HomeMy WebLinkAbout2016-00067 - gas fireplace ' � CITY OF ORONO
2750 KELLEY PARKWAY * Z 0 1 6 - 0 PJ 0 6 7 *
DATE ISSUED: OU19/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3825 NORTH SHORE DR
PIN : 17-117-23-22-0046
LEGAL DESC : SHERRI LAKEVIEW ESTATES
: LOT 004 BLOCK 001
PERMIT TYPE : MECHAN[CAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 1,980.00
NOTE: ADDITIONAL FIREPLACE: 1 HEAT N'GLO
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.99
GLOWING HEARTH AND HOME MAIL-IN FEE 2.00
100 ELDORADO DRIVE
JORDAN, MN 55352 TOTAL 52.99
(952)495-2927 Payment(s)
CHECK 22372 52.99
OWNER
SUTTON,GREGG
3825 NORTH SHORE DR
MOCTND, 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 Bui(ding Code. This permit is for onty 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 nuli and void ifconstruction 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 Signatur Date
FOR CITY USE ONLY
City of Orono "i
�O� P.O Box 66 Date Received: i���'I'`�` Permit# '��.;f� -� ` () �,/
� 2750 Kelley Parkway �!`�� C �
Crystal Bay,MN 55323 Approved By: �� Amount$: �� � �
Phone(952)249-4600 Fax(952)249-4616
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�.�kFSNo��.�' CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. 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 Desi�ns—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-de6umidification,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 rnust be inspected(rough-in and final). Cali(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1 ) �
�f Residential ❑Commercial(Approval Required)
❑ New [�Additional ❑ Repairs ❑ Replace
Job Site/Owner Information:
Site Address: ��2--� �Q r+� )�Q� . �Ji .
Owner�i� IS��C�1 ��'��- Mailing Address: �k�O ��CC( 1 � 1 �� �I��,
c�ty:��. �,� �� ��� z,�: ���_
Home Phone:��Jl � d-�`1 ` ��� Alternate Phone:
Contractar Information:
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Contractor:�`��C�1�+V�C�{ �'G�II'�►�}���,��Contact Person: � � l/J �
Address: ���� � ������U �� State Bond #: � r����LD
City: J� �� Zip��aExpiration Date: �'" ��•-� �
Phone: � ✓� ��(�� "����� Alternate Phone:
� Insurance—Current: �O-��' ��j ��' � �' ���� i �
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
-f� ��' �� x.0125 $ �o• ��-
(contract price) (minimum$50.00)
2. STATE SURCHARGE �Ci �O, � (� x.0005 $ � ��
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
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.
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 ce ifies that all statements made on this application are complete,true and correct.
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ApplicanYs Signature: Date: ' ( ��
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DATE TIME
CITY OF ORONO ,.�'�,�`�' CALLED IN
INSPECTION NOTICE �v" SCHEDULED
PERMIT NO. � COMPLEfED _�
ADDRESS �3�5� ,� s/�a�'e �+�-
OWNER TELEPHONE NO.
CONTRACTOR G�ew•.� �-��t
� DESCRIPTION ,g� � �'
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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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W�€CT VYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑COflRECT UNSAFE CONDITION WiTHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-4600
Owner/Contractor on site:
Inspector. �i � �
White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN � �
INSPECTION N TICE t,,^7 SCHEDULED A,,,�
PERMIT NO. � ��`�' / COMPLETED
ADDRESS �� Z� � ' `�� � "r e ��-
OWNER TELEPHO E NO.
CONTRACTOR ` �� �
� DESCRIPTION � / r{'/�'I aC�2- � �
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ 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
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_Y NO
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0 ❑CORRECT WORK�LL FOR REINSPECTION TEMPORARY
V BEFORECOWERINCa PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL RETIJRN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 49-4600
OwnerlContractor on site:
Inspector:
YVhits Capyllnspecbr's File Canary Copy e Notke