HomeMy WebLinkAbout1999-012053 - fireplace { ` PERMIT � r
CITY OF ORONO PERMIT TYPE: - - - �
2750 Kelley Parkway - P.O. Box 66
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Crystal Bay, Minnesota 55323 Permi t Num ber: � _
(612) 249-4600 Date Issued: - - � �
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY: _ _ _ _ -
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APPLICANT;PERMITEE SIGNATURE ISSUED BY:SIGNATURE Q
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CITY OF ORONO APPLICATION FOR MECHAIVICAL P�RMI1'
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 5�323 ;
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GI,NERAL lNP'012MA'I'[ON
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 wilhin 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 I3EGIN UNTIL TI�E PERMIT CARD IS
PnSTF.D ON TIIE JOI3 SITE.
3. Mcchanical Dcsit;ns - Completc calculations, dctails and specifications are required for each hcating,
vcnlilation, humidiCication-dcliumidification, and air conditioning installation including l�eat loss/hcat gain ,
calculation, design temperatures, equipment ratings and identitication as to type, manufacturer and moclel.
Data shall be presented on form provided. Identification of and specifications for water heating equipment
s1��ll .^i;so b� [?rov::ied.
4. Whcn any new construction or remodeling is involved, a separate building permit must be obtaincd.
5. All work must be done in accordance �vitl� the Uniform Mechanical Code/State Building Codc
requirements.
6. All work must be inspccted (rough-in and final). Call 473-7357. 24-hour notice required.
7. IIouse Heating Test Record must be submitted before final.
Instructions Completc all items on tl�is application. Compute the permit fee. Sign and date the certification.
INCOMPLETG APPLICATIONS WILL NO"I' BE PROCESSED. If you have qucstions, call 473-7357.
Plr�se check one: ___ New � Addition Repair Replace
Residential Commercial
J013 S11'�: j�ftc.> G-h��/y ��a�_ Zip: •���la�(
O«�ner's Naane: ��I� Telephone Number:
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Mailing Acldress: �.a�v-�-� City: �.mx- Zi
Contractor'sName: c,.9o�e2 ��� ��� 1'elephoneNumber: Cp/a-��� ��'w�'k'
MailingAddress: i��3 c,J�s h, ,.{ j-r� City: Zip:
SYSTEM DESCRIPTION
�ILATING SYST�MS �
Quantity: __
1�1ake: _ ,
Model:
l�ucl: _— �
I�lue Size:
Input BTUs: _
Output BTUs: _
CFM:
COOI_.ING SYSTEMS
Quantity: _--_ — :
�
I�1ake: `
a
Moclel:
Tons:
H. Power
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WOOD BURNING EQUIPMENT
Wood stove with flue ,
Woocl combination or add-on
� Pactory fireplace with flue
I�actory Fireplace (s) Freestanding Masonry
Wood Stove (s) Pranklin, other
I3rand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
V�NTILATION
No. Kitchen Exhaust ducted recirculating cftn
Na. Bath Exhaust (musr be. ducted nul�ic��l cf'm
No. Other Fans: Locations cfm
FU�L STORAGE (MU5T BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
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PF,RMIT FE� CALCULATION
1. 1.25% of Contract Price* or Minimwn Fee ($35.00)
7��C�.a � x .0125 $ �-� 3 7�
(contract price) '
2. State Surcharge. ** Add the State Building Code Division �
Surcharge to eacll permit. �5��� x .0005 $ t-`7S
or $.50, wl�ichever is greater (contrac� price)
3. PostaQe and Handlin� (Only inail-in applications) $ 1.50 _
4. '1'O'I'AL P�RMI"I' FEC (Adcl lincs 1-3 above) $ �f7 U�
* CONTRACT PRICE or JOQ COST mcans thc actual or estimatcd dollar amount chargcd for thc��crmittcd
work inctuding materials, iabor, j�rofi!, ancl odier fixed cosi.s. it i; ti�c aniounl ic� h� c��,:��gcu tii tlte
customer for thc work done. If any material, equipment, labor, or installation are furnishcd by the owner,
tenant or any othcr 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 oC the job cost,
the City may request the submission of a signed copy of the actual contract.
