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Home My WebLink About2012-00035 - gas fireplace CITY OF ORONO PERMIT NO.: 2012-00035 � 2750 KELLEY PARKWAY . ORONO, MN 55356- �ATE [SSUEu: OU17/2012 952 249-4600 FAX: 952 249-4616 ADDRESS : 2749 KELLY AVE PIN : 21-117-23-23-0027 LEGAL DESC : REG. LAND SURVEY NO.0891 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCT[ON TYPE : FIREPLACE-GAS VALUATION : $ 2,500.00 NOTE: KOZY HEAT FIREPLACE CSK-335-IPI APPLICANT MECHANICAL 50.00 PRACTICAL SYSTEMS STATE SURCHARGE MECH (VALUATION) 1.25 4342 B SHADY OAK RD HOPKINS, MN 55343 TOTAL 51.25 (952)933-1868 OWNER TEARLE,CHAD& ELEANOR 2749 KELLY AVE EXCELSIOR, MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permi[is issued shall be perlormed according to the approved plans and speeifications,applicable City approvals,and the State Buildin�Code. This permit is for only Ihe work described and does not grant permission for additional or rela[ed work which requires separate permi[s. 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 construc[ion 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 confonnance with the State Building Code.This permit may be n '' 7 revoked at any time for due cause. , l � < i6� . -;�-'.��,�., / i�� i/� �- � ! ; ("'�;��r'!�� /� Applicant[�ermite�Signature Date [ssued 13y Signature Date �� SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR CITY USE ONLY I �040�0 City of Orono P.O.Box 66 Date Received: Permit# �:. 2750 Kelley Pazlcway a i'�'�- r� Crystal Bay,MN 55323 Approved By: Amount$: � ,,} r i, �� pboue(952)249-4600 Fax(952)249-4616 �+tasKo�' CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building OYficial or Inspec[or and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical pernuts 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 Desisns—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 pernut 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 fmal. TYPE OF PERMIT Check All That A 1 0 Residential ❑Commercial(Approval Required) ❑New ■❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: 2749 Ke��y AVe oWner: Chad Tearle Mailing Address: Same city: Excelsior Zlp: 55331 Home Phone: �952� 471-1227 Alternate Phone: Contractor Information: Contractor: Practical Systems Contact Person: JOann 4342B Shady Oak RD 558516 Address: State Bond#: clri: H o p ki n s Zlp;55343 Expiration Date: O9I� 7��Z Phone: (952) 933-1868 Aiternate phone: 0 Insurance—Current: �/1�� 3 1 , � .�w � a Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes Q No HEATING SYSTEMS Qaantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quanriry: Make: Model: Tons: H.Power FIREPLACES � Gas Factory Fireplace Brand Name: KOZ�/ H@at ❑ Wood Burning Fireplace CSK-335-IPI ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath E�chaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 PERMIT FEE CALCULATI�N(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 CALCULATION S —JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 2,500.00 X.o12s$ 50.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE 2�5�0.�� 1 .25 x.0005 $ (conuact price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $51 .25 ■ * 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 fumished 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 Ciry may request the submission of a signed copy of the actual contract. MECHANICAL PERMIT APPLICATION AGREEMENT 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 certifies that all statements made on this application are complete, true and correct. Applicant's Signature: �� Date: O�/�Z/�Z ,, �J Reset Form 3 �W DATE TIME � CITY OF ORONO CALLED IN ��-� � ,. INSPECTION NOTICE �FiCHEDULED �� -0 PERMIT NO. �O�G►7—D�D�S COMPLETED ADDRESS a 7 �� OWNER T LEPHONE NO. 95Z �7/ /a�Z 7 CONTRACTOR �: DESCRIPTION `�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o n �5� �l- 1� r' '� S '� a � ° G—f�"S' �.� S ,c.r-T �.c�- P W 1 �j � �� C-(1Of�c� � 1S V f n .�.�C. Q � Z W � W � � � d W� ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. r�- pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. �� . .� A� White Copyllnspector's File Canary Copy/Site Notice