HomeMy WebLinkAbout1994-005900 - fireplace/masonry PERMIT
CITY OF ORONO � PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 +�' � ��?E_is��:i���i v�;`��
Orono, Minnesota 55356-0815 Permit Number: ��;�r_=��„_;
(612) 473-7357 Date Issued: ���f;.-�J_��
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CTTY OF ORONO APPLICATION FOR MECHANICAL 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 will be
reviewed and a permit will be issued within 2 worlQng 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 Desi�ns - Complete calculations, details and specifica[ions are required for each heating,
ventilation,humidification-dehumidification, and air conditioning installation including heat loss/heat gain
calcularion, design temperatures, equipment ratings and identificauon as to rype, manufacturer and modei.
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.
g, All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requiremenu.
6, All work must be inspected (rough-i.n and fina2). Call 473-7357. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Compuce the perm.it 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 STTE: � � S�-- � �-� �� �.� �,�, � �y� �P�
Owner'sName• St�� � r �,+- , � " 'r�� �" TelephoneNumber: ��?3 - �Y 35
Mailing Address: 3 E i 0 S o i-!i �o / City: ��'�j z<z .�Zip: s s 3��i
Con trac t o r's N a m e: S a �" N Teleph neNumber. - �� \
Mailin Address• City: Zip: �7� - 1//1- )
g
SYSTEM DESCRIPTION
HEATING SYSTEi1�IS
Quantiry:
Make:
Model:
Fuel:
Flue Size:
Input BTLTs:
Output BTUs:
CFM: �
COOLING SYSTEMS
Quandty:
Make: �
Model:
Tons:
H. Power
� . : . - - ,� S -
_ . _.. . __ _ _ . . . _ -�-
WOOD BURNING E4UIPMENT ..
� 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 , mi.n. flue dia /3 , ( �� _
To#al
VENTILATION
No, Kitchen Exhaust ducteii recirculating ��
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 i.nside outside
Lp Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25%a of Contract Price* or Minimum Fee «3�•���x .0125 $
(conuact price)
2. State Surchar�e. ** Add the State Building Code DiXisio�5 �
Surcharge to each pemut.
(contract price)
or $.50, whichever is greater 1.50
3. Posta�e and Handlin� (Only mail-in applications) $
4. TOTAL PERNIIT FEE (Add lines 1-3 above) � � ' ' �`
* CONTRAC'T PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fued cosu. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor,or installation are fiunished bY the owner,
tenant or any other parry the reasonable market value of such items must be added to the estimated cost
or contnct 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 [he contract Pnce under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,00� call the DePart�ent 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 agplication are complete, true
� and correct.-__-_�___� .
-- .� _ _ _ _.. . ..:; I
-- -�--. .._ � � : _ -�<<.:�.�Z� Date: % - �.�- ���/.
_ Applicant's Signature: �
� . Date:
APProved By::_:.. : '
DATE ,/ TIME
CITY OF ORONO CALLED IN ��''�g'�y7
INSPECTIpN NOTICE SCHEDULED —� 1� -3 �'
PERMIT NO. �^ `� ��� COMPLETED ~' •
ADDRESS �/ �, �J �:L���r f,�:-�-�Y� ��}:.ti
OWNER .1 tr��,u' � CONTR. ;7S 1�-�-a-�-�� �'la-a-t-n.�.�.1_
TELEPHONENO. `� �� ��� �"
� DESCRIPTION
� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVICRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNE /FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q OS FINAL 13 METER SET(TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Q
i 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �ORKSATISFACTORY:PROCEED C PROJECTCOMPLETE
W ❑COflRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r, 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.47�73�J7
OwnerlContr, o o�,site:
Inspector. U
White Copyllnspector's ile Canary Copy/Site Notice