HomeMy WebLinkAbout1991-004108 - fireplace/masonry PERMIT
J - TY OF ORONO PERMIT TYPE: �at�ICAL
1335 Brown Rd. South • P.O. Box 66 Permit Number:Crystal Bay, Minnesota 55323 Date Issued: { 1
(612) 473-7357
SITE ADDRESS: 425 T13NKAWA RD
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DESCRIPTION: FIREPLACE/ RY
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REMARKS:
FEE SUMMARY: VALUAT ION $1 CITY
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Base Fee $:=;>:_� CJ(} J
Surcharge ---------- 112212.200000
Total Fee $130. sig jjJJ jjss(( F 01 &EN }x.54 1
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(-584 N BIRCH LA 425 TONKAWA RD
SHOREV I EW MN 55126 ORONO MN 553.66
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APPLICANT/PERMITEE SIG ATURE ISSUED BY:SIGNATURE
CITY OF ORONO
APPLICATION FOR MECHANICAL PERMIT
GENERAL INFORMATION
1. 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 below.
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 . All 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.
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.
WALK-IN PERMITS apply at City Offices, 1335 South Brown Road (Cty. Rd 146)
MAIL-IN PERMITS enclose fee - Mail to: P.O. Box 66 , Crystal Bay, MN 55323
Please check, one: New Addition Repair Replace
JOB SITE: -7�S G�ii�-Zz-✓ Zip:
Owners Name : 1-2-oZ., Telephone Number:
Mailing Address: City: Zip:
Contractor' s Name: j��cr.'Tc•✓ /�'G��� Telephone Number:z g?-3o tK
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Mailing Address Cit.�s-�/ Jl• /� itc % Z�>-:- y: �o �/ Zip: SSMC-
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 :
Quantity:
Make:
Model:
Tons:
H.Power:
********************************************************************************
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*WOOD BURNING EQUIPMENT $15 . 00 each unit
Wood stove with flue
Wood combination or add-on unit
Factory fireplace with flue
Factor Fireplace (s ) freestanding Masonry
Wood Stove ( s ) franklin, other
BrandName Model No.
Mfgr' s Min. , Clearances, side , rear min. flue dia.
Total
********************************************************************************
VENTILATION $15 . 00 each project
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
********************************************************************************
FUEL STORAGE (must be approved by fire marshal )
$30. 00 Permanent/Temporary
Fuel oil, gallons underground inside outside
LP Gas , gallons
Gas opening
Other
********************************************************************************
GAS LINE INSPECTION $15 . 00
High/Low Pressure
********************************************************************************
PERMIT FEE CALCULATION
1. . Total of above Installations or Minimum Fee ($30.00) $
2 . State Surcharge. Add the State Building Code Division $ . 50
Surcharge to each permit $ 1. 50
3 . Postage and Handling on all mailed-in applications,
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 application are complete, true and correct.
Applicant' s Signature: � i�u /�� '�`"J>� Date:
DATE TIME
CITY OF ORONO CALLED IN /8 Aw
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPL D
ADDRESS
OWNER CONTR.,/� ten-• -n
TELEPHONE NO.
DESCRIPTION ��
01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
COT
03 INSULATION
2 24/25'WOOD BURNE (REPLACE 19 LAKESHOREIWETLANDS
2 04 WALL BD. 12 WATER HOOK-UP 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
v 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:jt�`Y ES_NO
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dORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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cc ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR c CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra ite:
Inspector. -�
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