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HomeMy WebLinkAbout2015-01132 - gas fireplace CITY OF ORONO 1*111 g 111111 U 11 i 13 I 11111 2750 KELLEY PARKWAY DATE ISSUED: 09/03/2015 ORONO, MN 55356- ` (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 575 OXFORD RD PIN : 05-117-23-41-0029 LEGAL DESC : KLITZKE ADDN : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 6,457.30 NOTE: REPLACING EXISTING GAS FIREPLACE INSERT APPLICANT MECHANICAL 80.72 STATE SURCHARGE MECH(VALUATION) 3.23 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 TOTAL 85.95 (651)633-2561 Payment(s) Minnesota State License#:mech-20512060 CREDIT CARD 4608 85.95 OWNER WAMBOLD,SEAN&MELISSA 575 OXFORD RD LONG LAKE,MN 55356- 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 governing 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. 0/2 Applicant Permitee Signa e , Date Issued By Signature Date 09-03-'15 09:08 FROM- T-202 P0001/0004 F-455 FOR CITYrVSE ONLY City• ��`YO 2700 Kelley Orono Parkwa Date Rccc(ved: /31 ISP rmit s O t CI ( 13-2— ' Lsici, Crystal Bay,MN S5323 Approved By: Amount$: �✓ 4. Phone(952)249,4600 Fax(952)249-4616 1, G CITY OF ORONO-MECHANICAL PERMIT �9k6sN co- .� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION I. 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 RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical 1?esigus-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 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 must be submitted before final. TYPE OF PERMIT (Cheek All ThatApply) Residential ❑Commercial(Approval Required) ❑.New ❑:Additional ❑Repairs: Replace: [pb Site Ovvtrer Information S>.fie'Adtlrs.t 515 DX•foycL tZtacL Owner:: Sta\ Wamb€�d4 iS a fii4ii 'ad '''... 615 0xfd i?o City: 0 ,,0 Zip: � nn rr,,r� Home phone: 01 L."10111-� 1 U t-U Alternate Phone: Contractor Information: _ Contractor: FIRESIDE HEARTH & HOME Contact Person: Leah Address: 2700 Fairview Ave N State Bond#:BC662656, MB662572, PC662571 City: Roseville, MN zip:55113 Expiration Date: Phone: 651-633-2561 Alternate Phone:Leah #651-638-3312 ❑ Insurance—Current: 1 & !§4 \ \ . i t \ i K / ) ) / f \ i 1 / \ E a / }• $ ' \ \ « t ¥ ,\ \ ,; • • tit . ) a ; N t' $ ` I « © \% ® ; ! IIƒ != {ƒ . ■ / ) _/ f f » / /kk jo . i § % n ƒ • / \ a » i . . . £ a6u / I m .,o. z 2;« k !;& 0 k § / j e ) 3 . ( § g : �E=S § ECM e t 0 6 / J / i ! 2 2 \ } $ ( § 7 ) 7 4 f \ \ . § G917-ioo/000d ZZ-1 -m] 8:m §L - Q-O 09-03—' 15 09:08 FROM— 1-202 P0003/0004 F-455 • �P" 7'Ti7R" +/,�+ ��, ✓ 7' ;{, ,p,�,�r i .ei e i.`i^[C r$aG�i 4t/`fit.• �75' "r, 7L �,�}h7y,�r;�K�1 �{r4 ttM��( �lv+ -1f�iyi�L0 P7r9`+Ye� � R8RPAT u J'kyy� .+��r.,�J r ���/� �'�,el V (� , Tp .� �r fti2` x! 0.! r3 .a . '� Tyr SAA n ��h >V 'yl ��Sr :e�Utkivr k1tto';'."nry Kti4,„* ) ..,„ t �d� t' w,<rA firgc • a 0 Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: L Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excluding 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 $ °;:".‘ .r.,, rom }yyjjp, .6�--.7 ( • eye , v y ci :" o .,.° ' ". 'r ' ..U6P+11. Ilikkl 4'GA�tr' '�,1 4!!. .� .•40v,.�.4.�� .� '..��.�,,'.aL�liO?N<�i�)-Atik-6Yi-la a: � If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is L25%of contract price with a(Minimum Fee of$50.00) % �o RA- RITRUITA. 2. STATE SURCHARGE x0i)O of$> hf�RntF'cu'pri;c 'r 3. POSTAGE&HANDLING(Only on Mail-In Applications) 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) ■ : CONTRACT PRICE 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 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. 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. M4174'' ,r, V-V}�j �"+ ' o`o'h}" ,�, '� x '�74 � � *�^fSN�� .. .:,.\.� S �.k. do7;�, aa�r�WHj� <„� i Krki F�a��N 1}'is l,HI}r�{�T� S, �' 's+ , ,��.1• N..r_,.A.(.��.`11 J�..,. l,Jt 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. N, 5 Applicant's Signature: _ ?,>r1��Q�;' 3 DTE TIME CITY OF ORONO CALLED IN ser V f� ,167 _ INSPECTION NOTICE n SCHEDULED 9"1F/.5 /.'et PERMIT NO. ....119"..5-0//4.3""`•COMPLETED ADDRESS 575 a--ft-d___. OWNER ELEPH E NO. ' - � 71- CONTRACTOR , � DESCRIPTION - 051, Cy a .a - /,QC& W ❑ FOOTING 0 D O-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ 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 I., ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP _ ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c(., COMMENTS: cc z/ C4/e0--k-C4/e0--k- .3O passe CC Cc° 1/"t (C/ /1 7/,,,e, 0 ,... Q (w d -r©v' , 9O c r / /144 ARgel-- z k- W it a W 0 WORK SATISFACTORY:PROCEED PROJECT COMPLETE CCW 0 CORRECT WORK&PROCEED El E CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR II CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContra r on site: Inspector: ,--&."�` White Copyllnspector's File Canary Copy/Site Notice