HomeMy WebLinkAbout1993 - 005049 - fireplace PERMIT
CITY OF ORONO PERMIT TYPE:
t mFCHANICA
2750 Kelley Parkway • PLO. Box 815 Permit Number: 00F,04q
Orono, Minnesota 55356-0815 Date Issued: (,) 1,4 3 c(.:
(612) 473-7357
SITE ADDRESS:
ciqR WI' °HURST TR
LSV
P . I . N. : 07-117-23-13-0087
DESCRIPTION:
FIREPLACE
1 FIREPLACE FUEL NATURAL GAS MAKE HEAT-N-GLO
MODE] 6 00 0.3 V OUTPUT 7c,000
ET TY OF ORDND
rTrr
I
3a)0000
Tr
01 (IN 35.00
1222200000
127 &EN •JV
i351700000 44
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REMARKS:
FEE SUMMARY:
VALUATION $900
Base Fee MA ILN II . AS
Surcharge TotA.1 Fee S..746 . ciS
Subtotal
•
C /11PACT°,F.!1;113NFr4'
Applirnt -
SF, 9(1%ttgR: ROBERT
.7'700 FAIRVIEW (-VE N WILnHURST TR
ROSEVILLE MN 55113 ORONO MN 55364
(.6 i 63:3-'751;1 (612 472-E,E:22
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
ORONO ORDINANCES. AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
L_
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
40
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
Residential Commrtial '
JOB SUE: Spy .T C tal k Zip: •
Owner's Name: ;t V .1 Q ] TelephoneNumber: `2-- :P
Mailing Address:OP'3 ,Y<Lk ,,.:.,21City: (1, Zip: y
Contractor's Name: �1 `>>l` CM Z\l `L TelephoneNumber:
MailingAddress: '7 C 3.T OCa City: `,
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: 1
Make: n es _f ;1(
Model: /_ , V
Fuel: ( v_LL L c
Flue Size:
Input BTUs:
Output BTUs: 9 r(`;c1
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
okk
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 bit di cted 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)--
q
$35.00)'q C`X� �Q x 1.25 $ 1 . 2
(contract price)
2. State Surcharge. ** Add the State Building Code( > x .0005 $ • 'Division , l
Surcharge to each permit. �\(1 '-1
(contract price)
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 aboy ) :91•
* CONTRACT PRICE or JOB COST means the actual or estimated do ar amount charged for the permitted
\yolk includiuz mateiials, 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, . .: - rtifies that all statements made on this application are complete, true
and correct. 4
Applicant's Signatur-. kTh` ,) _ Date: k
Approved By: `K etitAlt Date: 1 3 9 3
1
CITY OF ORONO CALLED IN DAT,; ‘73
TIME
INSPECTION NOTICE SCHEDULED —% l�) e
PERMIT NO. 5( 1 COMPLETED Li'/V'73 I Q
ADDRESS //tt
OWNER /( adzY-rZ - Cz"CONTR. 7
TELEPHONE NO. t ' -�-5 -- 2s7 (
DESCRIPTION .1
tu 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
V) 03 INSULATION 24/25 WOOD BURNER (REPLACE 19 LAKESHORENVETLANDS
CI• 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
LU 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
Lu
f7/ 44- -P
o MA-s' / C0(1-400
CC
W
CC
ColCC
Zjo,I0KORK SATISFACTORY:PROCEED
❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
• ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
OU BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
LISTOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor n sitef�,
Inspector: LY�<r--
Whit py/Inspector's File Canary Copy/Site Notice