HomeMy WebLinkAbout1999-012142 - fireplace t � PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelle Parkwa P.O. Box 66 - �
Crystal Bay, Minnesota 55323 Permit Number: _ -.'���_
(612) 249-4600 Date Issued: _ �. r�� �_����_-=
SITE ADDRESS:
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REMARKS:
FEE SUMMARY: _ _
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHA1vICAL 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.
4. When any new construction or remodeliug is in�ol�ed, a sepa;ate building p�r,a:t msst be cbtained.
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 249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Compute the pemut fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600.
;`.; _-
Please check one: � New Addition Repair Replace `� � �
� Res' ential Co�erci� - �
JOB STTE• �' � ' ��� . :1-Y Zip:
Owner's Name: ' �t,.c.--, Telephone Number:
Mailing Address• City: Zip: 'r:
Contractor's Name: �,-�,l`-� ����:;' "� Telephone laTumber: ���',
Mailing Address: � �_ ity: ���%�� � ZiP�,�>�J���S �
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SYSTEM DESCRIPTION �:�
HEATING SYSTEMS �` ' '��'
.�,_
Quantity: 1 `��
Make: �'
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
.,
COOLING SYSTEMS � �:�
Quantity:
Make: �
Model: '
Tons:
H. Power
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,... . , .. . . '� . � .. �^' .Q . . . �R��,. 1 �2
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WOOD BURNING EOUIPMENT
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. � y�,C?1/�/��
Mfgr's Min., Cl�ea4ances, side , rear , min. flue dia.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
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)
� vvv x .0125 $ -�-�-�%'�
(contract price)
2. State Surchar� ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ � � 0
or $.50, whichever is greater (concract price)
3. Postage and Handling (Only mail-in applicafions) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � j� U�
* 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 aze fumished by the owner,
tenant or any other parh; the reasonable market value of such items must be added to the estimated cost
or contract price for pemut 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 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: Date:
; ;,,� Approved By: Date:
; �
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D TE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED � �d=�J+
PERMIT NO. � � COMPLETED � � ��• -�� ��
ADDRESS �
OWNER CONTR. -
TELEPHONE NO. � �-� - 3 7 l �
�- DESCRIPTION �-f�'L���" 11r�z�
� -
lV Ol FOOTING 11 fvtECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
03 INSULATION 24/25 WOOD BURNE /FIREPLAC 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
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 MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED i- pROJECTCOMPLETE
� ❑CORRECT WORK 8 PROCEED i- ISSUE CERTIFICATE OF OCCUPANCY
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� �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
r �EFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. . pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContractor on site:
Inspector.�� ��' L��`�
White Copyllnspector's File Canary CopylSite Notice