HomeMy WebLinkAbout1994-006704 - masonry fireplace PEI�MIT �
CITY OF ORONO '� �' ' PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �_�}„��`��:���:.��=i�:L_
Permit Number: r=�;;,t;_;s3
Crystal Bay, Minnesota 55323 - - . ; '
(612)473-7357 Date Issued: �
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SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APP CA T/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR 1��ECHAIVICAL PERMIT
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 wiil be
reviewed and a permit will be issued within 2 working days.
2. Permit cazds 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 Designs - 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. Ideatification 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 norice required. ���
7. House Heating Test Record must be submitted before fmal.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICAT NS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
. ��
Please check one: New Addition Repair Replace i�
Residential Commercial N
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�( t� JOB SITE• > .'-_�� - �,�_,.,, � r` . _ - i:r _ Zip;
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,��,�"' �---- Owner's Name: F' - , ,,�'elephoneNumber: , �' _ �
, �l� Mailing Address:i ��S� U U<<ir,I� .%' �'� City: �-�,� � Zip y-;k
� Contractor's Name: ;�; %� �,�>�-� P � � �
�,,� ,,;r.,i, Tele honeNumber �' ��
MailingAddress !t-�j�Zo y:� '— �a�v� 1,;�,. City: �_���_ �= Zip: .�' � � -�(o �:a
SYSTEM DESCRIPTION �
HEATING SYSTEMS
Quantiry:
Make:
Model:
Fuel:
Flue Size:
Input BTUs: `�_
Output BTUs: `'
CFM: �
COOLING SYSTEMS
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Quantity: `
,�
Make:
Model: '�
Tons: �
H. Power �
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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.
� Total
VENTILATION
� No, Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) ��
No. Other Fans: Locations ��
Total
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 Mi�nimum Fee ($35.00)
� x .0125 $
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(contract price)
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
'�A�; 4. TOTAL PERMIT FEE (Add lines 1-3 above) $
,��;
��" * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the permitted
� r work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
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,�° 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.
- ** 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.
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 certifies that all statem n\� made on this application are complete, tru�
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and correct. / � ���a
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Applicant's Signature: %: � � � �— '� ate: 1 �
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� Approved By: Date:
DATE TIME
CITY OF ORONO CALLED IN �z-�� q�
INSPECTION NOTICE SCHEDULED /�-�� ��""`J
PERMIT NO. i' 7� `� COMPLETED 1/4 3=�O
ADDRESS 3 � `� d '�-�Z �`�-
OWNER I!�G��M `�- `�,-�-�4-c - CONTR. ��� f�`c-�_-lc�
TELEPHONE NO. �� 9 � �,� 7 3
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GflADING/FILLINO
� 02 FRAMING 13 MECHANICAL FINA 19 LAI�SHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNE IREPLACE i 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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= OS FINAL 14 SEWER HOOK-UO O6 PROGRESS
~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
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�Q 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d ORK SATISFACTORY:PROCEED PROJECT COMPLETE
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� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
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.473-7357
OwnerlContrac
Inspector.
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