HomeMy WebLinkAbout2017-00804 - wood fireplace ` CITY OF ORONO * z 0 1 7 - 0 0 e 0 4 *
2750 KELLEY PARKWAY DATE ISSUED: 07/12/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1220 LYMAN AVE
PIN : 35-118-23-34-0016
LEGAL DESC : LYMAN WOODS
: LOT 003 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-WOOD
VALUATIOPT : $ 5,300.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
WOOD STOVE INSERT
APPLICANT MECHANICAL 66.25
STATE SURCHARGE MECH(VALUATION) 2.65
WOODLAND STOVES&FIREPLACES MAIL-[N FEE 2.00
2901 E. FRANKLIN AVE.
MINNEAPOLIS, MN 55403- TOTAL 70.90
(612)338-6606 Payment(s)
Minnesota State License#: mech-MB0003804 CHECK 48024 70.90
OWNER
BENSON, SEAN&ALISA
1220 LYMAN AVE
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
Ihe 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 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 for due cause.
� � ��� � / � / �
C / �
Applicant Permitee Signature Date Issued By� ature Date
- RECEIVED
FOR CITY USE ONLY
��A _� City of Orono �� '� � 1(���
��/ P.O.Box 66 Date Received: Permit#
'_'7S0 Kellcy Parkway
Crystal Bay,MN 55323 Approved By: Amount$:_�'� OF ORONO
Phone(952)249-4600 Fax(952)249-4616
� ./
�
1.�kksF���w�' C1TY OF ORONO—MECHANICAL PERMIT
� �- (All Commercial permits must be approved by ihe Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
L 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 UNT1L YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB S1TE.
3. Mechanical DesiQns—Complete calculations,details and specifications are required for each
heating,ventilarion,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 fonn 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 mList be submitted before final.
TYPE OF PERMIT
(Check All That A 1 )
['�esidential ❑Coinmercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
❑ New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: ���C% � �C��7 �%f7U�
�� ,
Owne • ✓�r'/1��'� Mailing Address: ��'�'C� ' /���� ' ' ���
City: ' ^ 'i�-� Zip: �� �� �
Home Phone: Alternate Phone:
n
Contractor Information: �
� ��� �
Contractor. '(.�'�� '�� -- �'� Contact Person: �
�' � r�'�%� /�� Z�
Address: ,�/G�/ f X��i1�=L-.n State Bond#: � G l�� 7
City: /������ Zip:�S��'Expiration Date: l� :�—% ��
Phone: ��� --��d�����'��� Alternate Phone:
❑ Insurance—Current: �L% � �—' ���
1
'' MECHANICAL aYSTEMS BEING T�TSTALLED `
Note: All Geothermal Systeins will now require a Site Plan&Review by our Building Official.
1S TH1S CEOTHERMAL? ❑ Yes [t�'No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLINC SYSTEAIS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name: ���
�❑ Wood Burning Fireplace ���,��, f.�.�
Wood Stov�-- j n`S��"T Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfm
❑ � No. Other Fans: Locatio�is cfm
FUEL STORAGE (Must be approved by Fire Marshull if proposing to abandon tank in place.)
❑ lnstallation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
, PERMIT FE���I.CC.�LATIQ�+TS �.,3,. t�' �-��:_ ,
�.
L CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
�
��C�' ���"� x.0125 $ ���� :�1`�
(contract price) (minimum$50.00)
2. STATE SURCHARGE ,r
���� •��� x.0005 $ � ��5
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� ���
■ * CONTRACT PR10E 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 tl�e customer for the work done. If any material,equipn�ent,labor or installations are fiirnished 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. ln 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 achial contract.
� 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 o this application are complete,true and correct.
�
; �
Applicant's Signature: Z ' -�'"� ��'� Date: � << ��
3
, ,,,.(---( 6,Y
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICESCHEDULED 10— I�l 9-Or)PERMIT NO.; C 7_0 O FO LI COMPLET D
ADDRESS / 2Q Alrk I. L-il Ike_
OWNER ,--TELEPHONE NO. 95:-2- --37-373(
CONTRACTOR t4)O001 Iet—A.a. <'-/"G'L CJ -
E DESCRIPTION b l�V r1► ;�L� /`�
W 0 FOOTING 0 DEMO-FINAL / ❑ SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
C ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
▪ ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
J• ❑ DEMO-SITE 0 SEPTIC INSTALL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
R COMMENTS: ..ipeg -.0. 1� O,bueK 1't5 U.L. . / nsert me-6
cc
o /y1R5 • r dyr1. . -
atat - c.'4..rt rt er ex.p k< S/at rk_ *,ress7 ✓-
Wf''O v fIOc? GL
Oc - 6 ),SbecO e..s4eldy ff€
- r11.r6• c A,4•1 t-, oird.4'bs� ec2 Cf.)/ rla•l
W e- rt-64‘
tii6CG c a...".c p.bor-
cc — F'A51c iet se-4 dfic.- >��S
CI IAA 1piORKSATISFACTORY`. ei b O PROJECT COMPLETE
CC
W 0 CORRECT WORK 8 PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
CI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
CaN for the next inspection 24 hours in advance. (952) 249-4600
OvmerlContractor on site:
Inspector: /_
White Copyfnspsctor's FIN Canary Copy/Sits Notice