HomeMy WebLinkAbout2016-01452 - gas fireplace CITY OF ORONO * Z 0 1 6 - 0 1 4 5 2 *
- 2750 KELLEY PARKWAY DATE ISSUED: 1U21/2016
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3683 NORTH SHORE DR
PIN : 08-117-23-34-0053
LEGAL DESC : CRYSTAL BEACH
: LOT 005 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTIOIY TYPE : FIREPLACE-GAS
VALUATION : $ 2,000.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
GAS FACTORY FIREPLACE
50.00
APPLICANT MECHANICAL 1.00
STATE SURCHARGE MECH(VALUATION) 2.00
TWIN CITY FIREPLACE STONE CO INC MAIL-IN FEE 53.00
TOTAL
6521 CECILIA CIR
EDINA,MT1 55439- Payment(s) 53.00
(952)777-4125 CREDIT CARD 5715
Minnesota State License#:mech-MB682977
OWNER
RESSLER,JON
3683 NORTH SHORE DR
WAYZATA,N1N 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perform rovals,an'dgthe
the app�oved plans and specifications,applicable City app
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[his rype of work
shall be compied with whether or not specified herein.This permit will
exp�re and become null and void if consiruction authorized is not
commenced within 180 days of the date of issuance,or if consuuction is
suspended for a period of 180 days at any time after work has commenced.
The app��cant 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. /��( ,l
�r I� � z� �l�
� ��,
Date Is ed Signature
Date
ppplicant Pe itee natur
'
Nov 1716 02:38p Twin City Fireplace 9529422093 p.3
• ' �- �
I
PERMIT k'EE CALCULEITION(S)
- BASED OFF-2002.STATE STATUE
❑ Yes,this section applies
7`�e lacement Qf a Residcntial fixture or apptiance that meets all three of the following requirernents:
1. not require modificatian to electrical or gas service.
2. Has a total cost ofS500.00 or less;excluding the cost oftf►e 6xture or appliance:and
3. is impraved,insta(!ed or roplaced by the homeowner or licensad contractor.
3kip next section,if ihis applies; Cost of Permit S 15.Q0
s�s�t� s s.oa
Mail-In Fee(If Appiicable) S �.OU
Total Permit Fee S
PERMIT`FEE CALCUI.ATIOlV S --)OBS OVER$SOO.QO-
If e does not apply;follow guidelines below:
l. CO1�iTRACI'PRICE *is 125%of contract pcicc with a(Minimam 6ee of$50.00)
'��..� �.�� x.0125$ ��_
(contract price) (mirimum S50.oD)
2. STA,T�SURCHARGE
��' D �'� x.0005 ST ,� � ,
(contract price)
3. I'OST,�IGE&HANDL[NG(Only on Mail-In Applications) $ 2.00
4. TOTAFI.PERMiT FEE(Add Lines t-3 Above) S �'J��
• * ONTRA PRICE or JOB COST means die actval or estimated doftar amount chazged for the
itted wor including materials,labor,profit,and other fixed costs. It is the amoant to be charged
to custom for the work done. If any material,equipment,labor ar inshallations are fumis[�ed by
th owner,ten nt or any other party,the reasonable market value of such items must be added to the
rnated cost�or contract price for penrut fee purposes. In the event that there is a dispute on tt►e
unt of the job cost,the Ciry may nequest the submission of a signed copy of the actual contract
1WIECHANICAL PERM�'f APPLICATION AGREEMENT
The u ersigned hereby applies to the City for issvance of a Mechanical Perroit, agrees to do a]1
work ' strict ac¢ordance witfi the ordinances of the City and �e regulations of the State of
Minne ta, and certifies that all statements made on this application are complete, true and
corsect
Appli ' t's Signature: Date: 1:1,J l l�
- - y
3
I
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TI E SCHEDULED --/ /l� :
PERMIT NO.� `�1�� coMP�ETED
ADDRESS 3�0 8� �ti/' �f lf /1��-- �,/'
OWNER E PHO O.
