HomeMy WebLinkAbout1994-006615 - masonry fireplace PERMIT
V CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 Permit Number: m F_C:11A AN T C
Crystal Bay, Minnesota 55323 o0i.z.1-1
Date Issued: iCj A
(612) 473-7357
SITE ADDRESS:
T!..RN1HAt11 RC
kC�i
DESCRIPTION:
M 11-11V r.
IR! _P i*:F--
L1
'
JAANILL
#
rj 4
V1 L-1r;
AA
V1 MIT VV
jr)' "
1351 v,0,60
A 4 i-1-I hii
IV
REMARKS:
FEE SUMMARY:
JAL�iAT I C.iN
i -H
NA i L N
,1 rc1h.:_arq,,-a TS�ta I F):....-
_4 -----------
.=duib
CONTRACTOR:
M A C.
T A - OWNER:
'---"R -: . -
zAt't" I r.,
I
M I NNiz7TilhiL.',.
MIN 5531 MN S
A
THE VNOERSIGNED HEREBY REQUESTS .PERMISSION TO MAKE,.THE REAL IMPRIWEMEN
SPECIFIED AND AGREES TO DO ALL, WORK ISI -,STRICT,,CO MPLIANCE WITH ALL CITY OF
ORON-1 ORDINANCE13 AND STATE OF MINNESOTA BUILDING CODE REQVIREM8NT';3_ .
L
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE.,Zt -Ct-41
i
i
JCo�/s
CITY 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 working days.
2. Permit cards will be sent by return 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 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.
4. When any new construction 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
Resid ntial Commercial
JOB SITE: 2ZO H�n-1 O&AQ �P=SSS 39/
Owner's Name: Telephone Number: y7,Z-9516 ,?
Mailing Address: S C' Zip:
Contractor'sName:/yl , ` -f- (� elephoneNumber: S—3 -7a17
MailingAddress: /a-V 9 0 Gt/�r•� >9 6G,�r� City:�1,,;�, . Zip: SSS aS
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
WOOD BURNING EQUIPMENT _
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, o er
Brand Name Model No.
Mfgr's Min., Clearances, side rear min. flue dia.
Total =O
VENTILATION
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)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
7_Z700-0 x .0125 $ 1062
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. $goo `A x .0005 $
(contract price)
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ /D 5/e 115-0
* CONTRACT PRICE or JOB COST means the actual or estimated 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 parry the reasonable market value of such items must be added to the estimated cost
or contract 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 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:
Approved By: Date:
ATE TIME
CITY OF ORONO CALLED IN 01
INSPECTION NOTICE SCHEDULED �/ /D :O o
PERMIT N0. 1J� COMPLETED K h'
ADDRESS ,
OWNER CONTR.
TELEPHONE NO. `5-�-5 —3_297
DE TION_/4d�
FOOTING 11 ECHANICAL RI 18 EXCAV/GRADING/FILLINO
tQ ING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNE REPLACE 34 TREE REMOVAL
Z
Q 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
= 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
J
07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
W 07 DEMO—FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
cc
W
a
cc
O
O
QC
O
UL
W
QC
Q
Z
W
Z
W
cc
V00WORK SATISFACTORY:PROCEED - PROJECT COMPLETE
CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. - PHOTOTAKEN
INSPECTOR WILL RETURN `
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins ction 24 hours in advance.473'7357
Owner/C ntract6rT&n ite:
Inspector.
White Copylinspector's File Canary Copy/Site Notice
DAU
ME
CITY OF ORONO CALLED IN 3'—IV MI�v �
INSPECTION NOTICE SCHEDULED /d -4
_
PERMIT NO. 6? l S COMPLETED i �(
ADDRESS C, 20 urn
ggrt
OWNER �W �Iti CONTR.q t PX"—
TELEPHONE NO.
DESCRIPTION QaC-d� .�X /yLeGZ
01 FOOTING 11 MECHAWICAL RI 18 EXCAV/GRADING/FILLING
FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD, 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
T
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEMO--FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
Z 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
o;
W
a
0
a
0
ti
W
0;
Q
Z
W
W
Cr
Z)
W WORK SATISFACTORY:PROCEED PROJECTCOMPLETE
W
rc CORRECT WORK&PROCEED E ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR !=CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forteE7=
advance.473-7357
Owner/Contra r
Inspector.
White CopylInspector's L Canary Copy/Site Notice