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Home My WebLink About2012-01009 - gas fireplace - � CITY OF ORONO * 2 0 1 z - 0 1 0 0 9 * , 2750 KELLEY PARKWAY DATE ISSUED: 10/09/2012 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 2515 KELLY AVE PIN : 20-117-23-12-0038 LEGAL DESC : REG.LAND SURVEY NO. 1428 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 700.00 NOTE: HEAT N GLO CERONA FIREPLACE PROVIDED,VENTED AND INSTALLED BY OTHERS APPLICANT MECHANICAL 50.00 SELECT MECHANICAL SERVICES INC. STATE SURCHARGE MECH(VALUATION) 0.35 6219 CAMBRIDGE ST ST.LOUIS PARK,MN 55416- MAIL-IN FEE 2.00 (952)926-4488 TOTAL 52.35 OWNER HARDTEN,DAVID&CHRISTINE 2515 KELLY AVE EXCELSIOR,MN 55331- 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 aze requested in conformance Hith the State Building Code.This permit may be revoked at any time`or due cause. �� / / Applicant Permitee Signature Date Issued By gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHE THAN DESCRIBED A E. .V '� ` �� {s�''�� FOR CITY USE ONLY /;¢ ��. City of Orono O ' � P.O.Box 66 Date Received: Permit# ��.., �';1 2750 Kelley Parkway � i+�`• h;� Crystal Bay,MN�5323 Approved By: Amount$: � u� Phone(952)249-4600 Fax(952)249-4616 �..,.�o;� CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Ofticial or Inspector and/or Fire Marshall) GENERAL INFORMATION l. 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 UNT1L YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,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 must be inspected(rough-in and final). Call(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 ❑■ Residential ❑Commercial(Approval Required) ❑ New �■ Additional ❑Repairs ❑ Replace Job Site/Owner Information: s,te Address: 2515 KELLY AVENUE Owner:HARDTEN RESIDENCE Mailing Address: 2515 KELLY AVENUE c,�,: ORONO Z;p: 55331 Home Phone: Alternate Phone: Contractor Information: SELECTMECHANICALSERVICES CHRIS HAVELAK Contractor: Contact Person: 6219 CAMBRIDGE STREET Address: State Bond#: ST. LOUIS PARK 55416 City: Zip: Expiration Date: Phone: (952) 926-4488 Alternate Phone: (952) 452-4525 x❑ Insurance—Current: 1 MECHA1�iICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑■ No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES � Gas Factory Fireplace Brand Name: H@at N GIO ❑ Wood Burning Fireplace Cerona ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry �j��.P� Gg- P��.�1 v��.�� VENTILATION �� //�.ST3°LLt1O 13 Y OT�/ff'�Q,d ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY 0 Outdoor Grill ❑ Other/List What&Where: dN Dr GK 2 .. . PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance 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;excludine 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 $ PERMIT FEE CALCULATIQN S -JQBS OVER$500.00 If above does not apply;follow guidelines below: I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 70�.�� x .0125 $ 5�.0� (contract price) (minimum$50.00) 2. STATE SURCHARGE 700.00 0.35 x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $52.35 ■ * 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. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the Ciry for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ardinances 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. Applicant's Signature: Date: ��05��2 Reset Form 3 ✓ DATE TIME CITY OF ORONO CALLED IN �d_�Z, � INSPECTION O�CE D QQ SCHEDULED PERMIT NO. COMPLETED ADDRESS G��7�J"� _�CJ�� Al� OWNER TELEPHONE NO.� -!"�2 7 5�5� CONTRACT�R � l��'� t�� DESCRIPTION ��Y�- �T �� r �5� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO ��., COMMENTS: � W � o �� .c� �. :. �� S l � � c� � � ; r ,�.-e 5,-�-- tz� � ? � . i�. 0 � W � Q � 2 W � W � � � �MQ iF KSATlSFACTORY:PROCEED ❑PROJECT COMPLEfE � W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: Inspector. �+ White Copyllnspector's File Canary CopylSite Notice � �J DA TIME V CITY OF ORONO CALLED IN �`�' � INSPECTIO OTICE SCHEDULED — ' �?�L PERMIT NO `� COMPLET D ADDRESS OWNER E EPHONE NO. r52 �Z �tSZS CONTRACT�R r �� : DESCRIPTION �U � �� W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J O � � O � W � Q ti 2 W � W � � GW ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. � PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP OFDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Z Inspector. ` White Copyllnspector's File Canary CopylSite Notice