CONTRACTO � �� �'
� DESCRIPTION �'�'` (
l� ❑ 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 ❑ MECMANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
J FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 01MNERlCOI�fTRACTOR TO MEET Y'OU:_YES_NO
y COMMENTS: ��^a�_'� s
� ��!/�4 #�'�'"` �j�er'•�zLco,t2�- '�
oG-G G� �� � '^-���c��.�,
� — �` t�"f� f%/1���1� �'W-r�S� �l� ����G
0
�
W
�
Q
�
2
�
w
�
�
�
W ❑WORK SATISFACTORY:Pf10CEED ❑PROJECT COMPLEfE
� �CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECTNfORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED
�tNSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
Owner/Contractor on site:
Inspector: '�-"�`�
Whits CopyAnspector's File Canary CopylSfte Notke
�� �
DATE TIME
CITY OF ORONO cnLLED IN � �
INSPECTIO TIC SCHEDULED
PERMIT N� COMPLETED
ADDRESS 3 St�
�NNER � TELEPHONE NO. �77� `��2��
CONTRACTOR �" � � ��
� DESCRIPTION '
t~y ❑ FOOTING ❑ D�MO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPR F ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ VWATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ EWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ EPTIC INSTALL
Z OMfNERlCOKTRACTOR TO F�T Y�OU: YES_NO
y COMMENTS:
W ' .
� � 'll5 �irc ��e � 4/C
o � ^
�
�
� r � �� � Ga rn �c� a.
W
� � � tilf/G. '; . _
Q
2 ! � /�E� �..s�s�F -E rov�
� �a' �
!.t Ge/� � c
W r , / .
� T t �'1 f�' C�C! � p✓ /�� �cLlC...
,
W ❑WORKSATISFACTORY`. ED ❑PROJECTCOMPLETE
� ❑OORRECT WORK 3 P ED ❑ISSUE CERTIFICATE OF OCCUPANCY
C ❑CORRECT WORK,CAL FOR REINSPECTION TEMPOFtARY
V BEFORECdVERINO PERMANENT
❑CORRECT UNSAFE DITION WITHIN ��• ❑pHpTO TAKEN
INSPECTOR WILL ETURN
❑GTATION ISSUED
❑STOP ORDER POSTED L INSPE OR
�INSPECTION REQUIR .CALL TO RANGE ACCESS.
� �
cs�ror the� t 24 hours in advance. (952) 249-4600
ownerlcontractor site:
inspector: i •
wn�� n���I���. C�nary CopylSib Notie�
i
��
�0�� DATE TIME V
CITY OF ORONO cnLLeo IN �
IN8PECTION N TIC � SCHEDULED � a17 f'� 10� U�
PERMR NO. � d ��ereo
ADDRESS �o �� 5 (�l V`2,
OMINER � EPH E NO — �" ��
COI�fRACTOR
. Cll� — - .
� DESCRIPTION 1
ly ❑ FOOTING ❑ D MO- INAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ P MBING RI ❑ EXCAV/GRADING/FILLIN
Q ❑ FOUNDATION WATERPR F ❑ P MBING FINAL ❑TREE REMOVAL
Z ❑ RADON SLAB ❑ M CHANICAL RI ❑ SITE INSPECTION
� ❑ FRAMING ❑ M CHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑W D BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑W TER HOOK-UP ❑ FOLLOW-UP
W ❑AS BUILT-SURVEY ❑ S ER HOOK-UP ❑ FOUNDATION/REMOVAL
_
r ❑ DEMO-SITE ❑ S PTIC INSTALL
? OMfNBYCONTMCTOR TO M Y�U: YES_NO
� COMMENT�
W ,,� � � ° .�-'
4 �
�
O
� � � �� ��''�
� � � 1
� � �
� `
�
W
�
�
J
��YMORKSATISFACTORY: ED I' ❑PROJECTCOMPLETE
W ❑(�ORRECT WORK Q ED �ISSUE CERTIFICATE OF OCCl1RANCY
OO ❑CORRECTYMOFtlC,CALL REINSPE(CTION TEMPORARY
V BEFORE CdVERIN(i PERMANENT
❑CaRRECT UNSAFE CON N W(THINI ��• O PHOTO TAKEN
INSPECTOR WILL R
❑STOP ORDER POSTED. INSPECT4Na ❑CITATION ISSl1ED
❑INSPECTION REOUIRED. LL TO ARF�AN(3E ACCESS.
caN 1or uie 2t nours�n ed�►anoe. (952) 249-4600
� a
�» � Gmry OopyfHll�Irotle