HomeMy WebLinkAbout1994-005989 - gas fireplace PERMIT
CITY OF ORONO � �^ PERMIT TYPE: E��:�.H;�€��C::��f_
2750 Kelley Parkway • P.O. Box 815 Permit Number: -
Orono, Minnesota 55356-0815 '"-'�_�;;_��
(612) 473-7357 Date Issued: ;^��J•�;;� �Yj�
SITE ADDRESS:
i =� =_t,t TH aVE
L�::3
�'�. } . �+� . , {_3�.i`—�. i i—•-.:�--'�"�—!3t;1 t;�
DESCRIPTION:
�,�=,�=; ����������:E
i �:.�;'�F`!AC�E ��1EL f�1�T'�i=�t�� ��A'=� �1(`�t�::C f��t�� t�!' !.�L�=E
;"JE�:[)�I_ =.t_Ti�}� i_�:)�F
i13 i i` ir'� i.i{i�u��ri�
i ii rnt�ri,r,i v=�.i�•i
i,:•i tii.ivvv��v �r
v.i �i+if ,3:,ti v'
f�j::::�iiliS,:ttZf� �
1tLLi.lfVVVV 1T
C
i L'1 V� •IJ
L•VLLt�i• �L �lul s�J
! LLLl)r! !!!fll! l 4lLJ
REMARKS: n:�L:;:��v ;;;w:.� ��t?� ;'�;;:��
v;�;'t?�,r�'�
FEE SUMMARY:
:.-���i`� F ������ ��. . �t�li)
�z�?.=� S N'3.'� '� �i l} .
���'�� ' ' '
`_+L�ii~+'_�'�,ti"�t� _______ _�.z'��
T�=��•ctl �'��� '�:_`!- . f.�
CONTRACTOR: OWNER: - �;�W i�_:-t�-�-�:. -
F-iFw?il'L���E�;:t� �=:�:i=�If.�
� i� '�;t�►I T�; �f.�E
I i�;a t��;� ���� �+;:.=�'��
_�; -
t i �.`.t�,t. _a;"�:: ` xw - :t i;'•..•"ti� i�"" " �1 i�:'•
. , _
! t; ,_ ,�'<:_!1.._. ._ _ _.� 't : .r_��:f...�:� �?:._=�`_3.__'•�� � `�:.`.. ._. ., ._ _ ._�� f '_� �'a.-:t•.�_ �s :i: .�i-':!_ i�'�t``�'';I_E �3``�s__�, _
...._
, _ :.� - : j
'-:�"'`. ... j.." _.C._�. i:T;�i.'- }�.��. ' -,� 1 I„f t f_. f i�_! tL_.�'.. . _. . _. . .��t.: (;i_.I':°i-�';,,,�t�ffsl4.�e: Lt#�. t �. . ._.. ... E_:�. � . . .
._.... �•�"`� 'F . �
.E;'.: �} '"y �-�i._ . " �i •t��=: ;'t = ;I�.T�t.3;,:�:;._;..i �!1 L.L�.�i E ir'� �- -���,_ -- ; y'�.
i ,
,-. , ..-
_ . . .....: ....it 1,�, �'"'� _:.._�_ :"!''i� �3 � ."S � ��..... �... . _. . ... .. ._ . . ._ _ .YiJ ... ..+�.� ��L_`�,' ' ......, .__ . . .. .
L I �
��
PLICANT/PERMITEE GNATURE ISSUED BY:SIGNATURE
r - �
CITY OF ORONO APPLICATION FOR MECHAivICAL PII2MIT
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, peimit 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 Desiens - Complete calculations, details and specifications are required for each heating,
ventilation,humidification-dehum.idification, and air conditioning installation including heat loss/heat gai.n
calculation, design temperatures, equipment ratings and identificarion 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.
g, All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requiremenu.
(, All work must be inspected (rough-in and finai). Call 473-7357. 24-hour nodce required.
7. House Heating Test Record must be submitted before finai.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPL.ETE APPLICATIONS WILL NOT BE PROCESSED. If you have quesuons, call 473-7357.
�.
Please check one: New `� Addition Repair Replace
✓ Residential Commercial �P: ss 3� �
JOB STI'E: /l5 SM �r�-� �YE
Owner'sName• f7,o�cv Z�rz � TelephoneNumber: ��5��(D7�,
Mailing Address: l 1 S S� �i�t e��'e City:I�U A��.,o;�Z ip: .S 5 3�l
Contractor'sName: 6 c�v��-- _TelephoneNumber:
MailingAddress: City: Zip:
SYSTEM DESCRIPTION
HEATING SYSTEMS- �s �' �P��
Q��ry� �
Make: G�s T�-��o�c�ir�s - N G�.o��,__
Model: LPoOa � �v
Fuel: ��s
Flue Size: s`'
Input BTUs:
Output BTUs:
CFM: � �
COOLING SYSTEMS
Quantiry:
Make: � -
Model: '
Tons:
H. Power
- ' � . � . -
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 Mi.n., Clearances, side , rear , min. flue dia. �
Total
VENTILATION
No, Kitchen Exhaust ducteci recirculating cfm
No. Bath E�aust (must be ducted outside) cfm
No. Other Fans: Locations �� �
. Total
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground i.nside outside
L,p Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.001
� �O0°o x .0125 $
-(ntract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .Q005 $
(contract price)
� or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERNIIT FEE (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 fized cosu. 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 parry che reasonable market value of such items mnst be added [o 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 c��•
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or �.50 - whichever is
greater. For valuations over $1,000,00� call the DePartment of Inspectional $ervices 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 Ciry and the regulations of the Minnesota
State Building Code, and rtifies that all tateme ts made on this application are complete, true
� I
and correct �— -- �
: .._ - _---., __ Date: �`i I�1
_ Appl�cant's Signature:
. _ Date:
APProvedBy:-.', - ,
�
D T TIME
CITY OF ORONO CALLED IN '�
INSPECTION NOTICF, SCHEDULED /D:36
PERMIT NO. �`� COMPLETED �_ �
ADDRESS
OWNE CONTR. _ .��1� _
TELEPHONE NO. 7-3
� DESCRIPTION ��,,g�,e
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
� 03 INSULATION 24125 WOOD BURN /FIREPLAC 19 LAKESHOREM/ETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETlfURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
? 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
y COMMENTS:
�
W
a
�
�
O
>-
�
O
�
W
�
Q
�
2
W
�
W
� ,
�
d ORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
iNSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance.473-7357
OwnerlContra or n s
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN 5 .5
INSPECTION NOTICE SCHEDULED y /'�� ��
PERMIT NO. COMPLETED � '�
ADDRESS � � `
OWNER CONTR.�/J��
TELEPHONE NO. '�7`�-�L��3
� DESCRIPTION /,���e�..�
� 01 FOOTING 11 MECHANICALRI ��16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICALFINAL ���� 18 EXCAVIGRADINGIFILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z04 D.G��� 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINA -) 13 METER SETITURN ON 17 SITE INSPECTION
� EMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
W 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 10 PLUMBING FINAL 23 SEPTIC FINAL
v
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
�
W
C
�
�
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d �IWORKSATISFACTORY:PROCEED PROJECTCOMPLETE
W
� CJ CORRECT WORK&PROCEED f� ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑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 REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance.473-73�J7
OwnerlContra on te:
Inspector.
White Copyllnspector's Fi e Canary CopylSite Notice