HomeMy WebLinkAbout1993-005372 - masonry fireplace - �` PEI�MIT
CITY OF ORONO PEAMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 ���������-���-
Orono, Minnesota 55356-0815 PermitNumber: t��y�:_;�i�;
(612) 473-7357 Date Issued: i�7 f���,���:�:
SITE ADDRESS:
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APPLICANT/ RMI E SIGNATURE ISSUED BY:SIGNATURE !� .
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CITY OF ORONO APPLICAT'ION FOR MECHANICAL PERNII'T
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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. PER�I�SITS ARE NOT VALID
UNTIL YOU RECEIVE A PER'�1IT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
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
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 473-7357. 24-hour notice required.
7. House Heating Test Record must be submitted before f nal.
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
JOS SITE: �ig:�� ►
Owner's Name: q,U � Telephone umber: `� —
Mailing Address:� ,e_, Y� - City: �U, Z,. Zip:
Contractor'sName: � TelephoneNumber: �'l — j�,
MailingAddress: City:�`((,��, Zip:
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
;
�
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WOOD BURNING EOUIPMENT _
Wocxl stove with flue
Wood combination or add-on
Factory fireplace with flue
�- Factory Fireplace (s) Freestanding � Masonry
Wood Stove (s) Franklin, other
Brand Name�n,�.a,,��—�—�u�-� Model No. �� �tc,'�
Mf gr's Min., Clearances, side :� , rear �p_�min. flue dia��
Total
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted 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
'� PERIVIIT FEE CALCULATION .
1. 1.2�o c�f Car�tract Price* or i��inimum Fee ($35.+UU�)
��Ta.`18, 1 x .0125 $ �� �7
(con�tract pricej
2. State S�lrcharQe. ** Add th State Building Code Divisi�n �
Surcharge to each permit. � x .0005 $ l /3
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �' � �. i 3
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fized 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 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 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, and certifies that all statements made on this application are complete, true
�I and correct. .
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Applicant's Signature: ( � Date: ��Z�' `�3
Approved By: Date:
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE� � SCHEDULED 1 'v0
PERMIT NO. �� � COMPLETED
ADDRESS �� S Sf-1�2cZ.1�-P
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
� Ot FOOTING 11 ECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
� 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 O6 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �WORKSATISFACTORY:PROCEEO ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �, PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next�spection 24 hours in advance.473-73�J7
Owner/Contra n s�te:,
Inspector. ' ` =J ^`��
White Copyllnspector's File Canary CopylSite Notice
9 D E TIME
CITY OF ORONO CALLED IN / � '
INSPECTIAN NOTICE_ scHE�u�Eo � � ' ��-
PERMIT NO. 7 � , '� COMPLETED L� �� '
ADDRESS ����'S� ��'--`�.�,�,_-- ��-��z-
OWNER ��-�,���,�•-`�,.�=.�- CONTR. �����_•�� l�i�<<;-< ,,'<7�
TELEPHONE NO. ��� � �'�-3 ��
� DESCRIPTION
� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/ REPLA � 19 LAKESHOREIWETLANDS
O
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �WORK SATISFACTORY:PROCEED �OJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDEF POSTED.CALL INSPECTOR '– CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance.473-7357
OwnerlCont o o te:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice