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1993-004933 - masonry fireplace
� � PERMIT � CITY OF ORONO PERMIT TYPE: �E�:H��I�:�L 1335 Brown Rd. South • P.O. Box 66 Permit Number: �•: Crystal Bay, Minnesota 55323 Date Issued: �j��4� (612) 473-7357 t��i C_�d%`?_: SITE ADDRESS: �;_;�,{; '=��-it�!�`r'i,�i��i��► �;�, �H F`. � .N. 1 ?_i i f—�:':=:--:_�'.—t 3e_��c: DESCRIPTION: tlr'i:�:{�fiWE�;Y �'I 4;��='��`€t:E 1 F I�:�F';._r��=� � �T TV �r u���L' REMARKS: ��i�t�'�� ►���IGE :t t�.:�,;nr� � � � �aJiJJi V�VV �r vi �rii� ��,i.i ;_��?�.r'}'��'r��i i+' �ff FEE SUMMARY: ;;� ;;��+ ,�.�� � F�. �:- � r��tsj• pF � tn 4��'1�3�ti-����_�;� ..:t-.t E�J!� t•eiL�fi tL �i.tv r"«ir'ti�7_�'U!�?�it�' Yt]iF IILi+L1! ! /! 11 !►:i7 E��s� FY� �_'�_ . 7� n�u;�,;;; �t}�� k;;� ;'1�'Y� ,,. , . '=�1.�!T`C�'�tt?'��e _�=; :;� t:v'�;�: ------- .,�.� _�.�s.�. Tt�i{.�� t=�� . _. . . i�_? CONTRACTOR: - ��-���1 i c a7;t. - OWNER: �?Fri`�ii:�f; {.�f_i��{f�3`�3ET� C:::�h�l'::T :;:���{_���'�.S �rl�fL I� t�1I LL I F�t� 5�:i+ifit 1"�-IIFd `•=;T '_�� 1;;r,ii `.=���3I:�YW���r=al� F:l� �_.'=;'�:E►�f Nlt�l �`:=:r::�a t_f�;�_:C,#E.f �4jt�l ��,:=:'=�1 . �?:�:} .s'�:�-4�.�1�+ �:-:�� -��-1� �"e}`� `i:-.�t-i E' t: '-t�-��-a`t• i t.E S: - 1 '- i-`C�Fi 1'i��- � t,1 f'u `�'i�� t,i:'�:F;�- s'` i` r'� t �{�-`Fi I.i t.'�f-i_..�,�"�..�v , . . ._ `•..%i .!.``t -'. _. ...f�i�...' . .__.. ._._.. . �.�_.--._.. . _. ! G .. ... .. .. .. _ . . . _. I !n. .._. 4 ! .._ �._..t-u _. .. . ._ �: !�: . . � (_.s 1- ��-i �j1j}_; w i:-'s-'- v 1 � �t(.� `',' 'i�:� T 4i+` _;i;n!F� _�'9�.-�i==;� ; a`•,�€y}- i�;�`�; ai €...t iY�^ _�}='� . _J f-� t �:�...:._._� �•_ '1°_>_ :r_����, :�'•: . ��� �t.s _(:!:� `y _,_ .j,'�'y . . . . . . .. _. .. _.y - �,.-,:. :._., _ , � ;. _....�.i:� ._. �..�.. � � • � •. %tr,Ji•. lt, •�(�:;C� ? i i� r ,-.,- (,[� �' l,.,1�-it_';�;.� '_'�-1 1 . f.�f,... . �, .;l,�: ,- 1 r ,, i�,;r 1= —t i ; _ ;,i f•vE� , i �ii.d�,=tt�.�i`E'i � _ . � v.. _. .. .�..2 .i . '.�4!".[._•_ ?"1 �•��1.:_ � _ L'C.. �:L_'•�. � ` • / V _ J APPLI /PERMITEE SIGNATURE ISSUED BY:SIGNATURE ; � � �� �� �� � . � �y����� � _ �: ty������ � < ,�.���s� �� ���� Tr t ;��� � CITY OF ORONO APPLICATION FOR MECHAIVICAL PERMTT �'��'��'� a= ��=�t Box 66 (2750 Kelley Parkway) �£� �"?'` ''. �'�_��� Crystal Bay, MN 55323 � � ��w�yy� � k; ��� �� GENERAL INFORMATION � � 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be ' s��# j� reviewed and a permit will be issued within 2 working days. ` �`�M��� 2. Permit cazds 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 � ;� ��z POSTED ON THE JOB SITE. ` �z ' � ,�� 3. Mechanical DesiQns - Complete calculations, details and specifications are required for each heating, � � � , ; ventilation,humidification-dehumidification, and air conditioning installation including heat loss/heat gain y � � g�� 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 t -� � �� shall also be provided. " ��'''.� t, >�s 4. When any new construction or remodeling is involved, a separate building permit must be obtained. , � r���s�„� 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. a ,�� � 7. House Heating Test Record must be submitted before final. `#t����� ��r� ;�°�*� �,. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. -��x� , r >y, w s�Y INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357. � '* � x� Please check one: New �Addition Repair Replace � �_ Residential Commercial � '' , �� t�s JOB SITE: ,�" �. i ,�.