HomeMy WebLinkAbout1995-007433 - gas line for fireplace PERMIT
' ,� arITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 _ _:`_����:t_�:;;F=L.
Crystal Bay, Minnesota 55323 Permit Number: _
�612) 473-7357 Date Issued: _ -
SI�� ADDRESS:
. �'_� �;-�:�:.�`�'s,:as����=+% .=°L�
DESCRIPTION:
� _ f �x,,x.� _ ,-.
._ .` i i�t i.:;i_et��
.. _ �,� �" ��i
.iT.^t�4�L L't�t SL•L
. . "'!}i} 7T
. .. .. .. ..:'1'1f'JV
:it iSi!
V.S 'L:t v.'�a lN
--�fle ti ie iii s't
. .__LC V='VlJV !7
' t_:L C:
V.i L!T aJV
ty t ,L a�V
a:l�('�.'_' ._ �i'i?if
!':LL:LyI ;�f':r,'il 1 Lt1:
.�'i i1! _. ' �%z ar•e
.... T'tVs��.' �.'i`k'S 11Y�3 !1L��J1
fl�IYi M f-1 f\a..
��� �LlIVIIYIB^6�'4 Y ' .
. ._ _r i � f.t. :`�f . _, :i i
s 5("t
.. _.. ...... _ .�1 1
CONTRACTOR: -- �;��=s� i c_;�;t. -- OWNER:
� ..z r�, :. ;,r;-'e F''.' r.',' " � ' �• "
� " ' '
r �.-: .'� : ::.t's �_!i' `:l J t•F F�i � I .,^:f_�'—�� _ _. .. . . ...
_ _t_� . _. _. �t���T=::i� :,�'� . .__. _._..._ _ . . _ .n��`_� ._. .. ._ ��`:t=�:'=�1 i'•.`�f
�'�,1F Er..':-t1yt:E - C:�:•"�1 _ _ . s_:t�;:_t �s:j C C,•=;+_:;
. _ __, . l=�=�—�'�!++� -
. _ . .
��� �.�����'���'���'+�CL ��i:..�"ss._:`'i� �. ..��.. _ _ ��_`' �..:., r i ��.�t.�#� �l�.:f �i�I�.�._ ��.':._.. _.__ _._ ti. .. ''�*�! `_
. �, . �.
���'��``It=Y�� ��� �,�`3�"EE`,. ; .,. �: < < ..:,!.. �.>�. .i:. IN :,'�'�i��� i:���1� ���r . _ .� € ' :, :s`r _�;::
;"5: � - �� �: . -�f..r�,_,��'! �f!`�.� '•���� . . .:::�� . � �4`.r.�;...�, '�4� �%�jd � r ..... _ . . . . _. .
L .. ._•.... .. . . .. _ _ � % L.L?.Z`� �+_t`w� : .., �
_ ._ . ._ r
r
APPL�CAN � RMITEE SIGNATURE ISSUED BY SIGNATURE �G�
� � ��
.. �'�� � �
CITY OF ORONO APPLICATION FOR MECHAIVICAL PERMIT
I3oac 66 (2750 Kelley Parkway)
C►ysta! Bay, MN 55323
_:�
G�N�RAL INFORMATION ��
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewcd and a permit will be issued witl�in 2 working days. �
2. Periuit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID '
�
UNTIL YOU R�CEIVE A PERMIT. WORK MUST NOT BEGIN UNTII, TII[: PERMIT CARD IS �
POSTGD ON TFiI; JOI3 SITE.
3. Mcchanical Desi�� - Complcte calculations, de[ails vld specifications are required for each heating,
vci�tilation, humidification-dehtnnidification, and air conditioning installation including hcat loss/hcat gain
calculation, desibn temperatures, equipment ratings and identification as to type, manufacturer and modcl.
Data shall be presented on form provided. Identitication of and specifications for water healing equipment
shall also bc providcd.
4. When any new construction or remodeling is involved, a separate building pennit must be obtaincd.
5. All work must be done in accordance with tlie Unifornl Mechanical Code/State Building Codc
requirements.
