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Home My WebLink About2011-00624 - gas fireplace CITY OF ORONO PERMIT NO.: 20��-00624 , 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEn: 08/12/2011 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 3980 CHERRY AVE PIN : 08-117-23-33-0026 LEGAL DESC : CRYSTAL BAY VIEW : LOT 000 BLOCK 005 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,186.00 APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 1.59 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (651)633-2561 MISC FEE 0.00 Minnesota State License#: 20512060 TOTAL 53.59 OWNER PAID WITH CC# 4978 SCHULTZ, KEVIN 5620 GIRARD AVE N MINNEAPOLIS, MN 55430- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,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 bewme nuli and void if construction authorized is not commenced within 180 days of[he 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 c�ause. �iYK.�L- �' l l _ l l Applicant Permitee Signature Date Issned By gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . ' FOR C(TY l:�E O�Lti ' „ �A, City of Orono � �� i0�' `�'\ p 0 Box 5o Dace R��_, ed ?e ..._ 0�� .� - -, Kel�e} Pa,c�.aa�, , �� IF ��i ,�, � roved 8;-� a:^,ou�;�� .� i� � �' s�al Ba�.�t�'�>>_� � � PP � �� ,°,��o;�� '-j`_ ��000 i I �fA�gpN c��Y o� oRavo- �i�cx�vl�:�L P�R�llr (.�l Commercial�em„s nusc'�e aPpro��ed by rhe Quildin�Orficiaf or[nspecror ar,d;"e.r�_e�.(�r;�.�a',I'� I GE�EIZ-�L I�FOR�t:�TIO� I 1. You may apply tor mechanica( permits by mail or in person at che Ciry offices. :4pplications wi11 be re��iewed and a permit wii( be issuzd within t�.�o workin;davs. 3. P�rmit card� w�ill be sent by�return mail after a re�iew is completed. PEEL�[ITS .�RE tiOT V.�L[D L��'�iT(L YOt�� RECEI��E :� PEEZ:V[IT. W'ORK VIUST �(OT' BEGI�' C��iT(L THE PER�IIT CaRD [S POSTED ON THE JOB S[TE. ;. �[echanical Desi,ns—Compiete calculations, details and speci[tea�ions 3re r�quir�d t'or�ach heating, �:�ntilation, humidir�cation-dehumiditication, and air conditioning installation includin� hea� loss,�heat�ain calcu(ation, design tempera�ures, equipment ratin;s and identification a� �o t�pe, manufacturer and model. Data shall be presented on torm provided. 4. w'hen any ne�.v constr�ction or remodeling is involved, a separate bui(din�? permit mu�t be obtained. �. 311 work must be �one in accordarce w�ith the ��niform;�techanical Code-S�a�e Buildin�Code requi;ements. � 6. �11 ��ork must be inspected(rou�h-in and final). Call (9�?)?�9-4600. �2�3-48 hour notice required) House Heatin�Test R�cord must be�ubmirted before tinal. i TYPE OF PERI�IIT � (Check all That Apply) �i �asiden�iai ❑ Commerciai (ApprovaI R�quiredi � �i�� _�ddi�ional ❑ R�pairs � Keplace �'� Job Site ,� O��ner Information: � Site .�ddress: �� l.�l�u. ''J v� � Owner:� �Iailing �ddres�: 5,�� Cz ',�.lr(r� �� cic��: l� �,�:f ��L zip: �� Home Phone: �„��-�f k1 -e�SS�� lternate Phone: , Contractor Information: Contractor: Contact Person: Hearth&Home ec no o�les.Inc• ,_,,�/ dba Fireside Hearth 8 Home /I� �jq ��(`a ��jrA�;: License 20512060 �[3t� BO[1d =: V�� I 1� � O Roseville, MN 55113 Cit,r: 651/633-2561 Zip: Expiration Date: t � �O Phone: .�l�zmate Phonz: / � J Insurance - Current: ( + PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ] �"es, this section applies The replacement of a Residential fixture or appliance that meets all three of the following requuements: l. Does not require modification to electrical or gas service. 2 Has a total cost of$500.00 or less; excludinQ the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner ar licensed contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge � 50 � Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION(S) -JOBS OVER�500.00 I:'above does not apply; follow guidelines below: 1. CO�TR4CT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) ��1� x.0125 $ ��• 1 � �� (contract price) (minimum$�0.00) 2. STATE StiRCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 �, '� S�� (contract pnce) (minimum$ .50) 3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PER�YIIT FEE (Add Lines 1-3 Above) � 3,�I ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work includinc materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer for the �vork done. If any material, equipment, labor or installations are furnished bv 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 submissioil of a si�ned copy of the actual contract. • ** The STATE SLRCHARGE is .000� of the BuildinQ Department ar(9�') 249-4600 for the price. � MECHANICAL PERMIT APPLICATION AGREEMENT �� The undersi�ned hereb}' applies to the Ciry for issuance of a Nlechanical Permit, agrees to do all �vork in strict accordance �vith the ordinances of the Ciry and the re�ulations of the State of I��Iinnesota, and certifies that all statements made on this applieation are complete, true and con'ect. ' n �pplicant's Signaturc: �� ti� DatE: ( _ ; �� `/� D TE / TIME ✓ l ITY OF ORONO C LLED IN � � /� INSPECTION NOTI Eadl��pZ�HEDULED --�� PERMIT NO. COMPLETED ADDRESS .=Z�-��i C��-�`Z'`-I �-Q� OWNER TELEPHONE NO.��f:�� `33(r,-35� CONTRACTOR �( /'�.�I �� " �/7. >; DESCRIPTION �'� ��`c-�- � Ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTI INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SE C FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU: YES_NO � COMMENTS: � �Q_��)�1 � � /� �,� W a � J O �. � O � ti � Q � 2 w � W � j GW�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor on site: Inspector.�,_,�� White Copyllnspector's File Canary CopylSite Notice