�,,.�� �:�-,�: Zip: �- � Owner's Name: Telephone Number: �����,� Mailing Address: �o S ,c� �� - City: Zip: ���'� ��.. Contractor'sName: ,, ti r , �%�X`� TelephoneNumber:y�� -;�.l S- x MailingAddress:i�c�i.�� �-G�� ����� City: « -� Zip: �5 S�� � �f .. � � � , ,�. SYSTEM DESCRIPTION ""*�� �s:, # � r � HEATING SYSTEMS ��� � �� < �� �� Quantiry: � � t� ,� Make: ' ����' ModeL• _ �� Fuel: �� � a Flue Size: � � Input BTUs: < # ey Output BTUs: '� 4��� CFM: ���� � �: Y,• COOLING SYSTEMS `� � � Quantity: � � Make: �� Model: ., Tons: 'f R� H. Power �_' �� � ;'�; � � � � � � � � '� �� � ' . . . .. ' F Fd . � ' �. .. ,.� . � , .. .. ,� _ '� ' . � . - " §. , � . . . , . ,. . .:,.; -.'. , ��.�� � . ,. _� . . " : ( . �-;:. .. . . . _ ..- � _ . .. ... Y �.. .. _ . . . . _. . . ._ ., 3 ..,..�.. ,. . „ . , . '� ._ r ... ���� �� � 9�x x� ' , � �� °" .. — - �� ���� � _ �. . `v; c � � � ; '+" �� �yi "�",��,4�, .. ; ���`�� WOOD BURNING EQUIPMENT � `` ���.��; Wood stove with flue . �'��# " ' Wood combination or add-on �� �� ,,�� �t=� Factory fireplace with flue � � " ' '' Factory Fireplace (s) Freestanding Masonry ; ; �#����.� .�� �. � Wood Stove (s) Franklin, o er *' A Brand Name Model No. �: �: � �:; � } ,f�� ` Mfgr's Min., Clearances, side , rear , min. flue dia. ` , � � Total t � �� � k� �4� � �*/{'v. �� �`S e � � �� � VENTILATION �� �� �'� No. Kitchen Exhaust ducted recirculating cfm "x ��+ ' �;, �t � No. Bath Exhaust must be ducted outside cfm ,�� ���F{ ( ) °� ��'_ No. Other Fans: Locations cfm �� � � �,� ��r s, ` TOtal �� ��� '���:, ����;� ;�K}. �,-„� r FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) �� *�`�-G��:��� Installation Removal �;� ����� � Fuel oil: gallons underground inside outside # � , ; LP Gas: gallons �' � i � � ; �;� -� . Other Gas opening y . l�`, � � �: � � ��,��;��.��� PERMIT FEE CALCULATION � � 7a��. � ��� ��` ��,�. 1. 1.25% of Contract Price* or Minimurh Fee ($35.00) $ �3. �S �� r�� �` k� '=f'�"' 2. State Surchar�e. ** Add the State Building Code Division $ 3 3� �z� ���� Surcharge to each permit. .----- �r�'. ��,�, =9 f= 3. Posta�e and Handline (Only mail-in applications) $ 1.50 �7,/v �� �.<, 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � � q ,i � `�� * 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 '� ����' N�� � customer for the work done. If any material, equipment, labor,or installation are furnished by the owner, g ;� z e� ,:x t"�<t tenant or any other party the reasonable market value of such items must be added to the estimated cost ' � ,A� �" � ��t' or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, �' ��', ��r �'` the City may request the submission of a signed copy of the actual contract. �� �� , r i r`� }`� k� ' ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is � �.'� � greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price. ° '� � � � �' 1 Y( �°�� R, .`��s !: ��,���'. � The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do ` } '� ���` � }; all work in strict accordance with the ordinances o f t he City an d t he regu lations o f t he Minneso ta Y� � �" �' State Building Code, and certifies that all statements made on this application are complete, true � � -�' ,� � f . � .: � and correct. � � �.�f M ��t '4 . � '�r �j ^ / ', �� j ���' `���' , .I^ ' e. /� �/-�=='-�2��: Date: ' - � � j#�� {.'