HomeMy WebLinkAbout1995-006773 - fireplace PERMIT
� C.N Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number: - -�'�:^�' ` ::`'.:` �
Crystal Bay, Minnesota 55323 _ � �� *� T
(612)473-7357 Date Issued: _
SITE ADDRESS:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE '"�
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 �6�� � z Nd f
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 2 working days.
2. Permit cards will be sent by retum 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-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. Ideatification of and specifications for water heating equipment
shall also be 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 473-7357. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: � New Addition Repair Replace
Residential Commercial , �
JOB SITE• �' ��� � Zi
Owner's Name: � � Telephone Number: �
Mailing Address: City: Zip:
Contractor'sName: FiQ�cin� rp.RfVER TelephoneNumber:
MailingAddress: 2700 N. FAIRVIEW AVE. City: Zip:
ROSEVILLE, MN 55113
SYSTEM DESCRIPTION�612� 638-3304
HEATING SYSTEMS I
Quantity:
Make: - � f1-C..�� �
Model:
Fuel: fY>�= '�.�
Flue Size:
Input BTUs: �� ,�.�
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
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WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on �
Factory fireplace with flue �
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Factory Fireplace (s) Freestanding Masonry ;�
Wood Stove (s) Franklin, other >4
Brand Name
Model No. �
Mfgr's Min., Clearances, side , rear , min. flue dia.
Total
VENTII.ATION
No. Kitchen Exhaust ductecl recirculating cfm
No. Bath E�ausz (riiust �e ductcri outside} cfm
No. Other Fans: Locations cfm
Total
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal �
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
d . l L�. � x .0125 $ ��� � (_�
(contract price) " t lj � �
2. State Surcharge. ** Add the State Building Code Division ��
Surcharge to each permit. � ���� �� x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta�,e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � ' �
* CONTRACT PRICE or J(�B C(�S i means ihe acrual or esti�ate�i dQ??zr a�ount cha�ged 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 installation 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 pemut 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 actuai contract.
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
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 Minnesota
State Building Code, ,certifies that all statements made on this application are complete, true
and correct. �
�' � Date: 1 2L� ��
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Applicant's Signature: � '
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� . Approved By: Date: `U
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DATE TIME ��
CITY OF ORONO CALLED IN .:Z,/i �.s'
INSPECTION NOTICE�7 SCHEDULED 9J /a` 3�
PERMIT NO. � �/-3 COMPLETED
ADDRESS �3.�C� �c,�,z„r�ZC� ,(�c
OWNER�,��<J CONTR. �� ��o C.�rc2e-c�
TELEPHONE NO. �3� � 3�n`�
� DESCRIPTION ___._�.-�1�-�t����
� 07 FOOTING 11 MECHANICAL RI 18 EXCAV/GRAD�NG/FIWNG
y 02 FRAM�N� 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
03 INSULATION _ 24/25 WOOD BURN FIREPLACE 34 TREE REMOVAL
Q 04 WA � 12 WATER HOOK-UP 17 SITE INSPECTION
Z 05 FINAL 14 SEWER HOOK-UO O6 PROGRESS
~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
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�Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTiC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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�d [�WORKSATISFACTORY:PROCEED
` / PROJECT COMPLETE
W D(CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY
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O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance.473-73�J7
OwnerlContract
Inspector.
White Copyllnspector's File Canary CopylSite Notice