HomeMy WebLinkAbout2010-00924 - wood fireplace � CITY OF ORONO PERMIT NO.: 2oiaoo92a
� 2750 KELLEY PARKWAY
"' ORONO,MN 55356- DATE ISSUED: 09/30/2010
` 952 249-4600 FAX: 952 249-4616
ADDRESS : 60 MYRTLEWOOD RD
PIN : 36-118-23-33-0020
LEGAL DESC : REG. LAND SURVEY NO.0446
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-WOOD
VALUATION : $ 24,570.00
NOTE: MASONRY FIREPLACE-WOOD FLUE
APPLICANT MECHANICAL 307.13
VM MASONRY LLC
31247 241ST AVENUE STATE SURCHARGE MECH(VALUATION) 12.29
LESUEUR,MN 56058- TOTAL 319.42
(612)986-4766 PAID WITH CC# 7005
OWNER
HARTMAN,TODD
60 MYRTLEWOOD RD
WAYZATA,MN 55391-
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 requi�es sepazate
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 conformance with the State Building Code.This permit may be
revoked at any time f due cause.
/ / / /
Applicant P tee S' nature Date Issued By Sig ure te
SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED A O
09/30/2010 THU 8� 41 FA� 507 665 3775 6edvex Co�p�ny �002/003
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ing Perrnit Application
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'1"n)s application fnrrn must be completed in full and all required information must be suhmitted,
incomplete applications will bo roturned. (/�lease pr�i��f)
GENERAL IN�ORMATION:
Job Site Address: lA� ?���� �
Will this be a Parad� of llomes, Remddelers Showc�se Home������������ � � '���T���� �I—+��
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or other Dis la Mome7 ` � Yes ��o
I(yoF, a spc cial�vanf�c�nT�it is�c,purrr�d with Pollr.e nopc,rtmont nnd C,Iry Gvunc!/npprOVAI 60 dHys prio�royne,�vu���. �auui@ ,�IJS S(1�1/ICA WIII I)O
reyufrntl u/IIOss appHr.�nl demonsir�(cas sulficio�if un-slle ptirkin�is nv�llal�le, Non-por•miflocl c�vc�nfs wiU not b�nllnwod.
CONTRACTOR/APPLICAN7 INFORMATION:
Name: �Y� '��G�,�Y'v��l..C.._�.
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PROP�RTY OWNER�IN,F�F�MATI�N:
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ARcHiTECT i ErvGINEER INFORMATION:
Nam�:
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PROJECT INFQRMATION:
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1,7ypC of Proj�Ct' 2. Proposad�Use 3.Structurc 7ypv 4, Sowage Dlsposal&
Wa�r Supply
[] N�w Construction ❑ Single f=�mily wifn .�R�sidenc;e
❑ Addltfon atCachod c�arage �� G�rag�/Accessory 81dg, � hublic Sewer
❑ACcescory Buildinc� ❑ 5ingle FSmily with r (�pck
❑ re�ocation �/� detached gar�,flc� �Officc/Commc:rcial ❑ Priv��te Sower
� Othor; (spectfy) i� �O��OY�� c:(.,�.�. Multipfc, 1=amily/Condo ❑Wareli�uhc
�.,,,J f-'ublic �;„;� Siora�a �] Public Water
""Any earth movamEnt may requlrc �] Lornmercl�l �„] onc��r(sneciry)
MCWD review 8 p�rmits. ❑ Industriral ❑ I'riv�a�a W011
Minnehoha Crc��k Wat�rypied Dlstrict(MCWD1 � her: (�:p�cify) �V� '
102Q2 Minnolonka R)vd ,p �(;�,��
Ucephavcarl, MN 553�1 –{y'1� " ,"-"'....`
Pl�on?; 952•4'%1-OG90
rax: ��z-a7�-o�oz
www.minnc�hAh�cre�k.orc{_
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Cstimated Cc�nstruction Valuation (c�xcluding land) $ �J'/ v '��.,.^.:,,4,
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4ast Updated: 9/29/:.�UU9
.. 17 -
09/30/2010 THU 8� 42 �.A.X 507 665 3775 6e�vex Coimp�ny �003/003
STRUCTURE INFORMATION:
1, Structuro Dlmensipns�~ 7.Structure Dimwrizfoiis(continuedj' 2,7ype�of Cons4ruttion���y�
a. L�nglh(ft.)= Numbar of bOtll'obms= []Woad/I�rame
(]Masorny
b.Width(ft.)- � Number of g�rage stalls: Melai ....
