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Home My WebLink About2016-00144 - gas fireplace ' , ' _ CITY OF ORONO * 2 0 1 6 - 0 0 1 4 4 * 2750 KELLEY PARKWAY DATE ISSUED: 02/10/2016 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 795 LAKEVIEW PKWY PIN : 06-117-23-43-0014 LEGAL DESC : LAKEVIEW OF ORONO : LOT 3 BLOCK 2 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 3,960.00 NOTE: (2)GAS FIREPLACES APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.98 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 TOTAL 53.98 (651)633-2561 Payment(s) Minnesota State License#:mech-20512060 CREDIT CARD 4608 53.98 OWNER Source Land Development Inc. 18215 45TH AVE N STE D PLYMOUTH,MN 55446- 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. � � / �� //� Applicant ermitee Signature Date Issued Signature Date 02-10-'16 15:45 FROM- T-655 P0001/0007 F-039 5 � ��I 4 � � � `�- � `� � & �' .� " " - � "y °� � �. � � ` � n .�, � �, � ��, '�o„ r � w N � h ,� Q '�,' �� r��Z � �.''f.' j �'F �, l p e$� ��'��} �£� � tti � � �; " �. �: ' . �e a� 3 R� tJ �� 0 Q � � M1I m J '�. g 9 3�� y�� n��.6 � Q � 1 � � ,.", � v m � � '� 0 p �� d�p �a��' �y' . ��gm� � � � � � � '� 3�� a��' �� 0 � '��fiasi y ,r� � M. eR Q � � �� a� fr7 �,� x� � �y��C p � �1 1� C''� � $ ��'a c Q� � �� yN, � _ �(� c `�, , � � d ,o ;��.pyq 7� �� °' x � -" � �,�.� � ' � �y,�� S °� � W � �,, �;[i7 � � a��.� �g ,� s 0 � � �':� � � a'g ad y3S � � = a ,� �g � � � � � ❑ ��' �` � �'9��a{g '2�� R t� .'Ft;� .R. �°C''.'� f'1 � � � C �a -O� &G °' ~ � � " � � � � � � � 6 � ��'��6 ��,� S I � � � � �' � �. _� � � � `�`� g9•�9 � , � � � ❑L � � # � �. g �� .:�. � t5 � R n .�. � � ��a�� ., � � g � g��$�h � � , �� ut � °' 'S��,w j�f�i c�n � � � � � � �� g fi ,�� ,�� E �� ' e1� ��.'� .�� 3 � . . � � �� xo � �� k � ;�, r w � � 5'., �l � N �� :.,�.,, '�, � o�_ � �:, � ' �' � ' .. V � � 02-10-'16 15:45 FROM- T-655 P0002/0007 F-039 P1 < .'�.' ? � g � � � � � � � � � � '� � �+ p ' r�n '��y � � � 0. �S � m�l �'+' � � � �if" D : Q n ❑ ❑�� ❑�� G�7 � p � � � S � r s � " w o Y rr � � �m� 8 � o 0 o Z :�Y �'�� , �o � � �:��.''.� � � _ �. � � y � � �� n o � �� . �',� � � �; 4 �� ,� o ,� . � � � �� o �- N R � � �� . . .: y � ❑ � g � .u�, �. � � � B y°., R � � � � g x, � � a ' �' 4 ^, � � . ❑ � � � � w � �' � ° � � � � � � � � �� 02-10-'16 15:45 FROM- T-655 POOQ3/0007 F-039 P � � - � 4=.; �-L,' }4 "PF�I�IT�fi�,��,�s,�°"C�� .�1�3�I��t � � � �,t z�� 1 - , � �--�'�:�r� _; �_= �``�`�A��F�;.uF�pOz=s`�'At_�?=��';�� ,� .�:' _ ?{_.,�.,. ,� ❑ Yes,this section applics The replacement of a Residential fixture or appliance that meets all throo of the following requirements: 1. Does not reyuire modification to etectrical or gas se►vice. 2. Hss A Yotal Cost of$500.00 or lcss;oxcludina the cost of the fixturc or appliancc_and 3. Cs improved,installed or replaced by the homeowner or licensed contractor. � Sk�p nexi section,if this applies; Cost of Pcrmit $ 15.00 � State Surcharge $ 5.00 � Ma11-[n Fec(If Appiicable) $ 2.00 Total Permit�ee � a `se.�,',�y.`�'_ C- �� =r3r i°'- �-C—�--:-=_�--_---� ' _,_-r , ��.,�� "��-,��, ��'Z..'�` ;�:�n��;�!