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Home My WebLink About2015-01202 - wood fireplace , � CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 5 - 0 1 2 0 2 * DATE ISSUED: 09/18/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4205 NORTH SHORE DR PIN : 07-117-23-43-0004 LEGAL DESC : ORCHARD BEACH : LOT 002 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-WOOD VALUATION : $ 4,000.00 NOTE: NEW WOOD BURNING FIREPLACE(HEAT N GLO) APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUAT[ON) 2.00 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRV(EW AVE ROSEVILLE, MN 55113 TOTAL 54.00 (651)633-2561 Payment(s) Minnesota State License#: mech-20512060 CHECK 2005348 54.00 OW1vER KOEHLER, TIMOTHY& DANIELLE 4205 NORTH SHORE DR MOUND, MN 55364- AGREEMENT A1vD 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 onty 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 permi[will expice 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 perniit may be revoked at any time for due cause. �'�� %�) r / �i �c� ��1...� ��= �;� 1��+�� `�, � .�; �`� Applicant Permitee Signature Date [ssued y Signat e Date � r , -, FOR CITY USE ONLY " O � City of Orono � NO P.O.Box 66 Date Received: &I�S permit# ZD�-S- � �?2� 2750 Kelley Parkway � Crystal Bay,MN 55323 Approved By: � Amount$:� Phone(952)249-4600 Fax(952)249-4616 � a �y � F� � qk�sti��.�' CITY OF ORONO—MECHANICAL PERMIT (All Commcrcial permits must be approved by thc Building Ot�icial or Inspcctor 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 cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations,details and specifications are required for each heating,ventilation,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 form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All wark 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. TYPE OF PERMIT (Check All That A 1 ) �Residential ❑Commercial(Approval Required) �New ❑ Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: y�O 5 �/o r �� s�o rr �J' � � ��r Owner: � n '�.rr�+= MailingAddress: y��s f��r��S�o�� pr• city: oror► o zip: SS 3S l Home Phone: Alternate Phone: �.s,- 913- ��/� Contractor Information: HEARTH & HOME TECHNpLOGIES Contractor: Contact Person: H & HOME Lic BC662656 Address: State Bond#: ENUE N ROSEVILLE, MN 55113 City: Zip: Expiration Date: 651.633.2561 Phone: Alternate Phone: ❑ Insurance—Current: 1 � t � � MECHANICAL 5YSTEM5 BEING INSTALLED Note:All Geothermal Systems will now require a Site Plan& evie by our Building Official. IS TffiS GEOTHERMAL? ❑Yes ❑No HEATING SYSTEMS QuantitY: Ma.ke: Model: Fuel: Flue Size: Input BTUs: Output BTLTs: CFM: COOLING SYSTEMS QuanhtY: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ,��c.�.� ��o Wood Burning Fireplace Wood Stove Madel No.: �K�t-�Z��o�� 3(Q- (3 ❑ 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 STORAGE (Must be approved by Fire Marshall if proposing W abandon tank in plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 ti � i �y PERMIT FEE CALCIJLATION(S} BASED OFF-200� STATE STATUE ❑ Yes,this secrion applies The replacement of a Residential fixhue or appliance 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 fiadwe 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 $ 1.00 Mail-In Fee(If Applicabie) $ 2.00 Total Permit Fee $ PERNIIT FEE CALCULATION S —7�BS OVER$540.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimam Fee of$50.00) y!�'d'�•v'� x.0125$ ��,tlD (contract price) (minlmum 550.00) 2. STATE SURCHARGE y G'L'�. � x.0005 $ Z•t''U (cont�act price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ ��.0 D ■ "` CONTRAC'T PRICE or JOB COST means the actual or estimated dollar amount charged for the pemutted work including materiais,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 fumished 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 on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. MECHArTICAL PERMIT AP'PLICATIO�T A.GREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Perinit, 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 staxements made on this applicarion are complete, true and correct. � Applicant's Signature: �� Date: � / 3 � � �� DATE TIME � CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED �� PERMPT NO ��'�Z COMPLEfED � ADDRESS Z�CJ �` �V�O V�- � . OWNER TELEPHONE NO. ��Z�� g� CONTRACTOR �� - � DESCRIPTION � I r �C�-�-� 41 ❑ FOOTING ❑ D O-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL , ❑ RATED WALLS � ❑ INSULATION ❑WOOD BURNERlFIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC I STALL 2 OWNERlCONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: a j 0 o� 0 W � Q � W W � j O W WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE � ❑CORRECT YYORK 8�PROCEED ❑ISSUE GERTIFlCATE OF OCCUPANCY W 0 ❑CORRECT WORK�LL FOR REINSPECTlON � TEMPORARY V BEFOREC01/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WtLL RERJRN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION RE(iUIRED.CALL TO ARRANGE ACCESS. Catl br the next Fnspection 24 hours in advanc�. (95 ) 00 OwnerlContractor on site• Inspe�tor: White CopyAnepe�tor's Flle Canary Copy1S(te NoUee � DATE TIME CITY OF ORONO CALLED IN INSPECTION�IOT�iEolaD� SCHEDULED --��y� /� PERMfT NO.�� COMPLETED J -O�T'�b ADDRESS ��QS /S�- S�a r� 6°I r- OWNER � TELEPHONE NO. CONTRACTOR ��r'� 5�d�ie I�G2✓� 'd`" �•r�e � DESCRIPTION r'' �` ��L lV ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT `� ,�,AL ❑ WATER HOOK-UP ❑ FOLLOW-UP 4Qi�❑ASBUILT-SURVEY ❑ SEWERHOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERIoCONTRACfOti TO MEET YCtl:_YE.4_1� � COMMENT� � �'�/'� �6u.l� �e%�' l��rK. tis /�=•!�. � v�d�l� C'o-r�/.!`��c � 0 � _ � � .. . . � /ll4�t��.�. �rl« - � C �oi��sC-� Q �� io.�� 'Q � �ss,.�c�S��,�llQS ao � W W � � J � ❑WORK�►TISFACTORIN PROCEED `��aIECT COMPLETE W ❑CORRECT WRDRK 8 PROCEED ❑I E GERTIFlCATE OF OCCUPANCY � ❑CORRECT WOFtFC,CALL FOR REINSPECTION TEMPORARY V BEFaRE(�1IER�Nd PERMANENT ❑CORRECTUNSAFECANDITiONWITHIN HOUFI.S. p pF{pTOTAKEN INSPECTOR W{LL RETURN O STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED ❑INSPECTION RE�IIRED.CALL TO ARRANtiE ACCESS. Cell tor the next inspectbn 24 hours in advar�ce. (952) 249-4600 Owr�riContractor on site: � Inspecta: y"' Whits CoPYMs�o�'s Flle Canary Copy�ite Nolice � t�� i� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE � SCHEDULED (,� llo � PERMIT NO. �� COMPLETED ADDRESS Z ` vY C v Y� Z OWNER TELEPH NE.NO. CONTRACTOR f--I �� DESCRIPTION l/U� �� I� X . , W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ 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 IN ALL ((�j � OWNER/CONTRACTOR TO MEET YOU:_YES�NO �5�`��3 r 2'/�I � COMMENTS: �_o�l �� `, I c ,� �f" � W a j � O , � � � O � � W � Q � � 2 � W � W � j a W� ❑WOR ATISFACTORY:PROCEED � PROJECT COMPLEfE ❑ RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O RRECT WORK,CALL FOR REINSPECTION TEMPORARY V EFORECOVERING PERMANENT ❑CO RECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou in advance. 52� 49-460� � OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice