HomeMy WebLinkAbout1992-004267 - factory fireplace .. PERMIT �',
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� �ITY OF ORONO PERMIT TYPE: i•���,.jjy�y j t.ryL
1335 Brown �id. South • P.O. Box 66 Permit Number: �'t?�����!_ _
Cr stal Ba , Minnesota 55323 i��'' 1='��y�
y y Date Issued:
(612) 473-7357
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ICAN ' ITEESIGNATURE ISSUEDBY SIGNATUR '�'�J
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, � Sl�T� �« � a� 3 �7 � �.z��
CITY OF ORONO
APPLICATION FOR MECHANICAL PERMIT
GENERAL _INFORMATION
l. You may apply for mechanical permits by mail or in person at the City
offices. Mailed-in permits are subject to the postage and handling fees
shown below.
2 . Permit cards will 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 building
permit must be obtained.
4 . All work must be done in accordance with State Building Code requirements.
5. All work must be inspected (rough-in and final). Call 473-7357. 24-hour
notice required.
6. House Heating Test Record must be submitted before final.
INSTROCTIONS 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, cal 1 473-7357.
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
******************************* ************************************************
Please check one: New �Addition Repair Replace
JOB SITE. ,�/ S�� J�4��s T�..tiv � Zip
Owner' s Name: s��.✓ si���� Telephone Number:
Mailin Address: '
g 3/Ss`J�H�, r��.� /� City: y,,.,-�> Zip:
Contractor' s Name: 7�,.J,ti��-,� �j1�Q� � Telephone Number: ��3-!3!L
Mailing Address i5a-� �,�t�S-�1"�,,�z- n��� City: �u�^�> ,,,�„ Zip: ?>"yi/
********�***********************************************i************************
MINIMUM FEE ( $30. 00 per project)
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SYSTEM DESCRIPTION: $15. 00 each unit
Heating Systems:
Quantity:
Make:
_ . _. .
Model:
_ ..
Fuel:
Flue Size:
Input BTUs:
_
Output BTUs :
CFM:
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Cooling Systems:
Quantity:
Make.
' . . . . . .
Model:
Tons:
_ . _
H.Power:
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*WOOD BIIRNING EQIIIPMENT $15. 00 each unit
Wood stove with flue
Wood combination or add-on unit
_�Factory fireplace with flue
Factor Fireplace (s) freestanding Masonry
Wood Stove (s ) franklin, other /- �� -��>r� �/,,,w�-� ���, � ' ��i-s��r
BrandName ���y ''!� �� Model No. I�ti������� �,�< « <-3���
Mfgr' s Min. , Clearances, side �L ► rear '� , min. flue ia. /%"��-''
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Total fU:, /'x��r �£'l' ��z���
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VENTILATION $15.00 each project
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
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FUEL 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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PERMIT FEE CALCQLATION
l. Total of above Installations or Minimum Fee ($30.00) $
2. State Surcharge. Add the State Building Code Division
Surcharge to each permit $ . 50
3. Postage and Handling on all mailed-in applications, $ 1. 50
4 . TOTAL PERMIT FEE add lines 1-3 above $
The undersigned hereby applies to the City of issuance of a Mechanical Permit,
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.
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Applicant s Signature: Z Date: �S� �
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DATE TIME
CITY OF ORONO CALLED IN y�/��`��
INSPECTION NOTICE SCHEDULED -y/.zr,l% 1-- p� '3 U
PERMIT NO. � COMPLETED Y'"�' Z— L�
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ADDRESS S ne '�'�%'
OWNER ` CONTR. �-=� n.-�=� �� '�
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TELEPHONE N0. �����"� ���-�-�
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� DESCRIPTION � ��-�'�
� 01 FOOTING / MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MEC AL FINAL 18 EXCAV/GRADING/FILLING
y 031NSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
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Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN 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
� 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:�ES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED �, PROJECTCOMPLETE
� ❑ CORRECT WORK$PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �; PHOTOTAKEN
INSPECTOR WILL RETURN
❑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
OwnerlContrac r n e:
Inspector.
Whit Copyllnspector's File Canary CopylSite Notice