** "nc� STnTE SURCIIARGG is .0005 of thc contract pricc undcr $1,000,000 or $.50 - whichcvcr is
grcater. ror valua[ions ovcr $1,000,000 call thc Department of Inspectional Scrviccs for tl�c pricc.
The unclersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do
all work in sti-ict 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 �l S
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Approved F3y: Date: °
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MASONRY FIREPLACE REQUIREMENTS
(summary only)
l. Footings: 12" thick, 6" projection, 3, 000# concrete
2 . Wall Thickness: firebox 8", smoke chamber 8" , chimney 4"
3 . Hearths: 18" front projection, 12" side, 4" thick
4 . Firebox Depth: 20" or composite of 38" with hearth
5. Firebrick: 2" minimum depth, 1/4" maximum mortar joint
6. Clearance to Combustibles: 2" inside structure, 2" outside
7. Outside Air Intake Supply: to front of firebox
8 . Around Fireplace Opening: 6" minimum, 12" maximum,
combustible materials may project 1/8" for each 1" of
clearance.
9 . Chimney Height: 2 ' above any part of structure within 10'
10. Flue Size: 1/l0 of fireplace opening
11. Refractory Mortar: ASTM C105 in chimney and firebox
12 . Exterior brick applications must be a severe weather rated
material.
Call 472-0600 for INSPECTIONS
(Rev. 3-29-95)
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City of Mound 472-0600
5341 Maywood Road, Mound, MN 55364
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FIREPLACE PERMIT APPLICATION
T� OF FIREPLACE:
factory built installed free standing wood stove
masonry other:
JOB ADDRESS: ( yl� �(�e,t�
OWNER'S NAME �jor-.� n� i..���)�r PHONE: �7/- "7�3 7
CONTRACTOR: �Q\(�..w�? S}�jveS
ADDRE S S I�� ��3��:�j f-�►•. �,t�.� 5 ; yyUp�s
PHONE: "y7f'�-(��c%�(�:,
VALUATION (include cost of unit & labor) : $ '3
IFIREPLACE PERMIT FEES 1�1i'tr, StaScD :aiv �iar, viwu:� i.i �E� :Z^-.�.�°�:�C� :�3T^ TucmpT�r,.n,mTppt_
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FIREPLACE SPECIFICATIONS:
Type: �X -���Q�� wtsz 2�-
Make:�� Model #:__ 3(p
UL or I.C.B.O. approved? x yes no
Location/Room: ;�-�,r �(�L� � �v.,reX �;;;,,� Floor: �
�c� .,
Explain r10W vented: C��� �GY�o C_�„�,,,n.n�, ,��� Cxi � coa��
Air space clearance:
CHIMNEY SPECIFICATIONS:
Make: �'ytc;r� Model #:
UL or I.C.B.O. approved? �C yes no
Size (inches inside diam. ) : g" Total Height: i�i '
Location/Room: ,ry.r.,� -�lw� (,�.,.E, �r�,,,,- Floor: y�c,�,
Used to vent:
Air space clearance:
List special devices on chimney:
Comments:
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Applicant's Name (please print) DATE
APPROVED BY-
Building Official DATE
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC ���7�SCHEDULED � �- � �- �'
PERMIT NO. connP�E �. � s '`'y Z-' ��
ADDRESS �f�I I C�' ���-e-VV l,% �/
OWNER CONTR. �'�-����-'�������� . ��S
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TELEPHONE N0. �3��� � ��� � ts-�C�4 CG
� DESCRIPTION
� 01 FOOTING �11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING ��-f3 MECHANICALFINALJ 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR T�EET YOU:_YES NO
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fl COMMENTS: ��- � G; �-�'==c.s �-
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d ❑ ORK SATISFACTORY:PROCEED ` PROJECT COMPLETE
❑ CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. -,, pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
CJ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contractor on site:
Inspector./���� �Gl..vj�^S
White Copyllnspector's File Canary CopylSite Notice