HomeMy WebLinkAbout1997-009667 - masonry fireplace PERMIT
��CIT OF ORONO PERMIT TYPE:
' 2750 elley Parkway- P.O. Box 66 _ ;��`���:�_��`:�,
Cryst� Bay, Minnesota 55323 Permit Number. _
(612) 73-7357 Date Issued:
SITE ADD ESS:
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DESCRIPTI N:
REMARKS:
FEE SUMM RY:
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CONTRACT R: _ OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMI'r �
ox 66 (2750 Kelley Parkway) �s
rystal Bay, NIN 55323 j�`�
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ENERAL INFORMATION '; f ,�.
You ma a 1 for mechanical ermits b mail or in erson at the Ci offices. A lications will be Y �'' -�
Y PP Y P Y P tY PP .= � try
reviewed and a permit will be issued within 2 working days. �,,�'
Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID � �x
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS ' , �v
POSTED ON THE JOB SITE.
Mechanical Designs - Complete calculations, details and specifications are 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. �-'
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When any new construction or remodeling is involved, a separate building pernut must be obtained.
�:�� All work must be done in accordance with the Uniform Mechanical Code/State Building Code ��
• requirements.
All work must be inspected (rough-in and final). Call 473-7357. 24-hour notice required.
House Heating Test Record must be submitted before final. ��
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I structions Complete all items on this application. Compute the permit fee. Sign and date the certification. �'
I COMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357. '��:;'
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ease check one: New �A�dd/ition Repair Replace �
� Residential �/ Commercial �j -
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� J B SITE: Zip: �3 '�
,:; _;
wner's Name: Telephone Number: �;}' ;�
-- ailing Address: City: Zip: �1 `�
ontractor's Name:_ � -,�.� Telephone Number: 7 2 — o Z,�-y �'.'-
ailing Address: po �-- City: /���ic-w-'��Zip: /�L�-�-- , �,7�`�,6 �
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S STEM DESCRIPTION -
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ATING SYSTEMS �'
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uantity: - �� �x
ake: �" �`
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odel: ���
uel: �
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lue Size: �:`
I put BTUs: . ��,'
utput BTUs: �"
FM: � k , �a
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C OLING SYSTEMS �x
uantity: $����� �
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ake: � ,��:
odel: z °���
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ons: � ':-
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WOOD BURNING EQUIPMENT '
Wood stove with flue
Wood combination or add-on �
Factory fireplace with flue ,I
Factory Fireplace (s) Freestanding �� Masonry
Wood Stove (s) Franklin, other '
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia. /'j � (�,�j
VENTILATION � � � � ;
No. Kitchen Exhaust ducted recirculating cfm I �
� 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 I
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�' PERMIT FEE CALCULATION j
h ; 1. 1.25% of Contract Price* or Minimum Fee ($35.00) C
x .0125 $
(contract price)
2. State Surchar� ** Add the State Building Code Division �
Surcharge to each permit. �' � x .0005 $
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � ,
* CONTRACT PRICE or JOB COST means the actual or estirnated 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 pernut 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.
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** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is �
greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accordance with the ordinances of the City and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct.
Applicant's Signature: Date: (��-1 �
Approved By: Date: j
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DATE TIME
CITY O ORONO CALLED IN /�/U• 4
INSPE ION NOTIC -7 SCHEDULED /-� 1 % 3 U
PERMI NO. 1��� / COMPLETED � �� � � / I��
ADDRE S 3�9� ��-�-a-e-�C �
OWNE �D�--Q� CONTR. ��G'C11�f.Q.o-►1 �
TELEP NE NO. �
7 z - � �� q �`�'
� DESCRt TION ��' C
� 01 FOOTIN 11 MECHANICAL 18IXCAV/aRADINO/FIWNC3
y 02 FRAMIN 13 MECHANICAL FINAL 19 LAi�SHORE/WETLANDS
Q 03 INSULA ION 24/25 WOOD BURNE REPLACE 34 TREE REMOVAL
� 04 WALL B . 12 WATER HOOK-UP 17 SITE INSPECTION
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= OS FINAL 74 SEWER MOOK-UP 06 PROGRESS
~ 07 DEM ITE 27 SEPTIC MAINT. 21 COMPLAINT
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W 07 DEM INAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBI O RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
� 10 PLUMBI Q FINAL 2$CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNER/C TRACTOR TO MEET YOU:_YES_NO
� COMME TS:
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d ORK SA ISFACTORY:PROCEED
W� -= PROJECT COMPLETE
❑ CORRECT ORK&PROCEED : ISSUE CERTIFICATE OF OCCUPANCY
OO Cl CORRECT ORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC ERING PERMANENT
❑CORRECT NSAFECONDITION WITHIN HOURS. r- pHOTOTAKEN
INSP TOR WILL RETURN
❑STOP ORD R POSTED.CALL INSPECTOR '- CITATION ISSUED
G INSPECTI N REQUIRED.CALL TO ARRANGE ACCESS.
Ca I for the next inspection 24 hours in advance.47�73rJ7
OwnedCo tractor s' e:
Inspector.
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