HomeMy WebLinkAbout1992-004614 - fireplace PFRMIT
CITY OF ORONO � PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: ����t���'H�-
Crystal Bay, Minnesota 55323 Date Issued: t7�=i�f;�a/_=�t
(612) 473-7357
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 MECHANICAL PERMIT '� '� h
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GEt1ERA� INFORMATION
l. 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 be 1 ow.
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 UNTIL 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 . All work must be done in accordance with State Building Code requirements.
5 . A11 work must be inspected (rough-in and final). Call 473-7357. 24-hour ;'
notice required. $
6 . House Heating Test Record must be submitted before final.
INSTRIICTIONS 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. �
;�
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WALK-IN PERMITS apply at City Offices, 1335 South Brown Road (Cty. Rd 146)
MAIL-IN PERMITS enc].ose fee - Mail to: P.O. Box 66, Crystal. Bay, MN 55323 :f;
***�t***�k***�k�F*�k*****�k*****�k�k*�kic�lc**�k*�e�kic****7k********************�k**�Y*�c**�t***�Y*** �;
Please check one: �New Addition Repair Replace '_
;
JOB SITE: � `1�0 :3v.�st x ��;�/ Zip: '
Owner' s Name : Telephone Number:
Mailing Address: City: Zip:
Contractor' s Name: Ho N�tl-� ��rc ��k Telephone Number: � ��- � ���
Mailing Address �Gvo �%tio£-� �^� �f'«�`°'� City: i���L�J�i��•� Zip: ��%o��
********************************************************************************
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:
********************************************************************************
Cooling Systems: i
Quantity:
Make:
Model:
Tons:
H.Power:
********************************************************************************
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*WOOD BIIRNING EQIIIPMENT $15.00 each unit
Wood stove with flue
Wood combination or add-on unit
Factory fireFlace with flue
Factor Fireplace (s ) freestanding J Masonry
Wood Stove (s ) franklin, other
Brand Name Mode 1 No.
Mfgr' s Min. , Clearances, side , rear , min. flue dia.
Total
********************************************************************************
�7ENTILATION $15.00 each project
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside ) cfm
No. Other Fans: Locations cfm
Total
*******************************************�************************************
FIIEL 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 $15. 00
********************************************************************************
P$RMIT FEE CALCQLATION
1 . Total of above Installations or Minimum Fee ($30.00) $
2 . State Surcharge. Add the State Building Code Division
Surcharge to each permit $ . 50
3 . PostaQe 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,
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 app lication are complete, true and correct.
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A�plicant' s Signature: � —� � Date: `�'- 9'= q`z
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AT TIME
CITY OF ORONO CALLED IN � G �1�
INSPECTION NOTICE SCHEDULED 9 �-z' 1 f�--
PERMIT NO. --� COMPLET j
ADDRESS �'�
OWNER���_/�,t.�� CONTR.�i���
TELEPHONE NO. '�il7l-,�l�� _
� DESCRIPTION ����-���� �� '
ly� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETlTURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
Q 07 DEMO—FINAL 27 SEPT,J I_ C MAI 1PLT.� 21 COMPLAINT
= 09 PLUMBING RI �"15 SEPTIC INSTAI.l� 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. i-; PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR L GTATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor n ite•
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �` � `'� !y � �n
PERMIT NO. '�f�`��o COMPLET
ADDRESS �
OWNEF���!��r1� CONTR. � �
TELEPHONE NO. •'4�7/- ���� _
� DESCRIPTION -
ly� 01 FOOTING 11 MECHANICALRI 16 WELLTESTPUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
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03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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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
W 09 PLUMBING RI PTIC INSTA . 22 FOLLOW-UP
= 10 PLUMBING FINAL FINAL
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Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN �
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❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT� I/CE ,� / SCHEDULED Q—lS-4'oZ r,.�
PERMIT NO. 'Y�L�"Y COMPLETED [( W
ADDRESS �a qo S�IsS�.�c
OWNER�� CONTR.
TELEPHONE NO.
� DESCRIPTION
lu 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
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� 04 WA�L BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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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.473-7357
OwnerlContrac or on site:
Inspector. �
White Copyllnspect r's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED � �,'GC�
PERMIT NO. y-� `�� COMPLETED �� �
ADDRESS o��� ��(���C ��
OWNER CONTR. H'1�.
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTINO 11 MECHANICAL RI 18 D(CAV/ORADINO/F�WNQ
y 02 FRAMING 13 MECHANICAL FlNAL 19 L41�SHORFJWETIANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z pq yy/W.gp, 12 WATER HOOK-UP 17 SITE INSPECTION
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= 05 FINAL 14 SEWER HOOK-UO O6 PRO(iRESS
� 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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W 07 DEM�FINAL 15 S PTl STALL 22 FOLLOW-UP
= 09 PLUMBIN(i RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v BINO FINAL 36 FOUNDATION REMOVAL
� OWNE CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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INSPECTOR WILL RETURN
❑STOP ORDER POSTEO.CALL INSPECTOR ='GTATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspec ion 24 hours in advance.473-73�J7
OwnerlContractor on '
Inspector.
White Copyll�spector's File Canary CopylSite Notice
DATE TIM�,
CITY OF ORONO CALLED IN �'��� �'I 5
INSPECTION NO E SCHEDULED 1 y 3 0 ,�.�
PERMIT NO. ��� COMPLETED H �
ADDRESS ��� O �t-LSS,.e�L R
OWNER �-�I�SQ l'�1 CONTR. � ��
TELEPHONENO. �� a �a3� Io _
� DESCRIPTION
4i 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
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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 O6 PROGRESS
� 07 DEMO—FINAL T. 21 COMPLAINT
i09 PLUMBING RI SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTI
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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❑CORRECTUNSAFECONOITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOPORDERPOSTED.CALLINSPECTOR � CITATIONISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlCont or c�n site:
Inspector v
White Copylins tor's File Canary Copy/Site Notice