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Home My WebLink About1999-011265 - fireplace PERMIT C WY OF ORONO � �` PERMIT TYPE: MECHANIC-AL Bay, Minnesota 55323 t 2750 Kelley Parkway- PO. Box 66 Permit Number: (612) 473-7357 Date Issued: 0 09I 9 SITE ADDRESS: :H DESCRIPTION: F I REF11 1�)CE FI?=;EPLA CE HEAT-N-Gi_O [IA111Ei_ SLS-50 REMARKS: FEE SUMMARY: 4�-IL T IE_i � •j , 1 ifs Base Fee Twit i F F;r? CONTRACTOR: - App I i!_aiit. - OWNER: rIE'E'WIC;E %hist E ' :=.r`,: _; i. ii_IN i,,li_i�_t[k iiEVELE_►PMENT FAIRVIEW AVE N Z. '-'0 ;• ATERTOWN RD ROE-Ely 1 LE MN S.5 113 RONO MN s THE UNDERSIGNED HERE �YREQUEST�=rPERMISSION TO MAKE THE REAL SPECIFIED AND AGREES TO 00 ALL WORK IN STRICT COMPL IANCF.w .I TI,�' CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE S. APPLICANT;PERMITEE SIGNATURE ISSUED BY:SIGNATURE _ r 7 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 lossiheat 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 k G' Q*Alzz Residential Commercial JOB SITE: Zip: Owner's Name: Telephone Number: Mailing Address: City: Zip: Contractor's Name: Allied Fireside TelephoneNumber: MailingAddress: Ucense #20090911 City: Zip: 2700 N. Fairview Ave. SYSTEM DESCRIPTION Roseville, osevill 256N 55113 HEATING SYSTEMS Quantity: _ Make: _X61 ti(S 6a Model: Fuel: tiG t � Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power s1 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, other Brand Name Model No. Mfgr's Min., Clearances, side rear min. flue dia. Total 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) 1C� x 1.25 $ o (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. ( lc)o.<< x .0005 $ s (contract ��ice) 3. Postage and Handling (Only mail-in applications) $ 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ * 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 party 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 INSPECTION NOTICE SCHEDULED 9'!_-30 PERMIT NO. COMPLETED L1 dl ADDRESS ��OD ,e �-,QA OWNER CONTR. .rte TELEPHONE NO. DESCRIPTION 1w 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 03 INSULATION 24/25 WOOD BURNE IREPLAC 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS H 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO 2 yCOMMENTS: 4 J cc O cc O W cc Q Z W Z W J d WO W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE cc ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W D ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance.473-7357 OwnerlContran ' e: Inspector. 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