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HomeMy WebLinkAbout1999-012005 - gas fireplace insert _ _ _ PERMIT � CITY OF ORONO PERMIT TYPE: 2.750 Kelley Parkway - P.O. Box 66 _ E;rystal Bay, Minnesota 55323 Permit Number: ;: . ' (612) 249-4600 Date Issued: _ W.:�s-,,�;�; � 3 �� " �. '�+`� SITE ADDRESS: ��- { . . . ., '��f. , f_"3 i 7"' :'y:.l—':ii it+::�. DESCRIPTION: ;=:�°� w�=�:-�— ��:�;°_: i=:�;:__- . r-:;E:�: I P:_��_�:. i 4. �'" a.i`+;i�i`1._���_— �'�_t-€+� _ _-_- .W. ;-;i�I._ �`;'-��;_��iF=i�_ t.3��'•_' f'•^F��.` �?�=:i_.`:; ( 3 s: :+;:����`=. �;°;-'t ;'stI�i:..�.tr,y �_.. _ . i;.�i='�_#; �''- . - -i; �. I 1 1S 3 REMARKS: FEE SUMMARY: v�=R�._:_. . . :x�i°,< _- 'i:-a;�.� Y=�= �:�:i� , s=�t:� -:s.#�'_':�-'tr.,r-:��; ___�--____ �•�:�:�.L � f�f i.r�F i �"'_r'i_._r �G� L �{� CONTRACTOR: — �;,�,; �r�;;-��, .- OWNER: � _ :- :; _. .__;_-.:._.... ;.:�. : .:: . . _ - � : � .�,<<. , �-��:_� :�;.��=,w;_ , _ _�. _ _..� j�wi;�= �1� ��`s t .i ��;=, _. _ ... 4���i;'-#},,,:�.; �} . j{�j ;�`a h::,�7t�;�-t c".: " :• �:i�• _— _ — . , .. .. . _. . . i i-.i�. ._. _.. � , �! � i�'E �..�.�..�.0�.3t`5��� �L�xL..�'! � �C..� �'.IL i t :V_� } 7 I } ..•i t �F F}, r ;.i"e.�' i'�t" � =t .. . —t � 1 F ! _ I �s �'T .x}l"} z *.{ v `�:�`E�'�F�EC�<�i��� ra�Fi��� T���► ��m� ���a�t,. ��:°x_�. .. .� e_� � _� ; ., ���� _ ._��t�. �?';�.�_ _ �.. �. ��, . ,�__;.. . _'� ��,� _ ,_ i �" r,w�� t�t�;��C����'�t�:��� €�t�t��.� �'� t t- r ,�t � sT�., �' c s� p���s � - _ " L °=�_`�'�. i� .,. ., . ... _ _��.. _ �; � _ .� �". '_.�' _ , . .. . � ���_ �%������/YC/ //( APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � ao� . i�- + � CITY OF ORONO APPLICATION FOR MECHAlvICAL PERMIT Box 66 (2750 Kelley Parkway) 'Cj� Crystal Bay, MN 55323 ��j GENERAI,INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a perm.it will be issued within 2 working days. . 2. Permit cazds will be sent by retum mail afrer a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE 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 aze required for each heating, , ventilation, humidification-dehtunidification, 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 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 249-4600. 24-hour notice required. 7. House Heating Test Record must be submitted before final. Instructions Complete all items on this application. Compute the pemut fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600. Please check one: New Addition Repair Replace � Residential Commercial JOB STTE: ��;j`� ShCl�ci� �vuc'�r'� rvUtC� ZiP� r'��c� Owner's Name: �j�-�--r- �-�t�{�-�j Telephone Number: �; j �H�i Mailing Address: ( ' r-� c�l� ��- � %' � City: t;,-�;--• �', Zip: : �" Contractor's Name: � , Telephone Number: u 2�5 ���5?� Mailing Address: 1�-i�-Z(..� ��'�;�`��� k�� �,i�_City: t'j i;�> •e i Zip: ����' �a����� � � SYSTEM DESCRIPTION "�" ;;� HEATING SYSTEMS ��ry 5 �,��. ��j ti �� ,;{-����t� �-- � Quantity: � L�5 j���� ._..:� Make: d� ��s�t.�-- Model: �> ��,�, r c,_7 ��� Fuel: ,�t, L-.-- Flue Size: - .�— � %� Input BTUs: .�� �}���� Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power .. . � �. - . ^ " R_ :- T=, e' ,A_"R? � r ` �4j ti r f , . . „� �.�� .. _ ^�L z, . . ` - _. . .- � � �_�'. , _ .- , , .,. � ... � �� �f. . -a�. � . �-. ��1, ' � '... WOOD BURNING EOUIPMENT � � '� : , � ��. Wood stove with flue �" ,� � � `�� Wood combination or add-on �� � i ;� >*�� ' � Factory fireplace with flue �' - ` , �� , ,.•�' Factory Fireplace (s) Freestanding Masonry ��� u�` ` Wood Stove (s) Franklin, other z � ` � Brand Name Model No. �, �'� � ��, Mfgr's Min., Clearances, side , rear , min. flue dia. � 4,.