HomeMy WebLinkAbout1996-008386 - fireplace -�
PERMIT
� � OF ORONO PERMIT TYPE:
` :elley Parkway- P.O. Box 66 �i�:�:��ik:h�i 3 i:�,i_
��ystal Bay, Minnesota 55323 Permit Number: i:it;�,;�;i.�t_,
(612) 473-7357 Date Issued: s->��.f i F,;,•_��_,
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: -- �:��F��. ���y�fi. — OWNER:
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APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATUR
.
CITY OF ORONO APPLICATION FOR ME AL PERMIT
Box 66 (2750 Kelley Parkway) �'��� ' t
Crystal Bay, NLN 55323
GENERAL INFORMATION
1. You may apply for mechanical percnits by mail or in person at the City o�ces. Applications will be
reviewed and a permit 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 PER�IIT. WORK MUST NOT BEGIN UIVTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical DesiQns - Complete calculations, details and specifications are required for each heating,
ventilation,humidification-dehumidification, and air conditioning instailation 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). Cail 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
R�s:dential Cc:nr.:ercia?
JOB SITE: .� '"�' ' "✓..G?�r.�� �2�u.v�r' �ip:
Owner's Name: Telephone Number:
Mailing Address:� City: Zip:
Contractor'sName: ' ' TelephoneNumber: 55���3�y� 1
MailingAddress: ,� (�() � City: ��' ,� Zip: �,�3�,�
SYSTEM DESCRIPTION
HLATTNr cvSTEMS -- ..�l�•c--.� � �-C11 � b�'�� V�'_-1
_.��ti%�
Quantity:
Make: a
Model: ' �/
Fuel:
Flue Size: , �' 7
Input BTUs:
Output BTUs:
CFM:
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COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
.
`
WOOD BURNING EQUIPNfENT _
Wood stove with flue
ti'Joad combinaticn 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
tio. �au`� £:.�-,aust (.:�us� �. �ucte� ��.:*wi�P; 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
P'E�2t�1I'I' �E �A.Lv�UI.AT'IOilT
1. 1.2�70 oi Contract Price* or �iinimum Fee t�35.�0) _�
/' "J�l'�;o �<- x .0125 $ �7`�i U L
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. X •0005 $ � -�U
(contract price)
or $.50, whichever is greater
3. Posta.ge and HandlinQ (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �?� ).c�c`�
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fued 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 Ciry may request the submission of a signed copy of the actual conuact.
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 ca11 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 certifies that all statements made on this application are complete, true
and correct. �
Applicant'sSignature: �� Date: � 1
Approved By: Date:
v
DATE TIME
CITY OF ORONO CALLED IN ��� .' j�
INSPECTION NOTICE ���' SCHEDULED � � �i � "��'
PERMIT N0. --�' COMPLETED u �_
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ADDRESS ����'�% �-� �� ��% '
OWNER ��'�'� CONTR. ��-- � ` w
TELEPHONE NO. � :::O/ � �..��
� DESCRIPTION � �� f �_ �-""�w
� 01 FOOTING 11 MECHANICAL RI 18IXCAV/GflADINQ/FIWNO
� 02 FRAMING 13 MECHANICAL FINAL ______� 19 LAI�SHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURN�FIREPL'7CCEj ' 34 TREE REMOVAL
Q 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
= OS FINAL 14 SEWER HOOK-UO O6 PROGRESS
~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
�Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING HI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBINp FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d ORK SATISFACTORY:PROCEED
W - PROJECT COMPLETE
� l CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED_CAL INSPECTOR
G CITATION ISSUED
�INSPECTION REQUIRED.C lL TO ARRANGE ACCESS.
Call e t inspection 24 hours in advance.473-7357
OwnerlCo t or o i -
Inspecto .
White Copyllnspector's File Canary CopylSite Notice