HomeMy WebLinkAbout1998-011109 - fireplace �,� . PERMIT
CITY OF ORONO PERMIT TYPE:
y;,750 Kelley Parkway- P.O. Box 66 Permit Number: `'�`'�`���`'4�{:F'`_
, Crystal Bay, Minnesota 55323 �.�'•_ 1 s��f`�
(612)473-7357 Date Issued:
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: _ h�:�,� ; ;i,,-�f, _ OWNER:
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APPLICANT�PERMITEE SIGNATURE ISSUED BY:SIGNATUR � C�C i
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� CITY OF ORONO APPLICATION FOR 1V�CHANICAL PERMIT �.
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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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 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 Designs - 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. Identification of and specifications for water heating equipment
shall also be provided.
4. When any new construction cr rem�del�ng is involved, a s�parate 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 SI1'E:_ /�`7� �,cA������>cL �<< �. ZIP; c�-�-3c� .�
Owner's N�:t�e: �,�(„a��� _,N E d���� Telephone Number: ��-�/- ���� '
iVlailing Address: 5�,��,e City: C�� >� � 'Lip: � 39 � �
Contractor'sName: C�;��,�.�t Y�;�z f�- �; ��'TTelep oneNumber: �{�l/��c�
MailingAddress: �-�� LZ City: ��;- �� f�, �Zip: �-��;
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SYSTEM DESCRIPTION °�
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HEATING SYSTEMS ��
Quantity: ''�
Make: ��
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Model: ��
Fuel: `
I�lue Size:
. �-��.'.:.3
Input BTUs: _ ;
Output BTUs: _
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
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,:;�
;�� c" ` -
(�i,� - ->
�=BURNING EOUIPn'IENT ��I�������� • ''�
� � stove with flue
V�oo�combination or add-on
Factory fireplace with flue �--�__
Factory Fireplace (s) ��reestand' '% Masonry
Wood Stove (s) �` Franklin, other
Brand Name �� - - �
-v� � �� Model No. ��c�:��_������ ��
Mfgr's Min., Clearances, sid , rear , min. flue dia.
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VENTILATION �
No. Kitchen Exhaust ducted recirculating cfm ;�;�
:�
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm `��
FUEL STOFtAGE (MUST' �E APPROVED BY FII�E MARSHALj
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 .00 ;�t ,7
�'���� � x .0125 $ -— �� S�
� (contract price) �
2. State Surcharge. ** Add the State Building Code Division :
. — �
Surcharge to each permit. S�:��-: `—" x .0005 $ � �d '�
or $.50, whichever is greater (contract price) �
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3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 �
4. TOTAL PERMIT rEE (Add lines 1-3 above) $ �/1��. S L� `�
* 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 installation are furnished by the owner,
ienant or any other party the reasonable maricet vaiue 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. ��;�
** The S'fATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is ��
:1
greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby appl i�s to the City for issuance of a Mechanical Permit, agrees to do
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all work in strict accurcance with the ordinances of the City and the regulations of the Minnesota 4�
State Building Code, and certifies that all statements made on this application are complete, true �
and correct. , ��'� ,=-�
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A licant'sSi nature: � ��� Date: � ��'�� l<��
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Approved By: Date:
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CITY OF ORONO CALLED IN D� �TdZ��2t�1.
INSPECTION NOTICE SCHEDULED /�-/S "°/�
PERMIT N0. cOMPLETED � .�
ADDRESS (O 7�
OWNER � CONTR. �
TELEPHONE NO. 7"��1 ' /�OZ.�
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� DESCRIPTION �
l� 01 FOOTING 11 MECHANICAL RI �''� 18 EXCAV/GRADING/FILLING
Q02 FRAMING 13 MECHANICA— L FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W�(�yWORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W y❑ CORRECT WORK&PROCEED _ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
C CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIOfV REOUtRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwneriContracto si :
inspector.
White Copy/lnspector's File Canary Copy/Site Notice