HomeMy WebLinkAbout1991-004104 - masonry fireplace PF���� � �IT
CITY OF ORONO . � PERMIT TYPE: �l�����������+�-
1335 Brown Rd. South • P.O. Bcx 66 Permit Number: ;"-��'�';��',
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Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357
SITE ADDRESS: �� .��-�t�,E.^; �;�•� �,a �
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AP ICAN ERMITEE SIGNATURE ISSUED BY:SIGNATURE �����
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CITY OF ORONO
APPLICATION FOR MECHANICAL PERMIT
GENERAL .INFORMATION '
" 1. You may apply for mechanical permits by mail or in person at the City �
offices. Mailed-in permits are subject to the postage and handling fees
shown below.
2. Permit cards will be sent by return mail the same day the application is
`'' received. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT
BEGIN UNTII, THE PERMIT CARD IS POSTED ON THE JOB SITE.
3. When any new construction or remodeling is involved, a separate building
permit must be obtained.
4. Ail work must be done in accordance with State Building Code requirements.
5. AI1 work must be inspected (rough-in and final). Cal I 473-7357. 24-hour
notice required.
6. House Heating Test Record must be submitted before final.
INSTRIICTIONS Complete aII 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.
;
� WALK-IN PERMITS apply at City Offices, 1335 South Brown Road (Cty. Rd 146)
� MAIL-IN PERMITS enclose fee - Mail to: P.O. Box 66, Crystal Bay, MN 55323
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� Please check one: �ew Addition Repair Replace
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JOB SITE: �],� ..� %U 13i� � e�/�� d� f� Zip: '
Owner's Name: Telephone Number:
Mailing Address: City: Zip:
Contractor' s Name: e,�s ,�e�-� ��--G, Telephone Number:��y -�;s�z
Mailing Address �y�Q �1;�-,�s � �n--�k ti/t- City: ,p/�,hv,; 7`-L, Zip: ,,�,�:yy �
********************************* **************�* ****************************
MINIMUM FEE ( $30. 00 per project)
********************************************************************************
� SYSTEM DESCRIPTION: $15 . 00 each unit
Heating Systems:
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
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Cooling Systems: ��
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Quantity: '�
:,
Make: �
Mode1: '�
,�,
Tons: '
.,�
H.Power:
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` *WOOD BIIRNING $QIIIPMENT $15.00 each unit
Wood stove with flue
Wood combination or add-on unit
Factory fireFlace with flue
: Factor Fireplace (s) freestanding 1�Masonry
" Wood Stove (s) franklin, other
BrandName Model No.
Mfgr' s Min. , Clearances, side , rear , min. flue dia.
Total
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VENTILATION $15.00 each project
: No. Kitchen Exhaust ducted recirculating cfm
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)
' $30. 00 Permanent/Temporary
Fuel oil, gallons underground inside outside
LP Gas, gallons
Other Gas opening
********************************************************************************
' GAS LINE INSPECTION
High/Low Pressure $15.00
********************************************************************************
pERMIT FEE CALCIILATION
l . Total of above Installations or Minimum Fee ($30.00) $
2. State Surcharqe. Add the State Building Code Division $ .50
Surcharge to each permit
` 3 . Postacte and Handling on all mailed-in applications, $ 1.50
: 4 . TOTAL PERMIT FEE add lines 1-3 above $ _
The undersigned hereby applies to the City of issuance of a Mechanical Permit,
x; 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 a cation are complete, true and correct.
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Applicant' s Signature: ��z' � -1 Date: � �o �
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DATE TIME
CITY OF ORONO CALLED IN /oZ—/(o`��
INSPECTION NO CE SCHEDULED l�i 7 �:G
PERMIT NO. � COMPLETED �f �{
ADDRESS 7 5 ��`y /� y
OWNER � CONTR. �°�'�-�����
TELEPHONENO. 5.�9- 3/S�
� DESCRIPTION �" , �'c�
� 01 FOOTING 11 MECHANICAL RI , 18 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
V3 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORENVEfLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAI 23 SEPTIC FINAL
2 OWNERICONTRACTOR TO IYIEET YOU:_YES_NO
y COMMENTS: 4
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� WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED �ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC01/ERING PERMANENT
❑CORRECTUNSAFECONDITION WRHIN HOURS. p pHOTOTAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra on�s�te: .
Inspector. � U ,
wnite coPyn�sP.�t �� Canary Copy/Slte Notice