HomeMy WebLinkAbout2015-00265 - gas fireplace � �. CITY OF ORONO * Z 0 1 5 — 0 0 2 6 5 *
2750 KELLEY PARKWAY pAT��ssuEn: 03/03/2015
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1180 HERITAGE LA
PIN : 10-117-23-13-0002
LEGAL DESC : FOXHILL
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 3,758.00
NO"CG: GAS FACTORY F[RL-;PLACE
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUAT[ON) 1.88
FIRESIDE HEARTH& HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE, MN 55113 TOTAL 53.88
(651)633-2561 Payment(s)
Minnesota State License#: mech-20512060 CREDIT CARD 4608 53.88
OWNER
ZIEGLER& KELLY RISCHE, DAVID
l 180 HERITAGE LA
WAY7_ATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work Yor which tliis permit is issued shall be perfornied according to
the approvcd plans and specifications,applicable City approvals,and the
State Building Code. �Chis pennit is for only the work described and does
not grant permission f<�r additional or related work which requires separate
pcnnits. All provisions of laws and ordinances governing this type of work
sl�all be compied�vith 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 confonnance with the State Building Code.This permit may be
revoked at any time for due cause.
�1'Ylcc�.�d � � �� �
Applicant Permitee Signature Date [s u 'd I3y Signature Date
03-03-'15 16:38 FROM- T-559 P0001/0004 F-709
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03-03—' 15 16:38 FROM— T-559 P0002/0004 F-709
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Note: Ali Geothermal Systems will now rcquire a Site Alan� Rev�by our Buildin�Official. `
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YS THIS GEOTHERMAL,? 0 Ycs Q No �
HEATYNG SYST�IVIS �
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���tEPY.ACES.
� Gas�actory Fireplace �rand Name: 1 ;
❑ Wood Burning Fircplacc
❑ wooa stove Mode�tvo.: l���rJ��� :
�] Wood Stove rvith�lue/Masonry
VENTI�,ATCON
[� No. �� Kitci�en Exhaust duct recireulating �,cfm ,
[) No. �ath Fxhaust(must have duct outside) cfm
❑ No. Othcr Fans� �.ocations cfm ,
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FCJEL STOTtA(�� (Mus�be�ipproved by Flre A�arsltal!if proposirrg to abnndon tank 1n plr�ce.)
❑ lnstallation ❑ Removal
Fuel 0i3: gallons ❑ Underground [�J Insida �]Outside
L�Cas: gallons
Other:
GAS L1N�ON�,Y
❑ Outtloor Grill ❑ Other/List What&Where:�_��_�- _
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03-03—' 15 16:38 FROM— T-559 P0003/0404 F-709
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0 Yes,this section applies
The replaccmcnt of 8 Residenfial fixfurc ar s�pli�ncc that meets all three of the following requiremenls:
l. �w�,���t require modification to electrical or gas sarvice.
2. Nas a total cost of$500.00 or Eess;excludin�the cost of the fixture or appliance: and �
3. Is improved, installed or replaccd by thc homcowner pr liCenscd contractor.
Skip next section,ifthis applies; Cost of Permit $ 1 .�00, {
State Surcharge � 5.Q0
Mail-1n Fec(If Applicable) $ 2.00 �
TotAl Permit Fee $
ri�����;,�..> ,�.�y,j,'.�- ��u;rf�F��c��Gj?�:i��r(s)'�-;ross o�vE�$s�a.Q�� �
a
Tf above does not a�ply;follow guidelines below: �
1. CONTRACT PRICE * is 1.25%of contract price wi4h a(Minimum�'ee of�50.40)
�� l��� x.0125 $., �,� (�
(conuaCt pnCe) (minimum SS0.00)
2. STAT�S�RC1-rAl7C� � � �l'� � �� �
� x .0005 � � �
(contract price) � �
3. POSTAG�&HAND�.ING(Qn1y on Mail-In Applications) $ 2.00 �
� � ,�� �
4. '1'O'Y'At,P�RM�T���(Add C.ines 1-3 Above) $ J
�
■ * COTJTRACT PR[CE or JOB COST mesns ihe actual or estimatcd dollar amount charged for tl�e
permirted work including materiAls, I;�bor, profit,anci other fixed cosis. Ik is thc amount to be charged
to thc customcr for tha work done. If any material,equigment, labor or install�tions are furnished by •
the owner,tenant or any other parry, thc rcasonabic market valuc of such items must be added to the i
estimated cost or contract price for pern�it fee purposes. In ehe event that thcre is a dispute on the �
amount of the job eost, the Ciry may rzquzst thc subn�ission of a signed eopy of fhe 9ctual contract.
4
"�K� ,���Tu�r ti�,f•�s. „ .��A�.��;�?��R�I!`�Z'I'� ' L�C QI� �aRE IvIE T.: ;'"
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The unde��signed hereby applies to the City for issuanpe of a MeChaniCal Permit, agrees to do all
work in strict accordance with che o�dinanccs af the Ciry and thc regulations of the State of
Mir�nesota, and certifies that all statementS made on this applicafion are complete, true and
co�-cCt.
Applicant's Signature: ` ��� n�tC:r�,�J/ ��
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTIO NOTICE SCHEDULED -1� C.vU
PERMIT N � 2�S COMPLETED
ADDRESS �� ��� ����- �-�
OWNER _ TELEPHONE N� �"��� C� �7�
CONTRACTOR �'t���,�
� DESCRIPTION
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING C A#4 ❑ RATED WALLS
� ❑ INSULATION N / � ❑ COMPLAINT
�NAL ❑ AT R HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
� OWNERfCONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: F•!�• 44f /.�s e� t' i n to o�c�s�js��
a J��. iD�,- • - 4K r,�.b�lG ��.p/,e� c
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W ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:�o�e-
Inspector�'� '"" /`
White Copyllnspector's Ffle Canary CopylSite Notice
�' � DATE TIME�
CITY OF ORONO � CALLED IN .3-
INSPECTION NOTIC M SCHEDULED — �S %/•y0
PERMiT NO.o��-W� COMPL ED•
ADDRESS I
OWNER TELEP NE N �Z ` -SV 77�Z
CONTRACTOR
�; DESCRIPTION ! w
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO ,
� COMMENTS: C�s F.P- ir�S��� � s�,�a �,���'iu,s
a T��i,S . UO n S• �' S6,�a✓cf c Cb���s E�o�, �s.:� �
o �a�rrs?i ��e videJ� � 70� o� rrrts. �+.(�.,..K�„ rr
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W� "�M1IORKSATISFACTORY:PROCEED G ROJECT COMPLEfE
/ �
W� ❑CORRECT WORK&PROCEED L� ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PEfiMANENT
❑CORRECTUNSAFECONDiT10NWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS.
Ca or the next inspection 24 hours in advance. (952� 249-4600
wnerl ctor on site: ��� Z .
nspector. w
White CopyAnspector's File Canary CopylSite Notice