HomeMy WebLinkAbout1996-008557 - gas log to fp .
�ERMIT
ITY OF ORONO PERMIT TYPE:
- 2750 Kelley Parkway- P.O. Box 66 ���.t��E�ir����.�.�#;L
Permit Number: ��{i;����
Crystal Bay, Minnesota 55323 .
(612) 473-7357 Date Issued: # � :,s y�'�a�:,
SITE ADDRESS:
�it;1 i °���!�f�i�;;�+4����iu �i#�
l._:�;il
#`` . �. . I'�I. � :�tt�.—i f���-�"_'_�—'_s.-�€:�C31 d
DESCRIPTION:
�a��: �..�_�t'; �'�_a �F,
1 C�r=�'�; L I t�i� I f�`=;�'EC:T
REMARKS:
FEE SUMMARY:
�1�aI t_'s�iT 3 i i�j �d��3�:�
�;;V,.s� FN�. �:;� ,t;�;
'_;td1'i.�'4e!!'�!=' ._______ ��a.f.��
I a��T.c`Ea. �r�+� ~tfs:i�, !wt_7
CONTRACTOR: — �;=���I i c�3-�t. — OWNER:
F'�i��'��I L:�''_... :=:Y:=:�'�E�i:=; :r:�`�;;��,_:��r=, ;`:h��� ;:��:��.��.
1�.���_�� hiiW�i�;�E:N ss�; ��`�j 1 i :_:�_!�:�f-��`��lj��:=�i� ��;
�'l�Efj��i:=� �*1(�j ���=�f:t !_,:fi;!_!�i_j �tl`•.i ���'�'`;�,�t=�
i,i���J._.E ��.�``_�_�'•��: '.t-�:=,l t..�,� _- _=.�'y tz
` � �µf } "-' t'+��l7 � w f '._; `'`g..�:;�_ _ _, :.il�s si,� i''jF-':�;.f-' �i-;a.. Cs;`'.N>�. °,�"��``'°•'�_.�`'d..�.f:�.,,1i':�
T. {�` h�#C F�,�.I �f._: �-i�:.E�:�i`t �:�-;t;#i l�'=;j_ �' ..
��`'����;�' ��.:.�� i�i(•�(�! ��'.��i`�,'t�=� �i`t��! �1#,i :`-��.i_ E,''_�`�'.t��. !.!'s ��i t1 i Ew� ! t...�=.�'!�'"'#_€���Vt_:` i,�i i'i�;� �-`:`._l.... .�i+�' �_��-
....! � � � ��.a�I`!. .f .L•C.•.' Y"e�Vt_r — S � f iv�� ix'T .. . t 't ~.} ! � i 1"`._.. dt,'L_,<nV....'"' .
:si-�;�,t� t�t i i _ E�'�'., .� . F.�. � ...�, , ��.. .? .!- ..,�_;+ €�, �:.�.t��_:j���ii; ��_�t,� t�t-._. _31; r,: E -
L. � _..J
��n
APPLICANT/PE MITEE SIGNATURE ISSUED BY:SIGNATURE
�
w;
+� �5 �
. � .�
CITY OF ORONO APPLICATION FOR MECHAI�ICAL PERMI'r
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORIVIATION
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 DesiQns - Complete calculations, details and specifications are required for each heating, �
ventilation, humidi�cation-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 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 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.
Please check one: New � Addition Repair Replace
� Residential Co�ercial � '
JUB SI1'E:��� �l.. ,o.� '�a:� `�), � .� �
r- Zip�� �
Owner's Na:�e:_�G;��� _�� � Telephone Number: �-�:�� ,� °5�,; �
Cit c, � ,w� �i �
Mailing Address: � u r�,�_ Y� P� _
Contractor'sName: ,�o,� � c� - TelephoneNumber: `'f� -{� Q� ��
MailingAddress: �y �a``; t, ��;r�a-�� '� City: a : Zip: S'�� )��_ �
SYSTEM DESCRIPTION '�^
�
HEATING SYSTEMS � i�` � � , %�
;� y , � ���{ � �
Quantity: �� � ��� � �S �S ��
Make: �1 �
Model: ��
Fuel:
I�lue Size: �'
Input BTUs: _
Output BTUs: __ '
�z
CFM:
�
COOLING SYSTEMS `"
,
Quantity: '�
Make:
�
a
ModeL• `
Tons: �
H. Power �
'�
� '`r
.,
�
�
.;
WOOD BURNING EOUIPMENT
Wood stove with flue
Wood combination or add-on
Factoiy 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.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm sa
No. Other Fans: Locations cfm
FUEL STOFcAGE (MUST �E 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)
�>�� ��"� x .0125 $
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
or $.50, which�ver is greater (contract price)
3. Post�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT PEE (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,
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"TATE 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 appl i�� 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. �
� � J _
Applicant'sSignature���.�� ��,/ � Date:� � /
�,.
Approved By: Date:
�
OATE TIME
CITY OF ORONO CALLED IN //'/Z ' ��
INSPECTION NOTICE SCHEDULED //-i� 1.�C'
PERMIT N0. �-5 S � COMPLETEO
ADDRESS /� �L�c�-n �- c�-
OWNER_,l�=C����L� CONTR. ` � � ���_�� .�% .� �-i�%;
TELEPHONE NO. - r "e-� ���— ��'�k�
� DESCRIPTION /��L ����-�
� 01 FOOTINO 11 RI 18IXCAV/�RADINQJFIWNd
� 02 FRAMING 13 MECHANICAL FI 19 LAI�SHORE/WETIANDS
Q 03 INSULATtON 24/2S WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UO O6 PROGRESS
� 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PIUMBINO RI 23 SEPTIC FINAL 35 HARD COVER HEMOVAL
v 10 PLUMBINQ FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: VES_NO
� COMMENTS:
�
W
a
o 'c�e v v�
a
�
0
�
W
�
Q
�
2
w
�
W
�
�
d �WORK SATISFACTORY:PROCEED PROJECT COMPI.ETE
� ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. n pHOTO TAKEN
INSPECTOR WILL RETURN `
❑STOP ORDER POSTED.CALL INSPECTOR
❑ CITATtON ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the i sp�ction 24 hours in advance.473-7357
OwnerlContra or ite: �
Inspector. '
White Copyllnspector's File Canary CopylSite Notice