HomeMy WebLinkAbout2015-01243 - gas fireplace t � CITY OF ORONO * 2 0 1 5 - 0 1 z 4 3 *
2750 KELLEY PARKWAY DATE ISSUED: 09/25/2015
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2755 ETHEL AVE
PIN : 20-117-23-24-0017
LEGAL DESC : CASCO HEIGHTS
: LOT 006 BLOCK 003
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 2,296.25
NOTE: (HEAT N GLO)
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.15
FIRESIDE HEARTH& HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE, MN 55113 TOTAL 53.15
(651)633-2561 Payment(s)
Minnesota State License#: mech-20512060 CREDTT CARD 4608 53.15
OWNER
Everlast Enterprises, [nc.
CLEARY,JAMES
4109 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. This permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
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. � �
.
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Applicant Permitee Signature Date Issued By Signature Date
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❑ Yes,this section applies
The replacement of a t�esidenii�,l fixture or a�,�liance that mcets all thret of the following reyuirements:
1, C7oes not require modification ro electrical or�as service.
2_ Has a total cost of$500.00 or less;e�F�,�d1e cost of the fixR�re or appliance; and
3. Is improved,installed or replaced by Ehe homcowncr or licensed cocttractor.
Skip next scction,if'this applies; Cast of Pel'lnit $ 15.00
State Surcharge $ SAO :
Mail-1n Pee(if Applicable) $ _?.OQ
Tota�l Permit Fee $`
2 r�'- ��F—�'-""t_.�q ma �1 r� r 1` t o ` ���`f-r �`a��1`,���hp 1
:$�l�,°�Y,%�'�.�.�,�h�r'�.',��`.�.�?�%,�A,T;��,� .�'i,.(��f�����-�;�1�.Sr(a1���a.��(��.������`. �.��L��;'�'„��.�.�i.<. ,
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1f above does not apply;follow guidelines Uelow: ;
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1, CONT�iACT PItICE �is 1.25%of contract price with a(Minimwn�ee of$50.00) �
2.�C.P�2���';oi ',��� � ;�'''�r�;�,�=''..��
CRnt!'�c{Ril�.e); �t��,' ���n'�?K�"�$b,�),
2. STATE SURCHARGE �I � Z�j �
��� r x�060.�t::$' �
�lcoiitra���i'i�i�e)�
3. POSTAC:E&HANDLING(Only on Mail-Yn Applications) :�$�_ �2 pQ ' ':;4; ''i4�
4, TOTAL PERMiT FEE{Add�,ines 1-3 Above) �$:;!� .,,�',,;.�;'.;���,..,,,'•.?'.:",..`�,,�:''i �
■ " CONTF�ACT pR1C� or 1'OB GOST mcans the actual or estimated dollar amount charged for the
permitted work inctuding materials, labor,profit, and other fixed costs. It is the amount to be charged �
to the customcr for the work done. If a►iy material,equipment, labor or installations are fiirnished by
thc owner, tenant or an�ottter r�arty,the reasonablc markct value of such items must be added to tt�e
estimated cost or contract price for permit fee purposes. In the event that there is A c3is�ute on the
amoi�nt of the jab cast,the Ciry may request the submission of a signed copy of the actual contract. !
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Th� undersigned hereby applies to the City for issuanco of a Mephanical Permit, 2grees to do all �
work in strict accordance with tl�e ordinances of the Ciry and [he regulaCions of the StatC of �
Minnesota, and certifies that all statements rnade on this applic�tion are complete, tr and i
correct.
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Applicant's Signaiure: �.L�L�f'V ���ZZ'�"�� ��?���,{�9% I
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D TE �. TIM
CITY OF ORONO CALLED IN 1�J
INSPECTION N TICE SCHEDULED /D-! /.5 /�G�
PERMIT NO. `'�-`` �S U����OMPLETED
ADDRESS �7S� t�y��,'`� �/�-P,
OWNER . TE EPHONE NO. ����j����3yS
CONTRACTOR'J 1��/l�-� ��-�t- /`f�.
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� DESCRIPTION �
l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ 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
Q ❑ F�NAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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W RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hou in advance 2) 249-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
( ` ��� `a c/�Cil
�� 'DAT� TIME
CITY OF ORONO CALLED IN S `
INSPECTION NO I ��HEDULED /-'
PERMIT NO. �D�z�^cbMPLETED
ADDRESS 7JrS �� �� �
OWNER — EPH E N�12 c�3��875�
CONTRACTO /�L�Sl � J(��,��,//
j DESCRIPTION � GG'L[�--� ,
lt1 ❑ FOOTING ❑ DEMO- INAL ❑ SEPTIC FINAL
Q ❑ 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
Q�EINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUI�T-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT 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 hours in advance. (952) 249-4f)��
OwnerlContractor on site:
Inspector. � /M�
White Copylinspector's File Canary CopylSite Notice