HomeMy WebLinkAbout1995-006873 - masonry fireplace PERMIT
Gi�Y OF ORONO PERMIT TYPE:
�750 Kelley Parkway- P.O. Box 66 _ - _ -
Crystal Bay, Minnesota 55323 Permit Number. - `� F:�-.
(612) 473-7357 Date Issued: - - _
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SITE ADDRESS: .�
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DESCRIPTION:
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FEE SUMMARY:
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APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE 'C-�•
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMTT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 �
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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 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
POSTED ON THE JOB SITE.
3. Mechanical DesiQns - Complete calculations, details and specifications aze 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. �a
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.
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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 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. �
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Please check one: New Addition Repair Replace i
Residential Commercial �
JOB SITE: Z��S �w�.r�.�,�� Ln. «v�,-•-� Zip: i:�
Owner'sName• �r c,/� i�,,ei,,,,,,,g..z TelephoneNumber:
Mailing Address: City: Zip: �
Contractor'sName: �►�++�V�3�v't�.�.��;� 1i11���.�,�,� TelephoneNumber: i��tt-�,�70 _ �
MailingAddress `�03 �.�,c�b�, 2c� 3, � City:�,-�.�;;til� Zip: �5 i �_-� �
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SYSTEM DESCRIPTION F�
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HEATING SYSTEMS �
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Quantiry: �Y
Make: .�
Model:
Fuel:
Flue Size:
Input BTUs: �
Output BTUs: ;�
CFM: �
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COOLING SYSTEMS
Quantity: `:
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Make: °`
Model:
Tons:
H. Power
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WOOD BURNING EQUIPMENT
Woad stove with flue �
Wood combination or add-on �
Factory fireplace with flue
Factory Fireplace (s) Freestanding �_ Masonry
Wood Stove (s) Franklin, other =
x,
Brand Name Model No. ;
Mfgr's Min., Clearances, side , rear , min. flue dia. ��
Total �
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VENTILATION �'
r1o. Kitchen Exhaust ducted recirculating cfm '
F
No. Bath Exhaust (must be ducted outside) cfm <�
No. Other Fans: Locations cfm �
Total ��
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FUEL STORAGE (MUST BE 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) �
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���� :,�` x .0125 $ �`�
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(contract price) =h
2. State Surcharge. ** Add the State Building Code Division �
Surcharge to each permit. x .0005 $ ;
(contract price) '�
or $.50, whichever is greater ;�
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 :�
4. TOTAL PERMIT 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 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, i.�
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.
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** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is ��
greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price. ��,
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The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accordance with the ordinances of the City and the regulations of the Minnesota �
State Building Code, and certifies that all statements made on this application are complete, true
and correct. _�- `'a
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Applicant's Signature: C - � Date: �Z� s' '�
Approved By: Date:
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DATE Y � TIME
CITY OF ORONO CALLED IN �' G S �'�n4�i11
INSPECTION NOTICE SCHEDULED � '� ��%� /I"�D�
PERMIT NO. _�SS1 � COMPLETED 3'Z�� ��$'O
ADDRESS � � � ��r ��
OWN ER .`�f� ����i,L� CONTR. � C� S ��' �-
TELEPHONE NO. � � �� ��`y ��
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/�OOD BURNE REPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W�WORKSATISFACTORY:PROCEED C; PROJECTCOMPLETE
�C CORRECT WORK&PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContrac r ' e:
inspector.
White Copyllnspector's File Canary CopylSite Nolice