HomeMy WebLinkAbout1993-005548 - fireplace PERIVIIT
CITY OF ORONO PE�RMIT TYPE: �:��,r:�;;�:f,,;.�::�;;_
2750 Kelley Parkway • P.O. Box 815 Permit Number: i':i i,��,:1;=:
Orono, Minnesota 55356-0815 Date Issued: i:;�=;':�:�;:`=�:::
(612) 473-7357
SITE ADDRESS:
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DESCRIPTION:
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REMARKS: -�- -
FEE SUMMARY:
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CONTRACTOR: OWNER• �" �`�'�'� �`��`'�'�� -��
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PPLICANT/PERMITEE SIGNATURE c—� ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHANICAL PERNIIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, NIlv 55323
GENERAL INFORl`ZATION
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 YOU 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-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 fmal.
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, cali 473-7357.
Please check one: New Addition Repair Replace
�— Residential Commercial
JOB SITE: )�� �,r..�����v ;.��:, D �. Zip: ss-3��:.
Owner's Name: ��1r..,. !'�c U.�L-s o� Telephone Number: y 7,�-o��� 7
Mailing Address: (��,� �-� � City:�.�5 L«r� { Zip: �-s- 3 S��
Contractor'sName: 5�� --�-� � TelephoneNumber:
MailingAddress: City: Zip:
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
. �
WOOD BURNING EOUIPMENT
� Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
BrandName �J� �-�,.,.�.,;� �--s���-� , ModelNo. �. ,.,�,�.��t�� �.�,-_
Mfgr's Min., Clearances, side a N" , rear l,�,., min. flue dia. � "
Total ,J�i'oc`�
VENTILATION
No. Kitchen E�aust ducted recirculating cfm
No. Bath Eachaust (must be ducted outside) 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
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
���-
t1 y���% x .0125 $ � —�
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. ,��loo `� x .0005 $ ) ai
(contract price)
or $.50, whichever is greater
3. Posta�e 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 fiirnished by[he 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 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 issuance of a Mechanical Pemut, 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's Signature: ��;w--�� ,,�� Date: J��—,�!�Y�
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Approved By: �i Date:
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CONTACT YOUR LOCAL BUILDING INSPECTOR OR FIRE MARSHAL ABOUT RESTRIC'I'IONS AND INSTALLATION WSPECI'ION REQUIREMENlS Qd YOUR AREA.
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he Intrepid II is designed for
heating specific areas of the home, Log Length: 16 inches
as its compact size offers greater Burn Time: Up to 6 hours
installation choices. And the Intrepid II also Heating Capaeity: 500-1,000 sq. ft.
Maximum Heat Output: 24,000 BTU/hr.
provides high fuel-saving efficiency,en- Efficieney Rating: 74.9%
hanced by thermostat control and catalytic EPA Emissions Rating: 3.1 grams/hr.
combustion. Weight: 225 pounds
Dimensions:
Height: Top Vent: 25"
Features. Back Vent: 24"
Width: 21-1/4"
• Compact size,fits almost any�vhere. Depth: 22-1/2° � �
• Clean-burning-EPA-rated 3.1 grams/hour. ' FIUE C011af SiZ2: 6" round
• Clean glass and convenient top loading. CleafaflC2S (without optional shields):
• Your choice of five porcelain enamel colors. BaCk: 30°
• Optional sparkscreen for open fireviewing. Side: 24"
• High efficiency-more heat from less wood.
• Convenient ash pan.
• Solid,durable cast-iron construction. O �ZOnS: Enamel Colors.
• Automatic thermostat for even heat. �
• Griddle for stove-top cooking. • Clearance reducing heat shields
• Waiming shelves
• Sparkscreen
OSSEO FEED & STOVE STORE • Height reducing short legs
�� wood sto�es • Fireplaces • Matching enamel pipe
Custom Doors
115 Central, Osseo, MN 55369 • Choice of five enamel colors
(612) 424•2141
• Outside air adaptor
200-8090-A
DATF_ TIME
CITY OF ORONO CALLED IN Ia'���� �J-3
INSPECTIpN NOTICE SCHEDULED �d -�� 3 � 3 a
PERMIT NO. ..5 S�y COMPLETED �� G�
ADDRESS /zG v /�'✓�
OWNER CONTR. '
TELEPHO E NO. 'y��� v���
� DESCRIPTION !.�C�� ,��i�
� 01 FOOTING 11 MECH 16 WELLTEST PUMP
Q 02 FRAMING 1 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
� 03 INSULATION 2412 ER/FIREPLACE 19 LAKESHOREM/ETLANDS
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Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CA�L FOR REIN&PECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. r: pHOTOTAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
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