�.R�fi40� R�,��. �� ; Tf auave does not a�ply; follow guidelines below: � i. CONTRACT PRICE '� is 1.25%of contract price with a(Minimum Fee of$50.00) � �7��aV � X.Q12S$ "�� (conlr'act pricp); (mini�hum SSb.00) 2. STATE SURC�TARCE "L �� G� �� I f'/ 7C�...QQ�J �� i _ 1 (contract pri�a) 3. POSTAOE&HAND�,TNG(Only on Mail-�n Applications) $' 3�-' , ` � ' 4. TOTAL PERMIT FE�(Add Lines 1-3 Above) $ . ,,�� . �� 4 ■ * CONT�tRCT PRCCE or JOB COST means tht actual or estimated dollar amount charged for the + permitted work including materials, labor,profit,and othet'fixed costs. Yt is the amount to be charged j to the cus�omer for the work done. If any material,equipment, labor or installations are furnished by � the owner,tenant or any other party, the reasonable market valuc of such itcros must bc added to thc estimated cost ar contract price for permit fee purposes. In the event that there is a dispute on the � amount of thc job cost, the City may request the submission of a signed copy of the actual contract, t a � i ( x - �� -�� t�c,�� j�' c, .ti .. • r ��,^-��..-_-�-.�K-��"`�=�r�`E�4..F�L3��.!4?``��'-7f.i_:�a: , r,b A� �'�r,�2��,„M;��r:_� � -- — - � ? The undersigned hereby applies to the City for issuance of a Mechanical Perm'rt, agrees to do all � work in strict accordanee with the ordinances pf the C'rty and the regulations of the State of Minnesota, and ce�tifies that all statements made on this application arC Compl�tC, Crue and correct. Applicant's Signature: �� V�GY� `D�,te'�- ( " /� 3 � �� - DATE TIME � CITY OF ORONO cnLLED IN � �'� INSPECTION NOTICE �[ scHe�u�e� —29/G PERMIT NO.��—��/ � COMPLETED ADDRESS 7g �Ul� G[> OWNER L�'��T LEPHONE NO. 7 "'1�d CONTRACTOR � DESCRIPTION C a) � �� -� 4� ❑ FOOTING ❑ DEMO-FIN L ❑ 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 ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALI 2 OWNERICONTRACTOR TO MEET Y�U:_YES_NO � COMMENTS: _ � o � / �. � �O W � Q � � W � j C W� RK SATISFACTORY:PROCEED ❑ PRW ECT COM PLETE w RRECT YMORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOMERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hou aryce. (g52) 249-4600 �•�i. OMmeNContractor on sne: .r i , inspector: �� v�', Whits Copydnapector's File � Canary CopylSfte Notics �� =��+ / TIME CITY OF ORONO CALLED IN 7 INSPECTION OTICE HEDULED / • O PERMIT N� -�� C PLETED ADDRESS -� OWNER '' - ELE H NE NO 3 �`��'/ CONTRACTOR � DESCRIPTION � 4~j ❑ 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 ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT �NAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERlCOMRACTOR TO MEET YiOU:_YES,NO � COMMENTS: /�D� d.�JC'l � 9 � � o �'�� 5^ � � _��kc��,�� - � Q � ./1��.�� -E'�..� � W � � � ❑WORK SATISFACTORY:PROCEED ,�@�(ECT COMPLEfE W ❑CORRECT V1fORK 3 PROCEED v❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING , PERMANENT �CORRECT UNSAFE CONDITION WRHIN HOURS. O PHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. . Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerfContractor on site• Inspector: �►--• White CopyAnapectors Fila Canary CopylSite Notice