HomeMy WebLinkAbout1997-009704 (Fireplace) . PERMIT
• CITY OF ORONO ,
2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE: l,;:�aw�h;;,,,��::�;�.�
Permit Number: -4[l��I j�:;��
Crystal Bay, Minnesota 55323 � ;j:�,;;,�,-;
(612)473-7357 Date Issued: � _ d � -. ��
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPUCANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � o
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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 cazds 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 Desi�ns - Complete calculations, details and specifications aze 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 sepazate 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 Commercial
JOB SITE: % �,�,- -1—. Zip: -5.��7�
Owner's Name: �e�.� �G,,/�o--�e� Telephone N�er: 9�/- ���a
Mailing Address: i��c, .�,���s-� City: �a yz � Zip: s-.s���/
Contractor's Name: �/,-«1 ,�;��,` � Telephone Number: � --��/
Mailing Address: ��cz� ��:,�,,,��..� .4v{ City: s�a�r��ll� Zip: �._s//,3
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: �
Make: //er�.,6 C.�s�,;�
Model: J��.a,� �„�Or�
Fuel: I.1/�v�
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 �/��,�� G�-�.:�� Model No. �",��r�
Mfgr's Min., Clearances, side , rear�, min. flue dia. _�i�
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath E�aust (must be ducted outside) cfm
� No. Other Fans: Locations cfm
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 Minunum Fee ($35.00)
������ x .0125 $ d-� �
(contract price) �
2. State Surcharge. ** Add the State Building Code Division � �
Surcharge to each permit. x .0005 $ � -
or $.50, whichever is greater (contract price)
3. Postage and Handlin� (Only inail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ y/ . �c�
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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 parly the reasonable mazket 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 Ciry 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: /� �l--9
Approved By: Date:
DATE TIME
CITY OF ORONO CALLED IN / a ��7
INSPECTION NO��� � SCHEDULED // a5 � � .3 �
PERMIT N0. COMPLETED Gl �_
ADDRESS �v
OWNER CONTR. ��it o��4.
TELEPHONE NO. ��5 '� �`l�
� DESCRIPTION _ ���� � '
� 01 FQOTINO 11 MECHAN►CAL RI 18 D(CAV/ORADINd/FIWNQ
�Q 02 FRAMINd 13 MECHANICAL FlNAL 19 LAI�SHORElWETLANDS
Q 03 INSULATION 24/25 WOOD BURN REPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= p5 FlNAL 74 SEWER HOOK-UP O6 PROORESS
� 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
v
� 07 DEMO--FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
Z 09 PLUMBINO RI 23 SEPTIC FlNAI. 35 HARD COVER REMOVAL
v 10 PLUMBINO FlNAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
y COMMENTS:
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��WORK SATISFACTORY:PROCEED _ PROJECT COMPLETE
O�CORRECT WORK 8 PROCEED
W C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ` pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR
C CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next s�ction 24 hours in advance.473-7357
OwrnerlCont o n ' =
Inspector.
White Copyllnspector's Flle Canary CopylSfte Notice