HomeMy WebLinkAbout1996-008308 - fireplace —� —
�-- PERMIT
t • CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 i��t:}��:�}�t;F���
Permit Number: _ .,�,_._,
Crystal Bay, Minnesota 55323 i;i;._,:;i�,=;
(612)473-7357 Date Issued:
t:3t:�;%;�?I_=�r:;
SITE ADDRESS:
1�:i� �It�GEN �.H
C�H
F'. I . t�!. � t=y7--1 17--:�:�;--f:;--i7C���::
DESCRIPTION:
� F I��P`-'i�i�:F
1 �I FtEF`LH�:E M�t�::E t�ly�`����t�it�i h1�=�u�L �lf='11 c)i�
REMARKS:
FEE SUMMARY:
��:L��AiI�:t� ��, ,�i�t�
E,��N ��� �:��� .i��:} h1�;i L I i� ---------�1.��i r
��,�archnr�� ----___ _��..Z� E�w+t•�l Fe� �:�7 . �.�_+;
�=;i��iT.��#.�.j �:�+; , i�,
CONTRACTOR: — ���=t i����t. — OWNER:
M H '=_�I�E�iT �=t;i�i:=.� ��;���:;7'�7 :=;�iF't� f�i�i�'Y
1:t:�F,i� t��`l�€;�f'�� E�LVC� �.t�i� L...T t�it'i�t�f L!�
h�Z id��ETi�+t�fr�::�i i•ii�a ��_;t:�� ��1h�}CM�i t1I� ��:;r,�.
t.F��..L.) ��.c;_:<<r�=17 �.:`;:'—�,C��•
T�;i� ��hiL',E#=t'��I C.i;�i�Ct �-i��EE�i� ��.#:;�1�`��1"_� F`��'itl�':,;°M;��—{�.! "E`+�� F°�'�,�::� :HE �'i��-1L �P���`i=i�-°''{=''�';r`°�`�=
;''� p ) �a ,! 7 {�-� !_1 I 3i_I �;!E �E!� i�� s�ti _i !'1 t.t i t`'.�{�ii=�': �j�t,i('' i.i j� �';i i �'•�"�'! i'ai-'
����'�._•.!.}' 1�� �.�`� �i_������ t . . . �4 .. l.•. W+ f 5... i...�_�. _ �-ila�� -r. _ . . . :..,��... i.:_ . _
L f�i�i�ii'�f i ���hQ I i����t�E=:�': r�s`�1G '��T���f E �Wi�= r1 I t�ii�i?�'�:f�f T�? �,�!I L�I t��i; 3r:i���� �E���}F I i�°=_"•i�:=i�:#�"`�� . J
i �
�_����' �—�,
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ��,
.
� - ' ��30�
I � t ,, .
CITY OF ORONO _ APPLICATI(��'OR 1��ECHANICAL PERNIIT
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 return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PER�tIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desiens - 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. `JVhez any new constrsctio� er remadelir.g is involved, a separate build'.ag permit must be obtaine3.
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
.ros srrE: /a i.:5 L,�.-���r� L. n zip� .5s.3��
Owner's Name: /y�/�ky S �4 p A. Telephone Number:_ �����_���Sf
Mailing Address:�D�L�n a/e y� �.�,� e City: 0 20�o Zip� .�.53/o�
Contractor'sName: F;�►��t��� e CC r� te.,r� TelephoneNwnber: ,�y�--3 �9�7
MailingAddress: /�y o Cc,�_v �� fn Ri✓,�/City: mf/�c,z Zip: SS3�s
-7-r--r-�—�-�-•-�--��-
SYSTEM DESCRIPTION
HEATING SYSTEMS
Qi.iautlCy:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
___--
.
�
a
WOOD BURNING EQUIPMENT _
� Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name N f' �P r� Y1 Model No. /U P % J Q�
Mfgr's Min., Clearances, side�..�', rear J �; , min. flue dia. (o��
Total
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations J, --- 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)
i�vUG`" x .0125 $ i �`,`J
(contract price)
2. State Surcharge. ** Add the State Building Code Division �
Surcharge to each permit. x .0005 $ , �✓
(contract price)
or $.50, whichever is greater
3. Posta�e and HandlinQ (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ .�7,�?�
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged ior cae perIIuiteel
work including materials, labor, profit, and other fued 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 conuact 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 $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accordance with the ordinances of the City and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct. .
Applicant's Signature: t� � �� Date: �����_
Approved By: Date:
�.�:=T �_ =r. 1 1 :�� ri T:�..T F iy i•'. ._�._:�=i i=� p�"�'�E -
F.A� CU'STEIt SkIEF'�'
TH�"r
FI��PI.,A CE CENTEit
124�0 WA'�'ZATA BL�'�.
