HomeMy WebLinkAbout1994-005954 - masonry fireplaces PEI�MIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 `'_�:=:��':;4 E�:�tL
Orono, Minnesota 55356-0815 Permit Number: ;;�;c,�c�
(612) 473-7357 Date lssued: �`y:_;����,��
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: — H�i��? a.r_{::�:: -�- OWNER:
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APPLICANT/PERMITEE SIGNATURE �� ISSUED BY:SIGNATURE
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CITY OF ORONO A.PPLICATTON FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1, you may apply for mechanical permiu by mail or in person az the City offices. Applications wi11 be
reviewed and a permit will be issued within 2 woridng days. �
2, Permit cards will be sent by retum mail after a review is compieted. PERMTTS 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 speci.ficacions are required for each heating,
ventilation,humidification-dehumidification, and air conditioning instalIacion inciuding heat loss/heat gain
calculation, design temperatures, equipment rati.ngs and identification 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, `Vhen any new consiruction 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 Commercial
JOB SITE: .��cc..o�.e.�G ���-�- _ Zip:
Owner'sName: %�i���« �4��� �-�-�-- _TelephoneNumber:
Mailing Address: City: Zip:
Contractor'sNue: h'/Y1 y�j��,yi�� �:ti-y TelephoneNumber: ')��� - �,�//
MailingAddress• % �� � ,�-�C�.�,` ��t CitY: �:-���.. ��.,,,�, Zip: -," � �i�
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quandty:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Q�hry�
Make:
Model:
Tons:
H. Power
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_ _ _ .. _ _ . . -�_
WOOD BURNING EQLTIPMENT - -
Wood stove with flue . �
Wood combination or add-on _ _�
Factory fireplace with flue � �/ �
- Factory Fireplace (s) Freestanding . �\ Masanry .
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 ��
No. Bath Exhaust (must be ducted outside) ��
No. Other Fans: Locations ��° �
. Total
FUEL STORAGE (MUST BE APPROVED BY FIlZE MARSHAI-)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
pERNiIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�S �S' � C%�% x .0125 $
(contract price)
2. State Surchar�e. ** Add the State Building Code DiXisio�5 �
Surcharge to each permit.
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERNIIT FEE (Add lines 1-3 above) �
* CONTRACI'PRICE or JOB COST means che actual or estimated dollar amount charged for the permitted
woric including materials, labor, profit, and other fized cosu. 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 parry the reasonable market value of such items must be added to the estimated cost
or contraci price for permit fee purposes. In the evenL that�erae�'�dispn�n the amount of the job cost,
the City may request the submission of a signed copY
** The STATE SURCHARGE is .0005 of the contract price under $1,Q00,000 or �.50 - whichever is
greatez. For valuations over $1,00O,OOo call the DePartment of Inspectional $ervices 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,���erti ie that all statements made on this application are complete, true
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and correct - -- � - � .
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j` �/ - � Date:
_ Applicant's Si
� __ . Date:
Approved By:.-..:_-: '
DAT TIME
CITY OF ORONO � CALLED IN --����
INSPECTION NOT E ����, SCHEDULED -3/P/S`� /l =d v
PERMIT NO. �' COMPLETED � �
ADDRESS--S `
OWNER.��,c..�� CONTR.
TELEPHONE NO. �2 ��g ' .3/S�
� DESCRIPTION �JZ,O�,�,CA�
� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINA 18 EXCAV/GRADING/FILLING
� 031NSULATION 24125 WOOD BURN /FIREPLACE 19 LAKESHOREIWETLANDS
�
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
? 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTIONREQUIRED.CAlLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473�73�J7
OwnerlContra on it : _
Inspector.
Whife Copyllnspector's File Canary CopylSite Notice
DATE TIME
CI fY OF ORONO �^j,�� CALLED IN � " � ` J
INSPECTION NOTICE: ✓ SCHEDULED � � �' . ��C
PERMIT NO. ""� COMPLETED � �
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ADDRESS � �'C1 �-��- �
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OWNER I.�L.e.�-<�- CONTR. ����d-���J`c::cz�l_ !}-t=�:�Lz.l-_
TELEPHONE NO. �����' ���� ���%�'-%� `�
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� DESCRIPTION �� �
� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL � 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/ IREPLACE 19 LAKESHORE/WETLANDS
Z04 WALL BD. 12 WATER HOOK-UP ` " 34 TREE REMOVAL
Q 05 FINAL 13 METER SET(fURN 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
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� C CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. _– pHOTO TAKEN
INSPECTOR WILL RETtJRN
G STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the nex inspection 24 hours in advance.473-73�J7
OwnedContr r o e: _
Inspector. �
White Copyllnspector' File Canary CopylSite Notice
DATE TINj,�
CITY OF ORONO CALLED IN �/' �I �`�
INSPECTION NOT CE (�fJ�� SCHEDULED 3'/ - l0' �va n-1
PERMIT NO. COMPLETED �T_
ADDRESS � O � US5�2
OWN ER CONTR.(���
TELEPHONE NO. /`� � ���'S
�
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 2�OOD BURNER/ PLACE 19 LAKESHORFJWETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETffURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the ne t inspection 24 hours in advance.473-7357
OwnerlCont r o ite:
Inspector.
White Copyllnspect File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN �'��' y�
INSPECTION NOTICE SCHEDULED 3 - .�/ /�� �"�'
PERMIT NO. '� � �� COMPLETED �\ ��
ADDRESS ��� � G%�-- ✓ �;/�:
OWNER ���� !�-E'Z� CGce�o�_ CONTR. /�� Y1'1C��-c'Yrz�v �c�2.�.
TELEPHONE NO. ����- �''.r° /� '�
� DESCRIPTION
� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNE�t/FIR�EPL E 19 LAKESHOREIWETLANDS
Z04 WALL BD. 12 WATER HOOK-UP i 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
? 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMME�T$:
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W� �'/�.�ORK SATISFACTORY:PROCEED C PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r- pHOTOTAKEN
INSPECTOR WILL RETURN
I CITATION ISSUED
CJ STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContracto site� _
Inspector. U
White Copylinspector's File Canary CopylSite Notice