HomeMy WebLinkAbout1997-008799 - fireplace ^� . PERMIT
k � CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 .
Crystal Bay, Minnesota 55323 Permit Number: _ -
(612) 473-7357 Date Issued:
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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PPLICANT�PERM IG RE ISSUED BY:SIGNATURE - �
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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. Pernut 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 Desiens - 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 APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: �New Addition Repair Replace
Residential Co ercial
JOB SITE: S r J ,:�� Zip:
Owner's Name: 1� . Telephone Number: y,Sq- Q Z S-�
Mailing Address: �; . u�, City: �� ry�+�_c ,��Zip: �
Contractor's Name: �c 5 .n ,�-<! Tele one Number:
Mailing Address: City: Zip:
SYSTEM DESCRIPTION
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HEATING SYSTEMS � ;
Quantity:
Make: ,,,.�t,.t .�
Model: �
Fuel: -
Flue Size: f�,`�
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power �
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WOOD BURNING EQUIPMENT
� Wood stove with flue
Wood combination or add-on
_� Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Sts ve (s) Franklin, other
Brand Name �`' � Model No. ��
Mfgr's Min., Clear ces, side � '�, rear � ►� , min. flue dia. ��
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FLTEL 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)
�ppQ,�'� x .0125 $
(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 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 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 pernut 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 i sua�ce of a Mechanical Permit, agrees to do
all work in strict accordanc with the ordinanc of the,City and the regulations of the Minnesota
State Building Code, an certi es that all stat ent 'a e on this application are complete, true
and correct. �"
A licant's Si nature: - Date: � �
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Approved By: Date:
D TE TIME
CITY OF ORONO ca��Eo iN � ���� 7 ��a+yi
INSPECTION NOTICE SCHEDULED S- /���37
PERMIT NO. 5'�,''I�I% COMPLETED
ADDRESS C � � (,ti
OWNER 6 CO � R.
TELEPHONE O. _ Sy�v ' 3 � 7 7
� DESCRIPTION �� ��is��
� 01 FOOT�NG 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETIANDS
2 03 INSULATION 24�WOOD BURN IREPLACE 34 TREE REMOVAL
Q 04 WALL BD. 12 WATER HOOK-U 17 SITE INSPECTION
= OS FINAL 14 SEWER HOOK-UP 06 PROCaRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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� 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOWUP
= 09 PLUMBING RI ?3 SEPTIC FINAL 35 HARD COVER HEMOVAL
� 10 PLUMBING FINAL '•8 CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEE'YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED PROJECT COMPLETE
� : CORRECT WORK 8 PFIOCEED ISSUE CERTIFICATE OF OCCUPANCY
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� C',CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for th t i s ction 24 hours in advance.473-7357
OwnerlContractor site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN .� "<�6'�1� —/-�—�� �n�
INSPECTION NOTICE SCHEDULED �-�7�-�17 �1.
PERMIT N0. �4? �� COMPLETED
ADDRESS ��o�5 ���� � � �� �
OWNER C�'�� CONTR. �
TELEPHONE NO. S�� `���' �
� DESCRIPTION
� 01 FOOTING 11 MECHANICALRI 18IXCAV/GRADINO/FIWNQ
� 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHOREJWETLANDS
Q 03 INSULATION 2�NOOD BURNE REPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UO O6 PROGRESS
~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
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Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i 09 PLUMBING RI 23 SEPTiC FiNAL 35 HARD COVER REMOVAL
� 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d IORK SATISFACTORY:PROCEED � PROJECT COMPLETE
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WL CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL iNSPECTOfI
!=�CITATION ISSUED
� INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance.473-7357
OwnedContra
Inspector.
White Copyllnspector's File Canary CopylSite Notice