HomeMy WebLinkAbout1995 - 007103 - fireplace PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 Permit Number
Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: - OWNER:
THH LNORSIGNE0 HEREBY RECUE3T-3 PERMISSION TO MAKL: Ti-EREAL ..i..MPROVNENTS
::.;PFCTFIED ANC) Tfl 1-0 TN STRIC.T -::OMPLIANCE WITH ALL t-riTY OF
ORONO OROTNANCES AND !.--"JC:)-FATNN.1-- rirA BUILDINf3
APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO APPLICATIONt Peil C) ICAL PERMIT
Box 66 (2750 Kelley Parkway) •�U 1`
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 APPLIC IONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: New Addition Repair Replace
Residential C•mm- •
JOB SITE: � f(1 \ illft Zi
Owner's Name: _
► T I,I ,_l♦ ,
_ g YelephoneNumber: C.-123F
Mailing Address: City: Zip:
Contractor'sName: FIRESIDE CORNER TelephoneNumber:
MailingAddress: 2700 N. FAIRVIEW AVE. City: Zip:
ROSEVILLE, MN 55113
(612) 638-3304
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make: ! ► iff,
Model: •
Fuel: AU_
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, 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)
1 ' OC x .0125 $ `��
(contract price) - 19j.
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. , ) CO . 00_ x .0005 $
(contract price).;'': 1
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 51 • (_)�
* CONTRACT PRICE or JOB COST means the actualor 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 Cede, . .e certifies that all statements made on this application are complete, true
and correct. l
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1110
0 Date: % Szas\g5
Applicant's Signature: )\
Approved By: Date:
R F.C; i\'a..:_ l ri U 4 *Z. i i`9�'i
DATE TIME
CITY OF ORONO CALLED IN (c 3G - FS
INSPECTION NOTICE SCHEDULED - 3 > 3 o
PERMIT NO. /6,2: COMPLETED /( K
ADDRESS
OWNER AL-1.<-cii` V ((i.)4-t-c-- CONTR.
TELEPHONE NO. _ } C 51
DESCRIPTION
Lj 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNFIR_E�P_LACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
• 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
1, 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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�• ❑WORK SATISFACTORY:PROCEED
❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
• CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
LISTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContrac I
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
CITY OF ORONO /7 ) CALLED IN DATE
TIME
INSPECTION NOTICE SCHEDULED 7 -f 7 / / i 0-6
PERMIT NO. V,, f S" COMPLETED � a ( I
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ADDRESS ' $ / /(pC/
OWNER Z(..,,,CI /. CONTR. V
TELEPHONE NO.
DESCRIPTION .}:y_ -P1
Lu 01 FOOTING 11 MECHANICAL RI g/ [� ;� 18 EXCAV/GRADING/FILLING
Q02 FRAMING 13 MECHANICAL FI N 19 LAKESHORE/WETLANDS
Cl) 03 INSULATION 24/25 WOOD BURN FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
cX 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
1,• 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
IQ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
C3 COMMENTS:
CC
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CC
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CC
W
W
CC
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS.
C PHOTO TAKEN
INSPECTOR WILL RETURN
C CITATION ISSUED
ElSTOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins tion 24 hours in advance.473-7357
Owner/Contractor n .
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice