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HomeMy WebLinkAbout1994 - 006711 - masonry fireplace PEI' 41T CITY OF ORONO . PERMIT TYPE: 2750 Kelley Parkway- PO. Box 66 Permit Number: Crystal Bay, Minnesota 55323 Date Issued: (612) 473-7357 SITE ADDRESS: : . DESCRIPTION: - - REMARKS: FEE SUMMARY: CONTRACTOR: - - OWNER: : - — THH HE.F.,!EPi PF ':-:.11! !:--q.0N 10 !IPA.',.E H.-1F 3M... WNEMEN'ir6 SPC;.FIE.) (WiR',7"_'.7-. TO c.)0 ALL WORK IN STF,:jCf WIFH AL.L flk0NOI 1 VNU uh L _J / ttyrne-y-) APPLICANT/PERMITEE SIGNATURE ISSUED BY SIGNATURE 6711 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: x New Addition Repair Replace kResidential Commercial JOB SITE: -2 w w o o d ( Zip: Owner's Name: 13 ru c e 8 rem Aro � 5 Telephone Number: q-1 S- o q/P Mailing Address: /o C Sci h a.d w a r City: t--' ay z a1-EL Zip: S 3 ql Contractor'sName: r C L. rs-. 144 as..h r/ TelephoneNumber: 617 o //I -2 MailingAddress: 1 o r3 0 y s - 6 City: . .A-6./.5-tor Zip: s s a 3/ 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) Freestandin. ) Masonry Wood Stove (s) Frank ,::her Brand Name :yodel No. Mfgr's Min., Clearances, side , rear in. flue dia. Total VENTILATION No. Kitchen Exhaust ducted _ recirculating cfm No. Bath Exhaust (must be ducted ou° cfm No. Other Fans: Locations cfm • Total FUEL STORAGE (MUST BE APPROVED BY FIRE .2SHAL) Installation Removal Fuel oil: gallons under nd inside outside LP Gas: gallons Other Gas opening PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($3 .0125 $ 7Soo (contract price) 2. State Surcharge. ** Add the State Building Cock ;.cion Surcharge to each permit. . .0005 $ (contract price) or $.50, whichever is greater 3. Postage and Handling (Only mail-in applicatic $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above $ * CONTRACT PRICE or JOB COST means the actual or est :1 dollar amount charged for the permitted work including materials, labor, profit, and other fixed It is the amount to be charged to the customer for the work done. If any material, equipment, 1: or installation are furnished by the owner, tenant or any other party the reasonable market value of s ,rms must be added to the estimated cost or contract price for permit fee purposes. In the event that is a dispute on the amount of the job cost, the City may request the submission of a signed copy of ctual contract. ** The STATE SURCHARGE is .0005 of the contract prix :der $1,000,000 or $.50 - whichever is greater. For valuations over $1,000,000 call the Departn :u Inspectional Services for the price. The undersigned hereby applies to the City for issuance. a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the C _nd the regulations of the Minnesota State Building Code, and certifies that all statements ma, a this application are complete, true and correct. Applicant's Signature: �� � Date: /- - /L-/- Q6/ Approved By: - Date: DATE TIME CITY OF ORONO CALLED IN //g /9 5 INSPECTION NOTICE SCHEDULED i/<//91— / 3c7 PERMIT NO. G.1// COMPLETED tt t4 ADDRESS c 9e0`...-9( OWNER o�*/ TELEPHONE NO. /O • I• DESCRIPTION _Z.v• LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG Le) 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURN FIREPLACE 34 TREE REMOVAL • • 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS ~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT J W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO • COMMENTS•, cc a COO wt 1 s *V..-1 D o r cc PIER 0e O k W Q Z W W cc • WORK SATISFACTORY:PROCEED � - PROJECT COMPLETE C CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY CZ ❑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 next inspection 24 hours in advance.473-7357 OwnerlContracT V Inspector. ( b"-YU White Copy/Inspector's File Canary Copy/Site Notice DATE �} TIME CITY OF ORONO CALLED IN .l/7'7 f INSPECTION NOTICE SCHEDULED PERMIT NO. 117" _' /COMPLETED u h ADDRESS 90 1O6-6-d./.t.f.� 1e( in OWNER ?J ,t -i CONTR. Gf. �z /�'/d.Q...e TELEPHONE NO. S1 7O- /// DESCRIPTION till 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING h 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS O 03 INSULATION 24/25 WOOD BUR R/FIREPLACE 34 TREE REMOVAL • 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION = 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT `Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL - 10 PLUMBING FINAL 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO • COMMENTS: W bs>M4- -k-el 04 CC O CC 0 CC W W CC dWORK SATISFACTORY:PROCEED PROJECT COMPLETE CC ❑ CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY O ❑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 next inspection 24 hours in advance.473-7357 Owner!Contractor n sl : Inspector. White Copy/Inspector's File Canary Copy/Site Notice