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Home My WebLink About2014-00279 - wood fireplace , � CITY OF ORONO * Z 0 1 4 - 0 0 2 7 9 * 2750 KELLEY PARKWAY DATE ISSUED: 04/04/2014 ORONO, MN 55356- � (952) 249-4600 FAX: (952 249-4616 ADDRESS : 1065 FERNDALE RD W PIN : 02-117-23-43-0021 LEGAL DESC : REG. LAND SURVEY NO. 1372 ; LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-WOOD VALUATION : $ 6,000.00 NOTE: WOOD BURNMG FIREPLACE-QUADRAFIRE FACTORY BUILT-MODEL#7100FR-BK-B APPLICANT MECHANICAL 75.00 STATE SURCHARGE MECH(VALUATION) 3.00 GLOWING HEARTH AND HOME MAIL-IN FEE 2.00 100 ELDORADO DRIVE TOTAL 80.00 JORDAN,MN 55352 (952)495-2927 Payment(s) CHECK 18671 80.00 OWNER DETOR, ELIZABETH&LUCAS 1065 FERNDALE RD W 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 requires separate permits. All provisions of laws and ordinances goveming this rype 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / �� / / / Applicant Permitee Signature te Issue y Signature Date RECE1ti�ED O CIT SE ONLY City of OrR �^j �-0��` z OOBox 66 ^� —4 2014 Date Receiv d ermit# �� J �J Kelley Parkway � Crystal B��R�N� Approved By: Amount$:_� Phone(95 4 ax( 52) 49-4616 � -+ >, � F � I.��sNp��.�` CITY OF ORONO—MECHANICAL PERMIT �� (All Commercial permits must be approved by the Building Official or lnspector 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 VAL[D UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—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 arid 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 l �Residential ❑Commercial(Approval Required) ' New ❑Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: '/J� eJ V� � � �-'C �� v � Owner:�� ` ��.�'lailing Address: l �J �� c�ry: r�� v�sZcx�Do ' z�p: SS�r�-(��— � � Home Phone: — � Cl� '"��lternate Phone: Contractor Information: ,� ��.�--�.� ` a� Contractor: i� Con act Person: Address: C()17 � State Bond #: �---- �-� �- City: �C�.,1�Zip:�JJ�S`�xpiration Date: �5L � Phone: ��'j —��1�-'��--�� Alternate Phone: � Insurance—Current: �,U � -�� 1 �� I, 1 t — � 1 � 't I ��,s. ��k� i;� � '` ' ��AL ��'S �� . . ;S'T:�:T.,ED 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: �j --� Wood Burning Fireplace � � ❑ Wood Stove Model No.: ��-1�--�j�— ❑ Wood Stove with Flue/Masonry ��-'�� ,�� r�VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � �� PE�RMIT FEE C�LCUL�TION{S} � � � �� BASED�OFF -2{�02 STATE STATUE �� ❑ Yes,this section applies The replacement of a Residential fixture or ap liance that meets al l 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([f Applicable) $ 2.00 Totai Ferm�t 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) �PC;(��, �� X.o�2s � '1� �bC) (contract price) (minimum$50.00) 2. STATE SURCHARGE �� r� x.0005 $ � � � l, (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��t �� ■ * CONTRACT PRICE er JOB C4cT means t.".e actual o; cstir}ateu duiiac amuunt 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 permit fee purposes. [n 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. � .� �� -, ; ` =`�'�'��`�` . , ,�' ,�-: , . i ��i��: T` � �<.. �li.,-., a . .. . 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. �PPlica;�t'� S;gaature: �d'��`� Uate: 3 � � DATE TIME � CITY OF ORONO CALLED IN �� INSPECTIONAIA� ` �4/1�`� SCHEDULED �' — � PERMIT NO�l� ��J � � COMPLEfED ADDRESS f� OWNER EPHONE NO. �°? " � � CONTRACTOR � 'f' � DESCRIPTION �� ❑ FOOTING 0 PLUMBI FINAL XCAV/GRADING/FIWNG � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS 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 v ❑ DEMO-SITE O SEPTIC MAINT. 0 FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J O PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�n COMMENTS: � a � 0 � O W � Q � 2 � W � j d W� WORKSATISFACTORIF.PROCEED ❑ PRWECTCOMPLEfE � ❑ RRECT VYORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) -46�� OwnerlContractor on site: Inspector: White Copyllnapector's Ffle Canary CopylSite Notke