� W}..� . V. � ��' �� VENTILATION � �''` No. Kitchen Exhaust ducted recirculating cfm �;�zr . �# ; �" � No. Bath Exhaust (must be ducted outside) cfm ' � ���: _ � � %�*� No. Other Fans: Locations cfm `��� � -" � - � a_, ,A, } �� � � ��' � `� � E � � FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) � �°�`T ,;' Installation Removal � ;� ' �� Fuel oil: gallons underground inside outside i � , ,� �� = ,- � kw� LP Gas: gallons k F�`� � ' � Gas opening � � ,� ��_., ;� Other � .. �. a�� ��'� '� ��� - � � , �. : �'� � PERMIT FEE CALCULATION � �:i �� � ; 1. 1.25% of Contract Price* or Minimum Fee ($35.00) �' ���� � �� = � �Cj, G� � � ��1 . x .0125 $ "� �,z ti° (contract price) �� � ' � 2. State Surchar� ** Add the State Building Code Division { �� � F '^ Surcharge to each permit. x .0005 $ �` ��Y or $.50, whichever is greater (contract price) �' rY r(� � ,. ' � �� i�� ke':� '' i x p� � 3. Postage and Handling (Only mail-in applications) $ 1.50 q 'F-� � �� 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �}� �,�� �::. *� ��,> ti.,� r _: ��� ' p' * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pemutted " ��`� . '�` ' work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the ��.i ,. + > - 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, L� "`\ the City may request the submission of a signed copy of the actual contract. �� �3�,z.;����� � � �Q $�� The STATE SURCHARGE is .0005 of the contract rice under $1,000,000 or $.50 - whichever is � ** � P . �: � 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 � ;'. } x# % ` = 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. � � r•' ^ } � Applicant's Signature: /-�� Date: � ~' � ` '� `l .�: � �� � Approved By: Date: :. ; � �` + �_ 6 :'� F:/ ` � Z , ,.j � ���� �;-_` I... . r'. t! ' t� 4 �'�? a . , . , "` ry ' if � .1 y , � �'�f t"� - � �r��� . � r v��� ` \ ���� � ` . - � '�'. . . ,'� . . .. `_� \ I .-�.. .. � . . ... ,. �� .. :, '.�:. �� . . � . . . . � . ... � �. ; : • l � r: DATE T ME CITY OF ORONO CALLED IN ' � ��- • U INSPECTION �CLE— SCHEDULED a-v� -' � PERMIT NO. "5 COMPLETED ADDRESS r L� OWNER 7�u��-� NTR. TELEPHONE NO. �� � � l� ��' � DESCRIPTION � � �L�— x) ��a,- �' �-� ����— u- � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADI /FIL It NG Q 02 FRAMING 13 MECHANiCAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-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: � W a � ' J O � � � O � ti � Q � Z W � W � j d � �JORK SATISFACTORY:PROCEED �OJECT COMPLETE W �❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED L INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContractor on site: Inspector./y�/��= ��C2(f'J S White Copyllnspector's File Canary CopylSite Notice AT� TI M E CITY OF ORONO CALLED IN � �1 � INSPECTION NOTICE scHEou�E� �' � � 1 C_ - `-=���="�� .� PERMIT NO. � 2�� COMP�.ETED �` 2 ADDRESS �� �S� 'UC OWNER CONTR. �����C�"f �� I �S� TELEPHONE N0. �� � Li�'g _��'�� 5 � � DESCRIPTION ��� 'r � � � �'� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti O 03 INSULATION 24/25 WOOD BURNE IREPLAC 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTHACTOR TO MEET YOU:_YES_NO ' � COMMEN S: � �_ y../ �s �`� /! -�.,E;S � � � � O _ � �, � ,/��'c-�/C-� c� c.�" �ss .�-; J ,.��;"�^� � � i I����Pc �. �i� e,[��4 C-C' � Q � Z W � W � � d � ❑WORK SATISFACTORY:PROCEED u PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �-' CITATION ISSUED � INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Cail for ihe next inspection 24 hours in advance.473-73�J7 OwnerlContractor on site: Inspector.��4 rr G��I S White Copyllnspector's File Canary CopylSite Notice