HomeMy WebLinkAbout1993-005334 - fireplace � � - � � . PEI�MIT
CITY OF ORONO PEFiMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: ������'�����-��'�-
Orono, Minnesota 55356-0815 Date Issued: `�`�'�''�'�'
(612) 473-7357 C�;�!j:;i'�:=:
SITE ADDRESS:
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DESCRIPTION:
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REMARKS: ����.��f�'�
FEE SUMMARY:
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CONTRACTOR: _ ��,,�,� ��,��,�, _ OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
.
WOOD BURNING EQUIPME��
VJood stove with flue
Wood combination or add-on
Factory fireplace with flue � � S S�-�C,�
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name��r ,�vi,o rJ j eA�`t'� r�1 cs, Model No. �/C �.Z..4- O
Mfgr's Min., Clearances, side , rear , min. flue dia. -�}� `�� c� -,l��.r�-7,
Total
VENTII,ATION
No. Kitchen Exhaust ducted recirculating cfm
No. ' Bath Exhaust (must be ducted outside) cfm
Nc. Other Fans: L,ocations cfm
Total
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERI�ZIT FEE CALCULATION
1. 1.25 0 of Contract Price* or 1ltinimum Fee ($35.Q0) '
i 70� � x .0125 $ Z /, s�
(contract price)
2. State Surchar�. ** Add the State Building Code Division �
Surcharge to each permit. � 70� �- x .0005 $ � �5
(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) $ Z 3 • ��
�� � �. 3.5�c��a
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
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customer for the work done. If any material, equipment, labor, or installation are fumished 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 Ciry 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
greacer. For valuations over �1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the Cit�� 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 Mi.nnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct. ( �� ����
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Applicant's Signature: � Date: ;%--d'��
Approved By: Date:
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CITY OF ORONO APPLICATIOI\T FOR h�CHAI\ 993
' 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 Ciry offices. 'ons will be
reviewed and a permit will be issued within 2 working days.
2, Permit cards will be sent by rerum mail after a review is completed. PERMITS �'�aT VALID � 1�
UNTIL YOU RECEIVE 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 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 ac;cordance with the tJniform Niechanicai Co3c%Siat:, Eu::d�:.g ��de
requirements.
6. All work must be inspected (rough-in and fina]). Call 473-735'l. 24-hour notice required.
7. House Heating Test Record must be submitted 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
- Jos srrE: t Z r+ 5' ��J►� � � �� � zip: �5���'�'
Owner'sName: A�J �-`l �`.�1 �.'2 o TelephoneNumber: — �'
Mailing Address: I z¢� C-v+�r►YH 1�� � City: 6�'Z�O►�� Zip: s 5 3��
Con tractor'sName:�i,2,�S � i� e-e,2�1�,-�YL TelephoneNumber: 6 33-Z�6/�7.23�
MailingAddress:27 0 0 --N -1-� �i2 ✓�� Cit3':O�oS����-� Zip: s'S�i�_—
/l}�7�; �7/�S ��f'/n1 ZT 3�t n�4 �� B�' � �TN -.�Y'4 � .�
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Malce:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
� Model:
Tons:
H. Power
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DATE TIM
CITY OF ORONO CALLED IN �^� � D,�� a
INSPECTION NOTICE SCHEDULED � / ' -3 �
PERMIT NO. S 33 COMP�ETE
ADDRESS � � C�� � �
OWNER � /U.L%�l7 CONTR. � c�'�
TELEPHONE NO. �' 3 'J�aS Co l X �'.�U
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
� 03 INSULATION 2 25 OOD BURNE REPLACE 19 LAKESHORENVETLANDS
� 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
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 P�UMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORK SATISFACTORY:PROCEED
W� = PROJECTCOMPLETE
W ❑ CORRECT WORK&PROCEED Ci ISSUE CERTIFICATE OF OCCUPANCY
O O CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. " 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.47�73�J7
OwnerlContractor o ite-
Inspector. ��
White Copy/lnspector's File Canary CopylSite Notice