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Home My WebLink About1993-005572 - 1 gas/1 wood fireplace PEI�MIT � CIT� 4F ORONO PERMIT TYPE: ;,;,;.F-:�_;.r.;:u; : :::.; I 27 E Parkwa • P.O. Box 815 ._.°.. . .'.:�r:`.. �_ � y Permit Number: irt:;!;��:�_ Orono, Minnesota 55356-0815 (612) 473-7357 Date Issued: i��!t_s�i��t:�: , ___------------ - ---- SITE ADDRESS: � � :��.� r-' . T . P�1. . t 11L-� I;-__-;'=-_�'_` DESCRIPTION: �—�;�'�:i i —E.i€=��_:#��: ��'�F°I_f: _ —:._ _ . .__ _ .. — — -: ,. �, . . . . :_.. . . _�:. ,_._� . , . ,. :: :!. `�': REMARKS: - t- ��- FEE SUMMARY: '.�t�L E��e ��= �� . . _ L. _ :�i'�I !t' � I I C NTRACTOR: - ��'�`� ��_'�'�� " �WNER• Q;;::F..•,�:—.—;,j—.�s tt� ��J.��1�'L�NC:�`�; ::ii�i�-�,��, �;�t};:%;�.�tt�s �(�,Rfi; ;�_;:;�:� ;.� t��yt�� i�� 11�� L�t�F �_.� E��_4ht�'_•�'Ti L` i�h� ?�,�,.:;.�;7 L3_�ltlta L�3f:.E h?��! ��_;�',f:;, . ._ _ �'.� .- — - '_'�:'':_`_` �, _ —�'r��?:t _.. ,, . .�._,�--• - — . .. _ ._ _ . _ — - 7 — F -- _: . S :ii : _• �:_: i�.i,e. ��t <<r �i r . 1�'_ -�T'.. _ ' }��L. i�i...�:.. ' °•!'- �' 'F�Sc'i`� -.�� E},� ,_1tuL:t..r"s•.!,�..."!!af?':;.�_f :"'tc.. F.._�..., r . ._._:�r� . _ . _`_r'-�!'E: _. ... _i_ii':1 I !_i . ..:. ._.. . . .__ ':F'_}-;[_ i�F�''ij!_fif':.iT�:_<.J t •_. •Y ,�, ' . ' ' _ ' — ` . ,-.:;i�i"' _ ='i=��j %`ii•:ii`� � }"� �_i,` ��: . ji� :i `_�f��: .�c�'1€:_ __ i.! Tt_ i i;�'."';'' t si. =�3":� :a� .�,._�_ . �. �_ '.-1�. .___._._ ! _ .._ _ : ..___ . . i. _ : s . . _ ._ _. i_. . :��t�".. �J 1 � � . . ._._ _ i . ._. _.�� I t'`€�.�t` c { ;�t i t:Sr••r:�:__�..� ._rt�e _�-�-{ - - - s {:: t �i-�' ��i}f �}i i:1{� .f ��.: �--�r�:��;} ��' _" f�:."f•.!j�- ._�:1_�`-.. l..�te�. :z C..-, ti[ _. _. . __ .+i' ... .. __._ _. s �=`. _ .�.__ . _. �. .L%= . . ,_ �"`,�i�_. . _. . � � � � v APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE , � . . CITY OF ORONO APPLICATION FOR MECHANICAL PERMTT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 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 retum 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 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 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 fina]). 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 SITE• ' [i ,C�,ti�_-/ �.i�f Zip: S5;3��- ' � Tele hone Number: � Owner's Name: �' � �' � ' �t_ p y�� f/ Mailing Address: I' � (,5-i�.�. //��' City:�'��'Y'�' Zir: Contractor'sName: f �Gt,t '1U- C'�� -v� 1�.L2> Tele honeNumber: �'yG�(� i S MailingAddress: ?�s � �,� ` � i i 3 City: �. l v-C(`�� Zip: "-� " SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: ' COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power U� ��`� J �l �a ��G!�UC � �ee�{=�(�Lc,�� ' �� . G�c-e; l� � � F��1I ��L> �� WOOD BURNING EQUIPMENT Wood stove with flue Wood combination or add-on � Factory fireplace with flue Factory Fireplace (s) Freestanding Masonry Wood tove (s) Franklin, other Brand Name ��(�� ' (°'� � _ Model No. � /�1 �- Mfgr's Min., Clearances, side , rear , min. flue dia. Total VENTILATION No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. Other Fans: Locations �� Total FLTEL 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) x .0125 $ (contract price) 2. State Surchar�e. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ (contract price) or $.50, whichever is greater 3. Postage and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ =�,(,, . c-� �� * 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 chazged to the customer for the work done. If any material, equipment, labor,or installation are fuinished 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 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 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. ! `^ � M��, �� % �� Applicant'sSignature: ��'�� l,�L�� I�� I�%'�� Date: �` � Approved By: Date: DATF_ TIME CITY OF ORONO CALLED IN �� tn INSPECTIAN NOTICE SCHEDULED /� � ! t�m PERMIT NO. r�7�2- COMPL E Q'�'�3 � �•'� ` ADDRESS OWNER CONTR. -�t�7`�v TELEPHONE NO. G� � G �7 � � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVICRADING/FILLING y 03 INSULATION 24/�OOD BURNER EPLACE 19 LAKESHOREIWETLANDS � 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Z Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS v 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:—�G C i�-� ��(�F��P � a �/ �ic� �� i•?.� S�-c� � � O � -,�//� �`Ta� C.ot.�/-� �+/!T � ►��'�"�� Sl��f� aG �=�/�-� � fi/�s se� W � c � z W � W � � d W ❑WORKSATISFACTORY:PROCEED � pROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY W � CORRECT WORK,CALL FOR REIN�PECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '- CITATION ISSUED ❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.47�73�J7 OwnerlContractor o s' e: Inspector. White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE ,�5��/ SCHEDULED �Z�- � 5': 3 a PERMIT NO. � COMPLETED N t� • ADDRESS �� L�� OWNER ��2�^�'3� CONTR. DwN�'2 TELEPHONE NO. � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING y 03 INSULATION �1��OD;BURNER/FIREPLACE 19 LAKESHORFJWETLANOS O Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 MEfER SETITURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS � 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP v 10 PLUMBING FINAL 23 SEPTIC FINAL � OWNEFiICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: W �� a � J O � � O � W � Q �' Z W � W � � � WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W �COflRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �; pHOTOTAKEN INSPECTOR WILL RETURN n CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the ne t inspection 24 hours in advance.473-7357 OwnerlCont r o ite: � Inspector. - White CopyOnspector's le Canary CopyMaite Notice