HomeMy WebLinkAbout2015-00699 - gas fireplace iiiiiiiiiiiiiiiiiiiiiillillilign
CITY OF ORONO * 2 0 1 S — 0 0 6 9 9 *
2750 KELLEY PARKWAY DATE ISSUED: 06/03/2015
• ORONO, MN 55356-
2 249-4600 FAX: (9 52) 249-4616
ADDRESS 4680 NORTH SHORE DR
PIN 07-117-23-32-0050
LEGAL DESC TONKAVIEW GARDENS
LOT 000 BLOCK 000
PERMIT TYPE MECHANICAL(>$500)
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE FIREPLACE-GAS
VALUATION $ 3,199.60
NOTE: HHT GAS FIREPLACE
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.60
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE, MN 55113 TOTAL 53.60
Payment(s)
(651)633-2561
Minnesota State License#: mech-20512060 CREDIT CARD 4608 53.60
OWNER
Midwest Custom Builders
719 HWY 10 NE#133
BLAINE, MN 55434-
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 separat
permits. All provisions of laws and ordinances governing this type of wo
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 commence
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may e
revoked at any tim or a cau�e.
Applicant Permitee Signature Date Issued By Signature Date
06-02-'15 12:12 FROM- T-865 P0001/0004 F-052
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06-02-'15 12:12 FROM- T-865 P0002/0004 F-052
Note:All Geothermal Systems will now require a Site Plan 8c Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes ❑No
HEATING SYSTEMS
Quantity:
Make.
Model:
Fuel:
Flue Size:
Input BTUs:
Output STDs:
CFM:
COOLING SYSTEMS
Quantity: M
Make:
Model:
Tons:
H.Power
�'��•, �}i,�' tre? a?�ie:t Asx-,:-.:-•,::;:,::.!;:.:.;s: ,
�o's" s:rx.D.E.r+. •10 � '�. �;'�• '�IiH'f:'�`r��:_e,r':.r�:•..
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑�
No. Bath Exhaust(must have duct outside)
cfm
No. Other Fans: Locations efm
FUEL STORAGE (Must be approved by FIFe M Orshail if proposing to abandon rank In place-)
❑ Installation ❑ Removal
i
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside j
LP Gas; gallons
Other:
GAS LINE ONLY {
,
❑ Outdoor Grill ❑ Other!List What&Where:
,
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06-02—'15 12:12 FROM— T-865 P0003/0004 F-052
D Yes,this section applies
The replacement of a Residential fixture or appllan%that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2, Has a total cost of$500.00 or less; Ig p udin g the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2,00
Total Permit Fee $
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If above docs not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
$3199.60
WE-
2, STATE SURCHARGE
$31139.604 ,, '
x Y 1.60
3. POSTAGE&HANDLING(Only on Mail-In Applications)
4. TOTAL PERMIT FEE Add Lines 1-3 Above) :. �_ .tuz
■ 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 parry,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.
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The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all j
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
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Applicant's Signature: G'1^l/f�LG''L8'l�' ?at ..'; 6/2115
1
3
DATE TIME
CITY OF ORONO CALLED IN V—
INSPECTION NOTICE SCHEDULED _
PERMIT NO. ' a06 SSP COMPLETED
ADDRESS !Z65<6 6 &(o--c D!
OWNER TELEPHONE NO.
CONTRACTOR
DESCRIPTION
❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLI G
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
? ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
CC
COMMENTS:
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2
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CCV_ZWARIESATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN iCITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. Z)F_ �� —
White Copyllnspector's File Canary Copy/Site Notice
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DATE TIME
CITY NO CALLEDiN
INSPECTION
NOTICE Qp SCHEDULED
PERMIT NO.1_7 �"�®�0-/ I COMPLETED
ADDRESS re .z,
OWNER TELEPHONE NO.
CONTRACTOR e t``e_rz, a �I
DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAWGRADING/FILLING
C ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
Z
..t ❑ DEMO-SITE ❑ SEPTICIN&TALL
2 OWNERICONTRACTOR TO MEET YOU:_YES NO
WCOMMENTS: `
j
0
0
Q Ado
W
W
LM ❑WORK SATISFACTORY:PROCEED A1ECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
El CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next Inspection 24 hours In advance. (952) 249-4600
OWnedContractor on site:
Inspector. A ' t
White CopylinspeeWs File Canary Copy/Site Notice