� Attached=" " � � Polc pldg.
�,,,�r 'i s �ra fee Detachod=�,,,,, � ICF
C. 68sem6nt� �On-site Pref�b
----T..— ❑Otf-slte Pr4fab
d. 1 e1 SIOry � ,,,,� �]Oth�r(plCaso sp�cify): �
n. 2"`�Story`
f, %a Stot'y =
g.Tolal Area= �
RE�UIRED $UBMITTALS:
All of the information �rust be submitted in order for your application to be process�d:
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Ena�osod , Applicable
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„„,� .__ __ S o mwater Poliution'Pr�vontion Plpn �
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APPLICANT ACKNOWLEDGEMENT�„ ___, x� M
• Agrees to provide t�ll information raquired or requesied by the nuilding Dep�rtment;
• A9roas to pay thn City of Orono fvr enginao�ing conSulkltlt revleW cnsts in exCess of$600;
� Certifios ihat tho inforiretion supplied is truo a�d corrpCt to Ule beSt Of his/ner knbwlodg�. The epNlicant recognPzes ihat they
a�a �ofely res�ponsiblp for cubmitUr,g a complet� applicallon bcing aware th�t upon failure to tlb Sq, the staff has no altarnative
but t0 reJ�C[�l until it is complQta;
• ACknpwlOd�es the CsCrOw Agroomenl is complsted�nd signed;
• Some or atl of the fi�formaiion Lhal you are asked to provide on this applic3tion is classifed by State I�w �s cither privata or
confide�ntial, Private dAta is inform�tion wniGi goner�Ily cannot be gi�en io tfle publie but ean bo given to thv subject af the date.
Confidantial dsta i,� informetlon which genorally cannot be glven to eithor the'publie or tho subject of th�data. Our purpose�i�d
tn4ondad use of this informetion is lo �,nnually updat� our records anQ records of Oth�r�overnmentel ageneies rQqulred by lew,
If you rGfuse to supply the information,the appl(cation mey not ba iasued. �
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ApplicenCs SiQnawre: �»����� , I�ate:
laGt Updatod: 9I25�/2009 �
- 18 -
� ^ � � ATE TIME �/
CITY OF ORONO CALLED IN �d �
INSPECTION NOTICE /SCHEDULED ��
PERMIT NO. ���-�a 9 ��'COMPLETED � �
ADDRESS � ��� b
OWNER ' / TELEPHONE NO.��—����7`�
CONTRACTOR v , ���
a DESCRIPTION �'
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lt� ❑ FOOTING ❑ PLUMBING FINAL ❑ V/GRADING/FILLING
Q ❑ POURED WALL I�MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
0 STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 for the next inspection 24 hours in advance. (952) 249-46�0
OwnerlContract
Inspecto
White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN � ��Z-z�!G
INSPECTION NOTICE -�,� scHE�u�Eo �_��� ��
PERMIT NO. 'ZG I�'"L�G�G� COMPLETED
ADDRESS ( n C:� G`Vl� ►r� I� C.L��� �
OWNER TELEPF�QNE NO. ,
CONTRACTOR �J�- � �� �-�-�-
� DESCRIPTION �` U`����C� 1�,/-�
l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPT{�C FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:JL YES_NO
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V BEFORECOVERING PERMANENT
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INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL�NSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (J52� 249-4600
Owner/Contractor on site•
Inspector. l�./���`�
White Copyllnspector's File Canary CopylSite Notice
� �� ��{� � �� 1 /
DATE TIME "
� CITY OF ORONO CALLED IN /
INSPECTION NOTICE SCHEDULED ��
PERMIT NO. COMPLETED
ADDRESS ( i-�� �'�J7r i�(C"I , ���' �.�f
OWNER TELEPHO NO.
CONTRACTOR
>: DESCRIPTION ' � �`�
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ 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. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SE�FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEETYOU: YES_NO
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION RE�UIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46��
Owner/Contractor site:
Inspector. • ���
White Copyllnspector's File Canary CopylSite Notice