HomeMy WebLinkAbout1998-009933 - fireplace 1.r"'
� PERMIT
CITY OF ORONO PERMIT TYPE: }i��:�:�:��I C:€:L
2750 Kelley Parkway- P.O. Box 66 t jt�l��=��;�;:;
Crystal Bay, Minnesota 55323 Permit Number: �,���-i=��-l;l;
(612)473-7357
Date Issued: ' '
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPUCANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHAIVICAL PERMPr
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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GENERAL INI+ORMATION
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 q"�E 30B SITE.
3. Mechanical DesiQns - 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 moder.
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 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 Commercial
JOB SI'1'E:_��,Z �'�a.v«1�vv(.Cc_.�.V� �/�-t.� Zip:
Owner's N.:rze: �y► �t �(��� Telephone Number: -�� ;��,- �,� 3 �
Mailing Address: � City: 'Lip:
Contractor'sName: ' _ TelephoneNumber: r'�' -�"-�7 �
MailingAddress: i,. r ��C� �"� ' ity: ��� Zip: �`;3�;,f—
SYSTEM DESCRIPTION
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_ ��
TTT A T�3L.-•� STEMS
Quantity: �
Make:
Model:
Fuel:
I�lue Size:
Input BTUs: _ _
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
I=actory fireplace with flue
_� Factory Fireplace (s) � Freestanding Masonry
Wood Stove ,(s) Franklin, other
Brand Name /?�'1��,e�.�c�C., Model No. /�!��'�y�/�—
Mfgr's Min., Clea nces, side , rear , min. flue dia. � ��
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VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STOF�AGE (MUST �E APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons ��
Other Gas opening �
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PERMIT FEE CALCULATION �-��
1. 1.25% of Contract Price* or Minimum Fee ($35.00) i�
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l�<� � x .0125 $ �..�, �%��
(contract pricc) ''
2. State Surchar� ** Add the State Building Code Division
Surcharge to each permit. i � , t�%L� x .0005 $ 3� .�
or $.50, whichever is greater (contract price)
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 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 tha[there is a dispute on the amount of the job cost,
the Ciry may request the submission of a signed copy of the actual contract.
** The S'IATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 c�ll the Department of Inspectionai Services for the price.
The undersigned hereby a�pl i,;s to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accurc!ance with the ordinances of the City and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct.
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` Applicant's Signature: Date:
Approved By: Date: sF>/$,�/�
DATE TIME
CITY OF ORONO CALLED IN � •.�C�
INSPECTION NOTIC SCHEDULED �3� /a-� �`�Q�
PERMIT NO. 9 COMPLETED U_ �'I,
ADDRESS �
OWNER �� CONTR. L��.�.e-t
TELEPHONE N0. `��5 " 3�G17
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� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 2�WOOD BURNE EPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBIN 36 FOUNDATION/REMOVAL
� OWNE ONTRACTO O MEEf YOU:�YES_NO
� COMMENTS:
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W� �WORK SATISFACTORY:PROCEED `�PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
C CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra i e:
Inspector. �� .
White Copyllnspector's File Canary CopylSite Notice
DATE �/ TIME
CITY OF ORONO CALLED IN _�-I�� ��o �
INSPECTION NOTICE SCHEDULED .%t- —� �•�.� �
PERMIT NO. ���I �� COMPLETED s�
ADDRESS;�J�-� L��Gf/Yv�.a'c�^-- i�ilLt�v'`� -
OWNER I�Gv�"*'�:4� . �� ONTR.�ti�'_taf.c�2.., ���ti
TELEPHONE NO. � ��— _ 7��
� DESCRIPTION
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION �5 WOOD BURN R/FIREPIACE 34 TREE REMOVAL
Q 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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d �WORK SATISFACTORY:PROCEED �: PROJECT COMPLETE
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� C CORRECT WORK&PROCEED "1 ISSUE CERTIFICATE OF OCCUPANCY
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O i_; CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOl1RS. ,—, pHOTO TAKEN
INSPECTOR WILL REfURN
C STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
�NSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next ins tion 24 hours in advance.473-7357
OwnertContractor ite:
�nspector.
^opyllnspector's File Canary CopylSite Notice