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Home My WebLink About2013-01035 - wood fireplace _ CITY OF ORONO * 2 0 1 3 - 0 1 0 3 5 * � 2750 KELLEY PARKWAY DATE ISSUED: 10/02/2013 ORONO,MN 55356- (952)249-4600 FAX: (952 249-4616 ADDRESS : 4395 NORTH SHORE DR PIN : 07-117-23-43-0018 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK 018 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-WOOD VALUATION : $ 3,400.00 NOTE: 1 HEAT N GLO WOOD FP APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 1.70 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (651)633-2561 TOTAL 53.70 Minnesota State License#:20512060 OWNER CORNESS,JOHN&BARBARA 4395 NORTH SHORE DR MOLJND,MN 55364 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. 1'his permit is for only the work described and does not gtant permission for additional or related work which requires 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. 1'he 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. / / / / Applicant Permitee Signature Date Issued y S' ature D SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB � FOR CITY USE ONLI" �p� CIYy Of OCORO � ¢ `r\�' P.O.Bos 66 Da[e Received: Permit# �. � �� 2750 Kelley Parkway ---- — —— � 4��'� 1��; Crystal Bay,MN 55323 Approved By: Amount$: L_„� �eer Phone(952)249-4600 Fax(952)2d9-4616 ��seco CITY OF ORONO—MECHANICAL PERMIT (All Commercial pennits must be approved by[he Building Official cx Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical pemiits 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 retum mail after a review is completed. PERMITS ARE NOT VALID IJNTIL YOU RECENE A PERMI"I'. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB STTE. 3. Mechanical DesiQns—Complete calculations,details and speciYications are required for each heating,ventilation,humidification-dehumiditication,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 work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and fmal). Call(952)249-4600. (24-48 hour notice required) 7. Housc Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 �sidential ❑Commercial(Approval Required) �ew ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site �lddress: `� -G `7 `y��rl"'�4?.�. /�[�J-u� Owner: ��D�11t�L Mailing Address: �-��.. 7 City: 7ip: ��i`�� Home Phone:�`� �'��y��4� Alternate Phone: Contractor Information: Cont�c��.H & Contact Person: � dba FIRESIDE HEARTH & HOME State Bond#: ��`�'� Address: k� �� 2700 FAIRVIEW AVENUE N -7��l� City: ROS�V, ILLE, MN SS�l�ip: Expiration Date: 651.633.2561 Phone: Alternate Phone: HEARTH & HOME TECHNOLOGIES ❑ Insurance—Current: dba FIRESIDE HEARTN & HOME 1 Lic 662656 2700 FAIRVIEW AVENUE N ROSEVILLE, MN 55113 651.633.2561 , • _ . .:�fx��1-1�'4t�.��'i�I��'�G'r�'N�T1��' , , v. Note:All Geothermal Systems will now req e a Site Plan&Review by our Building Offcial. IS TFiIS GEOTHERMAL? ❑Yes No HEATING SYSTEMS ��: P Malce: �!'N�J Model: �'��2 Fuel: G(et9t�L� Flue Size: �v Input BTUs: Output BTLJs: CFM: COOLING SYSTEMS QuantitY: Make: Model: Tons: H.Power FIREPLACES � Gas Factory Fireplace Brand Name: � Wood Buming Fireplace ❑ Wood Stove Model No.: ��t�� ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Eaihaaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm F[JEL STORAGE (Must be approved by F'rre Marshall if proposing to abandon tank�pl¢ce) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 . �A / � �: A ��", � ,� �� .' � : ri+ y�; v�� j,[� � �� . �� t�� 4�✓s 6 ��t.l�`�,. ��s��' . ,�� r 4Q d��Fyj G '•n t�-a. .i.:. ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas senrice. 2. Has a total cost of$500.00 or less;excl ' 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 S Y � x ; P�tl�/�`P3 ��"�'�� Y � _�4��.�t� - If above does not agply;follow guidelines below: "- 1. CONT'RACT PI�ICE *is 1.25%of contract price with a(M�nimam Fee of$50.00) ��t 0� x.0125$ �.+�b' (contract price) (minimum$SO.OQ) 2. STATE SURCHARGE 2 �1 !, �D ') '7��_ OV x.0005 $ `.,�� (contract Price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ �7V ■ ' CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pemutted 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 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. ";�,;, ; . -; :�EGk��I�TI��.,=PEI�'�`�"��-�'�1��'��'� �%��T ,: < . 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, true and correct. Applicant's Signature: ��`�� Date: y��,Z�Jd� ��G�O �� . � �,:= ��5��C�l'� .,:.� Ya _ � 3 \= DATE TIME J CITY OF ORONO CALLED IN / - INSPECTION NOTICE HEDULED D�' PERMPT NO.oZ�/ 3'��o PLETE ADDRESS �.J� , �- d��.! 1-� OWNER ' ' ELEPH NE NO. � �3�1 CONTRACTO � DESCRIPTION - � ❑ FOOTiNG ❑ PLUMBING FINAL 0 V/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ pqp(^,qE� � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v � DEMO-SITE ❑ SEPTIC MAINT. � FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUAABING RI ❑ SEPTIC FINAL ❑ FOUNbA710WREMOVAL 2 OWNER7CONTRACTOR TO AAEET YOU:_YES_NO � COMMENTS: � j > � . �- � � �-'Q � �. � 0 W � Q � W .. g w o� j a W ��IKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE � ❑CORRECT NfORK 8 PROCEED O ISSUE CERTIFlCATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REtNSPECTiON TEMPORARY V BEFORECOVERINO PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETIJRN ❑CITATION ISSUED ❑STOP OROER POSTED.CALL INSPECTOR ❑1NSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlCor�tractor on site: Inspe�tor: ,_,,T White CopyAnspecto�'s File Canary CopylSke Nodee