HomeMy WebLinkAbout2011-01587 - wood fireplaace , �
CITY OF ORONO PERMIT NO.: 2011-01587
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 12/29/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1100 MILLSTON RD
PIN : 10-117-23-14-0015
LEGAL DESC : MILLSTON
: LOT 000 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-WOOD
VALUATION : $ 19,300.00
NOTE: WOOD BURNING FIREPLACE
APPLICANT MECHANICAL 241.25
STONWERK STATE SURCHARGE MECH(VALUATION) 9.65
2434 COMMERCE BLVD TOTAL 250.90
MOUND,MN 55364-
(952)472-0714 PAID WITH CC# 3737
Minnesota State License#: BC323192
OWNER
BURWELL,MR.&MRS. RODNEY P
7901 XERXES AVE S
BLOOMINGTON,MN 55431-
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 sepazate
pertnits. 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 consVuction authorized is not
commenced within 180 days of the date of issuance,or if consWction 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 conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee ature Date Iss e y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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2750 Kelley Parkway ��� _ �� �� � �• °
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� Phone(952)249-4600 Fax(952)249-4616 ' `
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CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GEi�F�.AI..T���2:1vIATION= . R,,, .
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l. You may apply for mechanical permits by mail or in person at the City offices. Applicarions will
be reviewed and a pernut 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 RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specificarions are required for each
hearing,ventilarion,humidification-dehumidification,and air condirioning installarion including
heat loss/heat gain calcularion,design temperatures,equipment ratings and identificarion as to
type,manufacturer and model. Data shall be presented on forxn provided.
4. When any new construcrion 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.
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�Residential ❑ Commercial(Approval Required)
�New ❑Additional ❑ Repairs ❑Replace
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Site Address: 1[p/� 7yJ,%lsr�oa�Y
Owner: /��cdwP�� Mailing Address:
City: ��^c«a Zip:
Home Phone: Alternate Phone:
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Contractor: .;'r�L'i��i�i^/� Contact Person: ��`L ' ' � �-�--
Address: Z�/jy Co.�r�crrr�c� �«�3tate Bond#: _�G� ZZ l`1'Z
City: mvc��� Zip:� Expiration Date: �f 3/�ZOI Z
Phone: 1'f Z - Y 7Z -D 7 K�' Alternate Phone: �l2-�<,y—O j/7
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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:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
� Wood Burning Fireplace
Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfrn
❑ No. Bath Exhaust(must have duct outside) cfrn
❑ No. Other Fans: Locations cfm
FLTEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installarion ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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❑ Yes,this section applies
The replacement of a Residenrial fixture or ap�liance 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 $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
� �OD x.0125$
contract price) (minimum$50.00)
2. STATE SURCHARGE
x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $_ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * 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 pernut 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 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, irue and
correct.
Applicant's Signature: � � Date: /Z�Z�( //
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