HomeMy WebLinkAbout1998-010649 - gas fireplace �
PERMIT
� CI�`Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �'��.�-�!���'�_���!
Crystal Bay, Minnesota 55323 Permit Number: t_;���_,���
(612) 473-7357 Datelssued: t�3;r;���;�;;=;-;
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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A ICANT/PER ATURE ISSUEDBY:SIGNATURE �—��
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMTT °�
Box 66 (2i50 Kelley Parkway) "�
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Crystal Bay, MN 55323 �
GENERAL INFOIZMATION
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, humidificatioa-dehumiditication, and air conditioning installation including heat loss/heat gain
calculation, design t.,mperatures, 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 s�ibmitted 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 SITE:_ �(c. C7 -v��t���r2 (�lEr� �/G9� Zip: �v`Jc3��
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Owner'sN::ne: < N/c�C,eDT?'�.�-Ll- TelephoneNumber: ��4--�7$(�,
Mailing Address: .ss/Je �l�r,c� �e City• 'Lip: ���3.�(�,
Contractor'sName: v S%O� � _C/ TelephoneNumber: �/7-l'!�/�4�
MailingAddress: �!i /� City• jiJ Zip: S�;�j"�
SYSTEM DESCRIPTION
HEATING SYSTEMS ''�
�
Quantity: `�
Make: :�
Model: 2 � �� � :�
FueL• �
Flue Size: � � 6 - L-" Sd�i� `�
;
Input B'I'Us: _ `
;
Output BTUs: _. ,��
CFM: �
COOLING SYSTEMS � �;�
Quantity: 4�
Make: '��
Model:
Tons:
H. Power � �'
;�
�b!F , s ..�� eac, �-x�� "$�i�s���j I ' �' "� '�„r rn +��" �"�r�;' '`f"_- `�r , px 'j�p�' ,
Y v:; � �� :�� '� � r a r�y� $�R .. . . ��
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WOOD BURNING EQUIPMENT �
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No. �
Mfgr's Min., Clearances, side , rear , min. flue dia.
�" VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
-� FUEL STOI'rAGE (MUST �E APPROVED BY FIRE MARSHAL)
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 ($35.00) :�
G�'C�� ��=' X .�125 $
contract price) `
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
or $.50, which�ver is greater (contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
iI 4. TOTAL PERMIT PEE (Add lines 1-3 above) $
* 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,
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.
** 'I'ATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
The S
greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby appli,;� to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accurc!ance with the ordinances of the City and the regulations of the Minnesota
State Building Code, and c rtifies that all statements made on this application are complete, true
and correct.
Applicant's Signature• �— Date: ��
Approved By: i Date:
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ATE_ � TIME
CITY OF ORONO CALLED IN �����y
INSPECTION NOTICE U � iG1 SCHEDULED �� /'-3f�
PERMIT NO. � ��� COMPLETED
ADDRESS S���v - ���-' ���,•��, /-�-► •
OWNER CONTR. •.�s,�;>�-x-���
TELEPHONE NO. ���� �%%d�
� DESCRIPTION
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIL�ING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURN FIREPQ�CE� 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBtNG RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED �; PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED iJ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
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
OwnerlContrac o site:
Inspector.
White Copy/lnspector' File Canary CopylSite Notice
DAT TIME
CITY OF ORONO CALLED IN - � �' �
INSPECTION NOTICE SCHEDULED - /U`•��m
PERMIT NO. COMPIETED � L�
ADDRESS r �t �
OWNE v '��ct-!,L CONTR.
TELEPHONE NO. �� � � U ���
� DESCRIPTION
� 01 FOOTING 11 I AL RI ����� 18 EXCAV/GRADING/FILLING
Q 02 FRAMING ICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. , I 12 WATER HOOK-UP 17 SITE INSPECTION
5 FINAL (O�O`-M�C 14 SEWER HOOK-UP 06 PROGRESS
� 07 - ITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 P BI a�4� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
2
y COMMENTS:
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� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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� ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDiTIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra on e:
Inspector.
White Copyllnspector's Fi Canary CopylSite Notice