HomeMy WebLinkAbout1994-006483 - fireplace � PERMIT
� GI�Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 `-`-�'"������ �-����-�
Permit Number: ��;�;�,,�;�._�
Crystal Bay, Minnesota 55323 Date Issued: ;�;��r�->>::;,.c,;:;
(612) 473-7357
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT'PERMITEE SIGNATURE ISSUED BY:SIGNATURE '! �•
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMTT
Box 66 (2750 Kelley Parkway)
Crystal Bay, NIN 55323
GENERAI. INFORMATION
1. You may apply for mechanical pemuts by mail or in person at the City offices. Applications will be
reviewed and a pemut will be issued within 2 working days.
2. Permit cards will be sent by retum 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. Ideatification 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 pernut 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: Zip:
Owner's Name: ` r ' ti L�2 Telephon Nuym er: �/ � / - v L�/�5
Mailing Address: / �/U �1 v�^� �1 w.-w. 117�- City: Zip:��� ��
Contractor'sName: ,S r4 V+� c� � TelephoneNumber:
MailingAddress: City: Zip:
SYSTEM DESCRII'TION
HEATING SYSTEMS �
Quantiry:
Make: � ��
Model: /� 3 6
Fuel: (,t�!7�� �
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
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WOOD B 1ING E UIPMENT
Wood stove with flue
Wood combination or add-on
_� Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
BrandName��'}�. �I✓� 1 � �l�S k- p�� ;� ModelNo. S!� 36
Mfgr's Min., Clearances, side , rear , min. flue dia.
Total
VENTILATION
No. Kitchen E�aust 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
l. 1.25% of Contract Price* or Minimum Fee ($35.001
j��. UU x .0125 $
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
s SD, �'� x .0005 $
Surcharge to each permit. _
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pemutted
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 aze fumished 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 if es that all statements made on this application are complete, true
and correct. �
(? � �- -�°� ��
Applicant's Signature: Date:
Approved By: Date:
DATE TIME
CITY OF ORONO CALLED IN l C��1G�S�-�
INSPECTION NOJI� SCHEDULED %n/i�/�'s %l ' �`��'
PERMIT NO. �c� � COMPLETED � �
ADDRESS ��lC ` � ����v � '
OWNER���c-�-� CONTR. � -��
TELEPHONE NO. �.'���'� �/�S
� DESCRIPTION�v'.��Q�,�i-1�
�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNE IREPLACE,� 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTI AL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET Y :�ES_NO
� COMMENTS:
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WORK SATISFACTORY:PROCEED _ PROJECT COMPLETE
W RRECT V��ORK 8 PROCEED �- ISSUE CERTIFICATE OF OCCUPANCY
Q C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. — pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ' ' CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t' spection 24 hours in advance.473-7357
OwnerlContrac n i -
Inspector.
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