. ¢ Applicant s Signatur � a�: g:� f �f�� ; r� ��� o , '`'�� .. . . . . � . ` ,: s. �+.. � �+ �$, : � ., , � �n a . . . , ti. . � ,. , .. _ . �. . . . . , e . ,.� . �. . . , . , , .:�� � . —. , .�.� .�4� ,e . ;� ���_. . _ . . , . �.� � n � ;�: .. . , ':¢ �r `� ' � , , . . ., '� ,4�•�., ' ,. ; �1 �:. �� ' �. . � - " � .' ' ^ � �:' ,,. Fq _ . � i , ��,i� � „ . �:. : , ��� x . , ... .; . . ,� .. , .. ,, ;. ��:' � " , .. . .. . .... , iast �. . . ,. :..,b�vs.;. ...r�...:.. . .. .� .. ' _�- .,lY i �:,.�. � .. ... ., .. . . ':t. � ..' . .,. �_3.'.':.' ,..�.. .5�3. ... .. . . � . f pATE TIME CITY OF ORONO j�C'1 3 ''j CALLED IN `� /, <;-' INSPECTION NOTIC--E�L SCHEDULED ="� `� �� � PERMITNO. ����� ( J COMPLETED Z-� -�'� �' J � ADDRESS � ``- �'f -- -� -� - �- -' OWNER �� -%, ��_ � CONTR. -==-y->._ �� <"' , _ , _ , ,�, . , �_ TELEPHONENO. � �,%%� ` -=' / = . �t � DESCRIPTION �". .� ,-r. •�, .-�� lL 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP Q02 FRAMING 11 MECHANICAL FINAL � 18 EXCAV/GRADING/FILLING � 031NSULATION 24125 WOOD BURNE /FIREPLACE 19 LAKESHOREIWETLANDS � 04 WALL BD. 12 WATER HOOK-UP -- 34 TREE REMOVAL Z Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT Q � 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPTIC FINAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � a �1��C ��n-w u�r L� � J O � � O � W � Q � Z w � w � � d��ORKSATISFACTORY:PROCEED �l PROJECTCOMPLETE W � ❑ CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W Q Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. r pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContractor ite- Inspector. White Copy/lnspector's File Canary Copy/Site Notice 1 `' DATE TIME CITY OF ORONO ��l , CALLED IN �` � �'��.�' INSPECTION NOTICE SCHEDULED � � � 3 - = �-� PERMIT NO. „ COMPLETED __/r_�a� � ADDRESS . �z2`"�� � OWNER �'�-E��� CONTR.�7'L/�i�-�'tid�li L%LP.I�- TELEPHONE NO. � ��-��-� ��=���� � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING y 03 INSULATION 2�OOD BUFNE REPLACE �19 LAKESHOREIWET�ANDS � 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Z Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPTIC FINAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS• � W a � � O � � O � W � Q � Z W � W � � d WORKSATISFACTORY:PROCEED C PROJECTCOMPLETE W � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR i' CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance.473-7357 OwnerlCon r n ite: Inspector. White Copyllnspector' File Canary CopylSite Notice � DAT TIME CITY OF ORONO <J`'l� CALLED IN � 9� IfVSPECTION NO ICE scHE�u�Eo �/.��g 3 /� �� � PERMIT NO. �� COMPLETED T �-! ADDRESS � % �� OWNER�����i� � CONTR.�%�l'_f2�Z' TELEPHONE NO. '�.�D � `?-Z-�-5 � DESCRIPTION �c-� � 01 FOOTING 11 MECHANICAL 16WELLTESTPUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING � 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS � 04 WALL BD. 12 WATEF HOOK-UP 34 TREE REMOVAL Z Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT � 09 PIUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPTIC FINAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � � IM �, �Jc�.� � �r__ � � � � � � W � Q � � W � W � � d �WORK SATISFACTORY:PROCEED _; PROJECT COMPLETE W � �❑ CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. _- 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.473-73�J7 OwnerlContr site: Inspector. White Copylinspector' File Canary CopylSite Notice