HomeMy WebLinkAbout1994-006208 - fireplaces f , , PERMIT
, �ITY OF ORONO PERMIT TYPE: ___ ,_
2750 Kelley Parkway • P.O. Box 815 -`� �='�'`��`-'`�"-
Permit Number: :;;;�
Orono, Minnesota 55356-0815 Date Issued: � - � � � �
(612) 473-7357 ' . '''`f��``
SITE ADDRESS:
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APPLICANTlPERMITEE SIGNATURE ISSUED BY:SIGNATURE �,"�
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CITY OF ORONO APPI�ICATTON F'0���� P�T
Box 66 (2750 Kelley Parkway) Cf�-y �F Or�C`3��::
Crystal Bay, NIN 55323
GENERAL INFORMATION .
1, You may apply for mechanical pezmits by mail or in person at the City offices. Applicazions will be
reviewed and a permit will be issued within 2 working days. �
2, Permit cards will be sent by retum mail after a review is completed. PER�iITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NO'T BEGIN UNTII. THE PERMIT CARD IS
POSTED OI�1 THE JOB SITE.
3. Mechanical DesiQns - Complete calculations, details and specifications are required for each hea[ing,
ventilation,hum.idification-dehumidification, and air conditioning installation includi.ng heat loss/heat gain
calculation, design temperatures, equipment ratings and identification as to rype, manufacturer and model.
Data shall be presented on form provided. Identification of and specifications forwacer heating equipmen[
shall also be provided.
4. When any new construction or remoaeling is involved, a separa�e buudi.ng pzrmit must be obcai�:,3.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requiremenu.
6, All work must be inspected (rough-in and fina�). Call 473-7357. 24-hour notice required.
7, House HeaLing Test Record must be submitted before final.
Instructions Complete all items on this application. Compute the perm.it 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 � Comme cial
JOB SITE: ��� � � �..R�� � Zip:
Owner'sName: � 1_ . TelephoneNumber: - -
Mailing Address: f � ��I�'��, '�Zip'
Contractor'sNam —F T�ph E umber: 1
MailingAddress• ��l � 'n � �`� -Clty. ��- Zip: F"��,��
SYSTEM DESCRIPTION
HEATING SYSTEMS t �
QuandtY:
Make: - �Z—� �'�� '
Model: 1
lC �'`�
FueL• �--`� ��==�—�<'�
Flue Size:
Input BTUs: '� a ^
Output BTUs:
CFM:
COOLING SYSTEMS
Q�tiry�
Make: �
Model:
Tons:
H. Power
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WOOD BURNING EQUIPMENT . . � -- -
Wovd stove with flue �
Wood combination or add-on
� Factory fireplace with flue � �
� Factory Fireplace (s) Freestanding Masonry -
Wood Stove (s) Franklin, other
BrandNa�ie�'� �,.,Ct�'1.�� ��'���-� ModelNo. 1`�j 1 Q -
Mfgr's Mi.n., Clearances, side , rear , min. flue dia. �
Total . ��_____
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
tv�. Other Fans: Locations __ _ �� �
. 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 CAI.CULATION
1. 1.25% of Conuact Price�` or 1�Iinimum F'ee ��35.04
���� , x .0125= $ �� . ��
(contract price) Z� ' �
2. State Surchar�e. ** Add the State Building Code�Division � t �
Surcharge to each permit. 2,� � �;C; � �-' X •�5 $
(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) $ �� • l �'C�
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the perm.itted
work includi.ng matenals, iabor, proiit, and otae: fi:�c.i c�ss• Tt i: .�e a.�:�<:�� Ic be chargeci ro rhe
� customer for[he work done. If any material, equipment, labor,or installation are fiunished b}/the owner,
tenant or any other parry the reasonable market value of such items must be added to the estimated cost
or contract price for perm.it fee purposes. In the event that there is a dispute on the amount of the job cost,
the City may reques: 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 $1,000,00� call the De'Partment of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Meci�anical Perm.it, agrees to do
all work in strict acc ce with the ordinances of the City and the regulations of the Minnesota
State Building Cod , and ertifies that all statements made on this application are complete, true
and correct. ----_- -- , , . � {
.._ _ -- ._-; . . � Date: �� 2%� �''t
_ Applicant's Signature:
= Date:
Approved By:-_.':. _ - ,
CITY OF ORONO CALLED IN ��"��"'9� `Q TIM�,
INSPECTIONCP� '`' �CQ� SCHEDULED ! a ) ' / !Uy 7/fNF
PERMIT NO. � COMPLETED
ADDRESS ���r �=s ��� /��'�
OWNER �� � � �'o C' CONTR. �'12FS'/D� ��C-i'c;
TELEPHONE NO. � �� - � -3 � ��
� DESCRIPTION � �l �� �L�'� >
� 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
y 03 INSULATION �4/25 WOOD BURNER ACE 19 LAKESHOREM/ETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
� 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBiNG FINAL 23 SEPTIC FINAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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d Y�d�NORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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� [�CORRECT WORK 8 PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
W
O LJ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. ` pH0T0 TAKEN
�NSPECTOR WILL REfURN
❑STOP ORDER POSTED.CAL�INSPECTOR �' CITATION ISSUED
❑ INSPECTION REQUIRED.CAII TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance.473-73�J7
OwnerlContrac n e:
Inspector.
White Copy/lnspector's File Canary CopylSite Notice