6. All work must be inspected (rough-in and tinal). Call 473-7357. 24-hour notice required.
7. Ilouse Heating Test Record must be submitted before final.
Instructions Complete all itcros on this application. Compute tl�e permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NO'1' B� PROCESSGD. If you have questions, call 473-7357.
Please check one: New Addi[ion Repair Replace
Residential Commercial
Jo� si�r: �� 9�,�;� ��� ;�;��,: ,�;.;; z�p:
Owner'sNa�ne: a�jdnl L,/� l � �✓ TelephoneNumber:
Mailing Address: � City: Zip:
Contractor'sName: ` / ,%�-%,'r PelephoneNumber: ,� �',.�- �/�yG
MailingAddress: .i� �'� ;�� .% E��,/=/�c. !� City: Lip: ��-_ - 1�.:y
SYST�M D�SCRIPTION
HEATING SYSTEMS � � : �
Quantity: -���=- C 4 � �.� ti"�- ci,, .� � ' �� �� /�ir C�-
�
Make: � —
Model:
Fuel: /(,�, �
I�lue Size:
Input }3TUs: —
Output BTUs: —
CPM:
COOLING SYSTEMS
Quantity:
Make:
Model:
"I'ons:
H. Power
.- . , ., : _ �.... . t ., ...n s�=.Y.�: �.�,. ,...�.�... .�.. #�...__.. .._.
._ .__ ... __.� ..: ...._.. �,.� .,�. � .. ��.
a
WOOD BURNING �QUIPM�NT
Wood stove witll flue
Wood combination or add-on '
;�
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
I3rand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
V�NTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Batli Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfin
FU�L STORAGE (MUS'T BE APPROVED BY FIRE MARSHAL)
Installation Removal
Puel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION :;.,
1. 1.25%o of Contract Price* or Minimum Fee ($35.00) . �
� �'�� �. �,� x .0125 $ - - � �
(contract price) `;:"s
2. State Surcharge. ** �1dd the State Building Code Division
Surcharge to eactl permit. � =�'!����. ��J _ x .0005 $ '- ' �
or $.50, whichever is greater (con[ract price)
3. Postage and Handlin� (Only mail-in applications) $ -�-:�4--_
4. '('O'['/�L PT:RMIT PL;r (Add lines 1-3 ahovc) $ �.
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for tlle permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
customcr for the work done. If any material, equipment, labor, or installation are furnished by the owncr,
tenant or any other party the reasonable markct value of such items must be added ro die estimated cost
or contract pricc for permit fee purposes. In the event that there is a dispute on the amount of the job cost, 7`
the City may request the submission of a signed copy of the actual contract.
** Thc STnTE SURCFIARGG is .0005 of thc contract price t�ndcr $1,000,000 or $.50 - whichcvcr is �
greatcr. For valuations over $1,000,000 call the Dcpartment of Inspectional Services Cor 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, and certifies that all statements made on this application are complete, true
and correct. �
�?' �_=G�IA /�
/lpplicant's Signature: ���7 /d���� ��'��i Date: /d-/4 - 5 S'
�
Approved By: Date:
.�.... �t. �._rA�.:_._..�.�:,a.�.m. �u r_.�.......�,�.:.:.�. .._�.t�.:�, . .��.�.:�,., , �. .. _ �� .__.., .. �_._ "�,_�..� .«._�
_ �
DATE TIME
CITY OF ORONO CALLED IN ' ����s��
INSPECTION NOTICE SCHEDULED � -� ��7r�
PERMIT NO. �`7'�.3� COMPLETED � �_
ADDRESS 9�_ �� � �
OWNER ����-� CONTR. C�`�Q � °
TELEPHONE NO. n �� �'"�� �7
� DESCRIPTION 1�.�-i��- -
ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
Q 03 INSULATION 24/25 WOOD BURNE i EPLACE j 34 TREE REMOVAL
Z 04 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
J 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: - "
� � �r
e - _ ___.
J �...��-�1Z0 � ��t� J� - �
O
�
�
� \ '�i ` Q� �� S
W
�
Q
� , S � Vt � ,
z
W
�
W
�
�
d ' /
W� .�'WORK SATISFACTORY:PROCEED Ci PROJECT COMPLETE
W ❑ CORRECT V1�ORK&PROCEED C; ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �- pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContrac n e:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice