HomeMy WebLinkAbout1996-008040 - fireplace PERMIT
� �CITY OF ORONO PERMIT TYPE:
'750 Kelley Parkway- P.O. Box 66 t��_!_��,t•(T i;�.:�,_
;.rystal Bay, Minnesota 55323 Permit Number: t;R;;`�{_;��;
�12) 473-7357 Date Issued: 4_2�:,�;�_;�,:,,=��,
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APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE �� •
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C1TY OF ORONO APPLICATION FOR ME���NIC�AL PERM�'I'
Box 66 (2750 Kelley Parkway)
Crystal I3ay, MN 55323
GENLRAL 1NFORMA'I'ION
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. Pcrmit cards will be seni by return mail af:er a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POST�D ON THE JOB SITE.
3. Mechanical Desi�� - Complete calculations, details and specifications are required for each heating,
vcntilation, l�umidification-dchuu�idification, and air conditioning installation including hcat loss/hcat gain
calculation, design temperatures, equipment ratings and identification as to type, manufacturer and model.
Data shall be presentcd on form provided. Identificltion of�uid specifications for water heating equipn�ent
shall also be provid�d.
4. Whcn any new construction or remodeling is involved, a separate building pennit must be oUtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Codc
rcquir�mcnts.
6. All work must be inspccted (rougii-in and final). Call 473-7357. 24-hour notice required.
7. Ilousc �icating Test Record must be subiuitted before final.
Instructions Com�lete all itcros on this application. Computc the permit fee. Sign and date thc certificalion.
INCOMPLETG APPLICA'CIONS WILL NO"1' B� PROCESSED. If you have qucstions, call 473-7357.
Please check onc: _�_ New Addition Repair Rcplace
� Residential Coiiimercial
Jl:�; SITE: / -� '�/c'�� ��X .S f F' e,�_ Zip:
Owner's Na ie: R L v f�_��,� �;�, Telephone Number:
Mailing Address: City: Zip:
Contractor'sName:� fv���c,f r �?�Gc�� ''�(��TelephoneNumber: .sS7 S�O�
MailingAddress: .��r� �> �`�` �1�� /l,, t, City: /'/�✓-'jS. Z►P� 5.55/36�
SYS'I'EM ll�SCRIP'rION
�IEATING SYSTEMS
Quantity:
Make:
Model:
I;uel:
Flue Size:
Input ��I'Us: _
Output BTUs:
CFM:
COOI.ING SYST�MS
Quailtity:
Make:
Model:
Tons:
II. Power _
. ' r , �
`'�'O011 BURNING EQUIPMLNT
Wood stove with flue
Wood combination or add-on
�_ Tacto�y fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, cthe:
Brand Name ��,(��� ��� ' _ Model No. �S� -y-e `��
Mfgr's Min., Clearances, side _�, rear�, min. flue dia. /�;"
V�NTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cftn
No. Other Fans: Locations cfm
FUEL STORAGE (MU5T BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
l. 1.25% of Contract Price* or Minimuin Fee ($35.00)
��? .�����x .0125 $ ,��, r� �,
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to eacll permit. �,(')(����� x .0005 $ � � (�U
or $.50, wllicl�ever is greater (contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FI:E (Add lines 1-3 above) $ '�3 7, � �
* CONTRnC'I' PRICG or JOB COST mcans thc actual or estimatcd dollar amount chargcd for Ihc��crmittcd
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to thc
customer for the work done. If any matcrial, equipment, labor, or installation are furnished by the owner,
tenant or any other party thc 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.
** Thc STnTE SURCIIARGE is .0005 of thc contract Price undcr $1,000,000 or $.50 - whichevcr is
grcatcr. For valuations ovcr $1,000,000 call thc Dcpartmcnt of Inspcctional Scrviccs for thc pricc.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do
all wor-k 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's Signature: � � Date:
Approved By: Date:
i�
DATE TIME
CITY OF ORONO CALLED IN `Y�'��l-f��
INSPECTION NOTICE SCHEDULED �' � �,�' v� � --��
PERMIT N0. �C��� COMPLETED ��
ADDRESS�'� `��� ��� � t
OWNER ���._�'�.�.. ��er7��it`. CONTR. ��{I—rnc��.�c� �.�`�LG;u�,•
TELEPHONE NO. .� ���.�'_` ,=-=� �1-/j�,�'��'`r��-s 1�
� DESCRIPTION /�.�� '�� � � � �J
� 01 FOOTING 11 MECHANICAL RI 1B IXCAV/GRADING/FIWNd
� 02 FRAMING 13 MECHANICAL FINAL ,���,� 19 LAI�SHOREJWETLANDS
Q 03 INSULATION 24/25 WOOD BURNEFi/f�`IREPLACE . 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP ~ 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
~ 07 DEM�SITE 27 SEPT7C MAINT. 21 COMPLAINT
J
Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED - PROJECT COMPLETE
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� C CORFiECT WORK&PROCEED ��: ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r- pH0T0 TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR
C CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for th�e t i pection 24 hours in advance.473-7357
OwnerlCoMra�on 'te
Inspector. � +
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