HomeMy WebLinkAbout1997-009684 - fireplace �►► PERMIT
, _ ; '� Y OF ORONO PERMIT TYPE: :
2750 Kelley Parkway - P.O. Box 66 `�•`°'`" - - --
Crystal Bay, Minnesota 55323 Permit Number: • ,"��-:,�=��':.
(612) 473-7357 Date Issued:
SITE ADDRESS:
DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: -- - OWNER:
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APPLICANT;PEFMITEE SIGNATURE ISSUED BY:SIGNATURE �
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMTr
Box 66 (2 i 50 Kelley Parkway)
Crystal Bay, MN 55323
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GEN�RAL INFORIVIATION
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. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOiJ 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-dehumiditication, 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. Wlien any new constructian or remcdeling is involved, a separate build�ng 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 Comm rcial
JOB SITE:_ � `�-� � �'� � ��` �� Zip:
O��ner'sN..:r.e: � TelephoneNumber: �-�/ - �j„f ��
iVlailingAddress: �'� �,S ��.�z��ti�� i�''��, ity: ��� ��<,�� 'Lip:
Contractor'sName: � TelephoneNumber: ,537--�y`= y i
MailingAddress: �;:i �'� — �a- �-� �-�-c ��� City: t' z,� 2���.�` Zip:,5 5 y�z_
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SYSTEM DESCRIPTION ' �y�p vL'� � Iv -�
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HEATING SYSTEMS
Quantity: �
Make: -- ) �--�_��x��
Model: j��=`/.� v 3�%��� �
Fuel: ��u ���
I�lue Size:
Input BTUs: � .� , ��i'�' _
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 Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, 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
FUEL STORAGE (MUST �E 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)
`� � � c� �� �-- x .o12s $ -3�, � v
(contract price)
2. State Surchar�e. ** Add the State Building Code Division _
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Surcharge to each permit. �� i c.>c,� `�-`' x .0005 $ � � � '
or $.50, which�ver is greater (contract price)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT PEE (Add lines 1-3 above) $ � L% S�
* 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 ior die work done. If any material, equipment, labo:, or installatior.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 City may request the submission of a signed copy of the actual contract.
** The S"fATE 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 appli�� to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accurc!ance with the ordinances of the City and the regulations of the Minnesota
5tate Building Code, and certifies that all statements made on this application are complete, true
and correct. �l
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Applicant's Signature: «--�>.< �—1�� Date: J�"�a , �
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Approved By: Date:
DATE TIME
CITY OF ORONO CALLED IN l.2 ..% � 7
INSPECTION NO�CE �� SCHEDULED y7 /U:-3 c�
PERMIT N0. /�C� COMP�ETED �_ �
ADDRESS � 71J =� � ��� ;,� , �
OWNER ������-� CONTR.�� , _ �:• .�
TELEPHONE NO. .�.� "7 -�' `�>�/ �
� DESCRIPTION ��� , �
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� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
� 02 FRAMING 13 MECHANICAL FINAL_`�` 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNEFf/FIREPLACE 34 TREE REMOVAL
� 04 WALL B0. 12 WATER HOOK-UP� � 17 SITE INSPECTION
Q
= OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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�Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
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O - CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. — pHOTO TAKEN
INSPECTOR WILL REfURN
❑ STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
�i INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next spection 24 hours in advance.4T3-73S7
OwnerlContr si e:
Inspector.
White Copyllnspector's Fi Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN /� '� �l 7 `"� �'
INSPECTION NOTICE SCHEDULED /� -i�-� 7 '�C3a
PERMIT N0. I���� COMPLETEo„ � E1
ADDRESS r�J C�" �J� �
OWNER��_z.�Lrn CONTR. '`�'u-��z—�C+-x��L'�
TELEPHONE NO. 5 � � " �`�%/
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLINO
� 02 FRAMING 13 MECHANICAL FINAL 19 LAi�SHORE/WETLANDS
Q 03 INSULATION 2qL'l�5 NOOD BUR FIREPLAC 34 TREE REMOVAL
Z W BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
Z 5 14 SEWER HOOK-UP 06 PROGRESS
� 7 DE 4—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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� 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
2 09 PIUMBiNG RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d L�.CWORK SATISFACTORY:PROCEED
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� Cl CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. -, pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR — CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContract on i e:
Inspector.
White Copyllnspector's File Ca�ary CopylSite Notice