HomeMy WebLinkAbout1992-004870 - wood stove/flue .. ERMIT
�ITY OF ORONO PERMIT TYPE: �,���.y�,��f�.��
1335 Brown Rd. South • P.O. Box 66 Permit Number: `.J'_`���=�f'�
Crystal Bay, Minnesota 55323 Date Issued: 1��=� �'=�'`=��=
(612) 473-7357
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APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE ��
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CITY OF ORONO
APPLICATION FOR MECAANICAL PERMIT
GENERAL INFORMATION _ y�„�
1. You may apply for mechanical permits by mail or �e�son at the City
offices. Mailed-in permits are subject to the posta��'ar�dsh�`�ing fees
shown below.
2. Permit cards wi21 be sent by return mail the same day the application is
received. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT
BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE.
3 . When any new construction or remodeling is involved, a separate bui2ding
permit must be obtained.
4 . AI1 work must be done in accordance with State Building Code requirements.
5 . All work must be inspected (rough-in and final). Ca1I 473-7357. 24-hour
notice required.
6. House Heating Test Record must be submitted before final.
INSTRUCTIONS Complete al I items on this application. Compute the permit fee.
Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.
If you have questions, cal I 473-7357.
WALK-IN PERMITS apply at City Offices, 1335 South Brown Road (Cty. Rd 146)
MAIL-IN PERMITS enclose fee - Mail to: P.O. Box 66 , Crystal Bay, MN 55323
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Please check one: New Addition Repair �Repiace
JOB SITE: � � � � � (,�'t- ZiP: �� ,3 C7�
Owner' s Name : .t .c f� �elephone Number: y�f - ��
.. • , • „a u r-✓>--L-- C i�y• r"�1 r� r, �;�a� �
:c31ii;.g ri.. r2ss:
Contractor' s Name: � . Telephone Number: Z - j
Mailing Address '1�; L° � City: �.f,�`;��<< Zip: "- -��
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MINIMUM FEE ( $30. 00 per project)
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SYS� iES�R�P�IL2:: 515. QO each ��r_it
Heating Systems :
Quantity: 1
Make: 7
Model: i'
Fuel: I.� a�
Fiue Size: ;.� �I
Input BTUs . -� a L+�f Tj �
Output BTUs l� I 1� U i,'
CFM:
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Cooling Systems :
Quantity:
Make:
Model:
Tons:
H.Power:
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*�rTOOD BIIRNING EQIIIPMENT $15.00 each unit
Wood stove with flue
Wood combination or add-on unit
Factory fireFlace with flue
Factor Fireplace (s ) freestanding Masonry
Wood Stove (s ) franklin, other
BrandName Model No.
Mfgr's Min. , Clearances, side , rear , min. flue dia.
Total
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VENTII.ATION $15. 00 each project
No. Ritchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
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FIIEL STORAGE (must be approved by fire marshal)
' $30. 00 Permanent/Temporary
Fuel oil, gallons underground inside outside
LP Gas, gallons
Other Gas opening
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GAS LINE INSPECTION
High/Low Pressure $15. 00
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P$RMIT FEE CALCIILATION L��
1. Total of above Installations or Mi.nimum Fee ($30.00) S ��G
2. State SurcharQe. Add the State Building Code Division
Surcharge to each permit $ . 50
3 . Postaqe and Handling on all mailed-in applications, S 1. 50
4. �l'V l�HL t'tiStlli`l� r'�i GG.cu i�:lc� .�is.`+ nuO v c�',- Y ;] � ��— �
The undersigned hereby applies to the City of issuance of a Mechanical Permit,
agrees to do aIl work in strict accordance with the ordinances of the City and
the regulations of the Minn sota State Building Code, and certifies that all
statements made on this app 1 tior� are complete, true and correct.
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Applicant' s Signature: � J Date: �
HOUSE HEATING TEST RECORD �.: � 7O
ADDRESS APT. FLOOR CITY SUBURB
OCCUPANT OWNER
HEAT lOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Elschical Work'By Gos Lin• By
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE MAKE OF BURNER
Mod�l Mod.l
S�rial Max. BTU Ratiny
INPUT MAKE OF FURNACE
Modsl
CONTROLS
THERMOSTAT Hsat Pluy V�nt Sizs
Volve KIND OF LINER SIZE_ NONE
Limit Draft Hood R�yularor
Limit S�tting Filt�rs Siz• Numb�r
Fan Setting Chimn�y Location Insid� Outsid•
Pilot Typs Chimn�y Constructio�
Pilot Make
Pilot Model Smoks Bomb Wiriny
Pilot Timing D►aft T�st Tay
L.W. Cut Off Door Pressure_ Liyhtiny Inst.
Pressure P�rcent C0� Date Tested
Input CFH Percent 0� Company Testing
$tack Temp. Perc�nt CO Name oi Tester
Form 235
DATE TIME
CITY OF ORONO CALLED IN ���� ��• V O
INSPECTION NOTICE SCHEDULED 9� 2-D�' � �
PERMIT NO. COMPLETED � 2-' `�
ADDRESS �� 7�J� i��'� C/��'^-2-
OWNER �C��r✓ CONTR. �� ��p.f�
TELEPHONE NO. � T�� �-� �,7
� DESCRIPTION ����- - ���
l� 01 FOOTING 11 MECHANICAL RI 8 EXCAV/GRADING/ I NG
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 D. 12 WATER HOOK-UP 17 SITE INSPECTION
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05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
r 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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� OWNERICONTRACTO TO MEET�OU:_�ES_NO
� COMMENTS: �/' l'�
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� �'VORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ��CORRECT WORK 8 PROCEED � : ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
Cl CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL REfURN
' CITATION ISSUED
❑ STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
OwnerlContrac o on site:
Inspector. I
White Copyllnspector's File Canary CopylSite Notice