HomeMy WebLinkAbout1996-008577 - fireplaces �
PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 - _ --;r���:�•�,.��:f;;_
Crystal Bay, Minnesota 55323 Permit Number: �`�� �
Datelssued: `-'`.'`='`'f f
(612) 473-7357 � # �;�;=�iF,
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: __ r:;�;�,; ; ,r:,�.,;. _. OWNER:
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APPLICANT�PERMITEE SIGNATURE ISSUED BY:SIGNATURE �GC•
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMPr
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. 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 Desi� - 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 involveJ, 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 final.
s
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: y�d S(a���P,-�Se+-� ��U ZiP� �
Owner'sN�:r�e: �Tlck;��,�, S t�1n w«r z �IdiZS TelephoneNumber: �i7Co� � �fo$ �
Mailing Address: 3�7 IyIR.N, �rU�%� Rt�� � City: �,,.c� ; =�: Zip: 5� `l % ;
Contractor'sName: /��y-x,,.j;,�C,a�uaQ �D«�,�� F��e. �k � eleph neNumber: �1���a� Y
MailingAddress: a�v--7?rrl F�✓� City: �l`'/.1" Zip: .�5�y.��l "
SYSTEM DESCRIPTION
HEATING SYSTEMS �� '`}J ��v� ��G��,
Quantity: � �
Make: �u�J�� tov� SU.f'EI�ZIL��
Model: t�7�C�38 �'�'�� D�C- 3S7��ti'
Fuel: ru�; C rw s N�r C Ms `'
I�lue Size: `�
Input BTUs: a7, oc�o �7,o�'�' _
Output BTUs: _.
CFM:
COOLING SYSTEMS
Quantity: �
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 Min., Clearances, side , rear , min. flue dia.
VEN1'ILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
� FUEL STORAGE (MUST �E APPROVED BY FIRE MARSHAL)
Installation Removal ��,
Fuel oil: gallons underground inside outside
LP Gas: gallons �5
�.� Other Gas opening �
�.
PERMIT FE� CALCULATION '�
��:
1. 1.25% of Contract Price* or Minimum Fee ($35.00) �
,�7� �`I C� ,�O x .0125 $ :3(c� 1_3
(ccr.t:act price;
� 2. State Surcharge. ** Add the State Building Code Division
��, Surcharge to each permit. �, 5�1(: � �`�� x .0005 $ 1 , `f�
or $.50, whichever is greater (contract price) �
��
3. Postage and Handlin� (Only mail-in applications) $ 1.50
:`2_,
4. TOTAL PERMIT I=EE (Add lines 1-3 above) $ 3`t• � y
':t;
���. * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
�j:,
-�r` 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,
`t.','1� 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 S'fATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
p .-.
greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby appli�s 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 certifies that all statements made on this application are complete, true
and correct.
, /� � /, �� ,,
Applicant's Signature:�_�'LQ�� (� �C�(����"�=- Date: l%`/����
�
Approved By: Date: '�
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DATE TIM
CITY OF ORONO CALLED IN / ' �� � -�z--�,s,�
INSPECTION NOTICEQ f� � SCHEDULED L��s�_-�C=-
PERMIT NO. D✓� COMPLETED �
ADDRESS �RoZv �_ ��
OWNER ��NTR. B
TELEPHONENO. �5��/"0���.�� X//(o ��Z
� DESCRIPTION .
� 01 FOOTIN(i 11 MEC CAL R 78IXCAV/CiRADINGUFIWNO
�Q 02 FRAMINd 13 MECHANICAL FlNAL 19 LAI�SHORFJWETIJWDS
� 03 INSULATION 24 '�AIOOD BU FlIFIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
� p5 FINAL 14 SENIER HOOK-UO O6 PROORESS
�
v 07 DEMO—SRE 27 SEPTiC MAINT. 21 COMPLPJNT
�Q 07 DEMQ-FlNAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 08 PLUMBINQ RI 23 SEPTiC FlNAL 35 HARD COVER REMOVAL
v 10 PLUMBIN�FINAL 38 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YQU:_YES_NO
y COMMENTS:
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�d RK SATISFACTORY;PROCEED
u PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnedContractor on sit •
I�spector:
White CopyAnspecta's Fik Canary Copy/Site Notks
NOU E NEATING TEST R�CORO
ADORESS �0 Abt. fLOOR CI?Y SUdUR��
OCCUPANI ON'NER
NFAT LOSS OATE HT T.
Sab ftY � � INStALLED !4Y
Et.�ni�ei w,.k B� C.• Un• 9� +
TYPE OF HEAT CA FA NM fTEAM SPACE HTR. UNIT HT11. OTHER
cAs oESIc�1 CONVERt10N
MAKE wtAKE OR sURNER
Msd�l � MIsMI
S�.tel M{r�. 81U R�11w�
INPUT d�U MAKE OR FURNACE
Ms/�I
CONIROLS � �� �
THERMOS T ►�.e� p�w I�_ V•nr Slt•
Vsl�• ► KINb OF LIN R SIZE NONE
Lt�n b�sh He�1 RNulea►
Li��� S�nin� _ Flit«� Sla�- Wu��r
Fen S�Hi�f,_ Cl�ln�n�� lse�ll�n In� "�._�,__.Ow�i��
p�ier t�v. a�n�n�� Cen�NvNl�� IV'�-► g
Plle� Melc• ` ��
Pils� G1ed•t � S.nel�� 9sn�` wirin� �
Pllet Tle+i�� �'� ` ��" 0►s11 Y�H Y���
�.w. C�r orr oe.. v�...w. ��,tin�� 1 �. �
� r
Pr��s�r• �� P�►e�nl CO� bsN T�H�I
I�ur CEN P�.e��� OZ C.�.�� T••ri��
Sbek ?�rnp. �P«e�n1 CO H�� �1 T�N�►
HOUS NEATING TE57 R�CORD
ADORESS � �a� AVt. fLOOR CITY SUdURB Ji'T�, �
pCCUPAHI S 01rNER
IIFA1 LOSS ---��}--OATE HT'/��T.
SOLO RY - � �/�.�•-�- �'�f� INStALLED !4Y
El�ehieal Ms�k B� Gs Lin• A�
TYPE OF HEItT CA FA Nw fTEAM SPAC� HTR, UNIT H1R. OTHER
CAS OESICN CONVERs10N
1AAKE MAKE OR SURNER
MeA�I � � Me�.I
S«tel � Ml�r. 9?U R�11n�
INPUT O rt MAKE OF fURNACE
Mb/�I
CONTROLS � /� v�
THERMOSTAT H.,� p�„� .,,,�..,�.__ vn► SI.•. �
Vsl�• KINO OF IINER ✓ SIZE NONE
Lt�.ti brsh He�� � Rhul�w�
Li�it S�nln�• FIIIM� Slt�- wun�b�
Fen S�Min� _ O�In�n�� Leeaflen InN� � OW�11�
v�t,� Trv. O,I��.� Gn.ava�•� �
PIle/ Mek•
Pils� Med•I Sw�eb 9s�� � wkiw�
Plls� Tin�in� 0►e11 �� T��1 T��
l.w. Cuf 0►f be« Pr...w• Ll�hlin� t .
Pr�sw�• 3. S P�rc�nl CO� � beN T�H�1 `
Ir�ut CFN P�►e�n� 0�._., G.�.�r T•.►���
SrseM ?�rep. P«e�M CO N���1 T��1«