, Phont{952)Z49�600 F�(952)244-4616 � a � f� � F � !�'FFS H O��G C1TY OF ORONO—MECHANICAL PERM�T (Ali Commercial pertnits must be appro��ed by tiie Building Official or Tnspector and/or Fire Marshalll GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applicatio�s�vill be reviewed and a permit will be issued within two wor€cing days. 2_ Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID lNT[L�'OU RECEIVE A PERl�1IT. �VORK MUST 3vOT BEGIN UNTIL TNE PERMIT CARD iS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations,details and speci6cations are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat Iosslheat gain ca(culation,design temperatures,equipment�atings and identification as to type,manufacturer aod rnodel. Data shall be presented on form�rovided. 4. When any new construction or rernodeling is invo]ved,a se�arat�bailding permit must be obtained. 5. All wortc must be done in accordance wiih the Uniform Mechanical CodelState Building Code requirements. G. All work must be inspected(rough-in and finat). Call(952)249-4600. (24-48 hour nofice required) 7. 1-ioase Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A l �C]�Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB] ❑ New ❑Additional ❑Repairs ❑Replace Job Site I Owner Information: Site Address: ��50 Edgewood �iill Rd. Owner: Steiner Rassieur Mailing Address: ��50 Edgewood H�II Rd. City: Orono 2i�_ 5�391 Home Phone: Alternate Phone: Contractor Information: Contractor: Twin City Fireplace Contact Person: Beth Ayers Address: 652'f Cecilia Circle State Bond#: MB6$2977 City: Edina ��p; 55439 �xpiration Date: Phone: 952.777.4125 Alternate Phone: �5��941.2685 Q Insurance—Current: 1 Apr 03 17 07;35a Twin City Fireplace 9529422093 p.2 MEG��CAL SYSTFA�S BEING INSTALLED Note:All Geothe�nal S}�stems wil�now require a Site Plan&Review by our Building Officia(, IS TFIIS GEOTHERMAT.? ❑Yes �No AEATING SYSTEMS Quantity: Mal:e: Model: F uel: Flue Size: Input BTUs: Oatput B7'Us: CFM: CUOLWG SYSTEMS Quantity: b9ake: Model: Tons: H.Power FIREPLAC�S Q Gas Factory Fireplace Brand Name: Mason Lite ❑ Wood Burrtir►g Fireplace ❑ Wood Stove Model No.: MFP49 Q Wood Stove with Flue;Masonry VENTILATION � No. Kitchen ExE�aust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations � FtiEL STOItAGE (Must be approved by Fire Marshall ifpropusing ta abandon tank in plac�) ❑ lnstallation ❑ Removai Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ON1LY ❑ Outdoor Grill ❑ Other/List What&Wi�ere: 2 Apr 03 17 07:35a Twin City Fireplace 9529422093 p.3 . , t ,PERMIT'FEE'CALCi�'I�ATI41�S . 1, CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of 550.00) 7752 x.OI25$ 9�.� {contract price) (miDimum 5SD.00) 2. STATE SURCHARGE 7752 X.000s s 3.88 (c�tracr pricc� 3. POSTAGE&HANDLtNG{Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above} S �Q2'7$ ■ " CONTRACT PRICE or JOB COST means the actual or estimated dotlar amoimt charged far the permitted work including materials,labor,profit,and other fixed costs. It is the aroount to be chargod to the customer for the work done. If any material,equipmenc,Iabor or installations are fumished by the owner, tenam or any other party, the reasonable market value of such items must be added to the estimated cost or contract price for permit fee p�rposes. In the eveRt that there is a dispute on the amount of the job cost, the City may request the submission of a si�ed copy of the actual contrack MECHANTGAL�ER1V4T A,PPLICATIOt�i ACiREEN1�NT - The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance 'h the ordinances of the City and the regtilations of the State of Minnesota,and certifies th�statements made on this application are complete,true and correct. �� . . �' �� 04I03/17 Applicant's Signature: ���� {' ',�.'' Date: ' 1 � J DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICEM SCHEDULED PERMRNO.� �w�� COMPLETED ___- '�'�� ADDRESS _� ���w� ;�TIS ��- �NNER TELEPHONE NO. CONTRACTOR 7w"� C`�� �`�• � DESCRIPTION � �-P• I4J� /�'1'�f• /�c/'��io�c t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB �ECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ ECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 01MNERICOI�IiRACTOR TO MEET Y�OU:_YES_NO � COMMENTS: � /791.t a.�t��,.•-� �.sJ�s 4� ��`1-`a — , " �7a/M�'YL C L� !�6��I �i �P►�/ Q�`'� � � ��y � lJQ.� �'va cs '— c�•C � Cb�i!/1 l.Ga �O W 0C Q ' i � �/1�'fJ�'' L7�-S�`�L`C ��eF �eGsr' W w � � � 4�j/�JO�iKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE W ❑CORRECT WORK d.PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O O(�RRECT WORK��L FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pF{OTO TAKEN INSPECTOR WILI RETURN ❑CITATION ISSUED O STOP OROER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cafl for the next inspection 24 hours in advance. (952) 249-4600 OwneNContractor on site: Inspector: ' fe Copyllnspacto�'a FIN C�nary CoPylSib Notfce J�� � � �- _D TE 7 TIME CITY OF ORONO CALLED IN �� INSPECTION N I SCHEDULED �G PERMIT NO. '� 7 c P� eo ADDRESS G{�:OG S OWNER P ONE NO.�S�- � - CONTRACTOR I I.(�I ✓� � r" C�, � DESCRIPTION ����� �T L�'`�� � `-���- w ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ 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 _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICOlITNACTOR TO MEET YiOU:_YES_NO � COMMENTS: y��y � ��r ��,tr4�r j �c� G. _ �;�, f� . ��e,fa�c _ o , � -� �`45.� ,�1 C'�i�r.c re�i - � � C�P�s �a AC c� ' d iC OO � t1 i i G/@4�'•��CGc � $�e t `� �rG�G. 1S-t N�E,S. lJ Q ,pCv CD h��'4G�a✓ " � 2 � �°pn�i r4�a� � �-vr1�•C � •�` �- F � �6.t12C���G ra0 �' �J' 4�/�[ � d T-Y�C/2� � c � ❑WORK SATISFA�CVTORY:PROCEED ��� �����P�E ERTOIFICA E OF OCCUPANCY � �CORRECT VIfORK 6 PROCEED ���� � � ❑(�RRECT WORK CALL FOR REINS�ECTION �. � TEMPORARY � BEFORECOVERING Y���tv PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOPORDER POSTED.CALL INSPECTOR �J1�ECTION REQUIRED.CALL TO ARRANGE ACCESS. � Call for the next inspection 24 hours in advance. (952) 249-460� OwnerlContractor on site: Inspector: � VYhite Copyllnspector's Flle Canary CopyfSfte Notke DATE TIME CITY OF ORONO CALLED IN � INSPECTION. OTICE SCHEDULED /— 91-151/ / D PERMIT N CV1..QPILETED ADDRESS 11 I b C-1tOOzc, 6 OWNER TELEPHONE NO. CONTRACTOR 0/94girt- DESCRIPTION peetC-0 W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING O ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION • 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ❑ DEMO-SITE 0 SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO v)• COMMENTS: cc 100 GOOod -n e (a.ce._ cc cc W CC Q W CC W 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE CC0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copylinspector's File Canary Copy/Site Notice