MINNET(JhTKA, MN 55305
(612} S�S-3797 FAX: {G12) 545-�1$p7
DATE: 10/2 5/9 G �
Tp: CITYpT'ORONQ ATTEN: BUILDING INSYEC'TPR
FA� # 473- 73,57 __�.,..
FR4M� D�DN
COMM�NTS:
Tl�� JG712EPLACE IN�TALLED IS,4 NA�P�LT'dIJ 11 QD WE U5L'1�A 1�UUI�LE
WAL� 1'1 PE .
JOI3 AD17RE,SS
1�l S LINI]EN �Nl�
pRONO
Ni.IM�i�R flF Pl�GL^S �INCL, Cf�VBR PA,GE) 4
����� �
w v��9 ���.�� ����
d
I
r:rT c� �6 11 '22 riT�•:T Fh;•, s_;�0 F'ri�=E 1
� �� '` �, ( �, ; Woodstove Madel� 1100, 1400 & 19UU
. �. ,''�,k. � l�:�� �� Fire lace [n�ert Mvd�! 1401
�
SPECI�ICATIQNS, srav� sTavE STUVE FIREPI.ACE 1NS�F{�
MODEL 1 y00 M4��i.�aoo Mpp�t 19D0 MQb�i.1401
Enilcslons(�rams per hpur} q,l 3.7 2.6 1,7
Widih n hOplh x HRlght itnshe�cJ 2S ll��� 1/2x33 114 2S i!'txY?x3}1IA 7.,;1f2x31 1/8k31 1/A 2!:112x1.7x7.1 1!1
FltcbOxCt►ambeK(P.W.H.HInchCs) 131/2x18x17. 18x18x17. 221/2xtRx123l4 11�x1Hx1?
Flrebox Cnpacity 1.�cu.n. x.25 cu.fl, 3,�cu.k, 2,25 cu.[l.
Weight Wkhout Bricks 2t5 lyg, 25L�lkx. 285 Ibr. i;;U fbc,
Welghl o(Rrlcks 1 i�lbs. 1 q 5 Ibs. 114 Ibs. 1 h5 Ilis.
A�+p.Arnn Ftralod• b00-12pp sti,h. 181�-�buU cq.R. 1500-2(1R0 sy,f1. i U(K1•i Ri�cq.Ft.
BTURiR•' t i.>db-4a.20o �i,ano.a�ann 1 t,E+i�0•34,p�Ci 11,AU(i-41,30U
I�leat t7utput(hlgh bum)••� 50,000 litu G4,C100 Bw 70,Opp Blu (�D,OOp E31u
tiurn Tlnx�(luw flrP)' 7 hour� y hourx 17 hours i�hc>�rrs
Minimum Clear�ncn with SIn61�WdI Chimney Conn�ctor bom Stavc lo Combustibict;
RcMr 70" 12'' 17." ri�,a
Sltk 12" 7 2" "12-' �/�
COmhr G` G" 8" n�:i
A4lnfmum CYN«nc�Nt with Approved flouW!Wsil Pipe from Stove io Coinbuetlblcs:
R�.�r F" 12" f?" Nn
Sidc ' ,�. 20- zz� N:�
Comer 2" �,�'_.'.. F" II., nr,�
���
MoWk li4me ApMOvcd p; No t�a r�u
R-�000 Aj�provc�d(Cana�i�) Ya.: 1'eF 1't+s V���
AAax.LoR Sizc 1 H'" 10" zo" t Ec..
Flue blRmcler 6- r,~ F," �,•
•i�lFures may varp with indivldual condp�uns.Pleaae co�sult yuur arxclr�ty c�Caler.
"EPn ralecl Ls1 U/HR wHh�oh�vqpcJ test iucl(rur t�missinns testing anfyy-nu refvel{ng.
'•'WOH SIC[I I.ICL pwA lE`Sl ifSUIlS 6ITOWi11�j rfdllStlC�TL�USi17�h,rclwOOd Eo};s with rpgul�r rCfuNing.Fle�i t�ut.ptr�wlll diik•r dcpc��Jinfi on cl,�,nncy drnft n�
a��11 rc typc,ntolsturc conlent And�Ite of wp0ti,
�1�«nvic efta�ansr�srtn 4c ra/uerd wlrh ahJcldire��errptablc to doaU eu�bpr/fiea,
AlcuvC loilnlletion:Modet 1 1 q(1 mdy hc Installetl with d�?{�f�Vccl douUlP N'dU�)�?C Ifl 111 11CUve at Iras1 7ft.f,igh and no n7ore ihan 4 fi,dcx9�
ACC�SSORiES
• 24 kara�golJ pla�c�cl dcx,r,lotn�ec and trivs�
• fslpw�,r klt wfth varlat,lc s��c�ci controL 5landa�d�vlth fncfrtc.
• Four porcclaln enamcl finlshes
• $o1{d bragc raflin�;k11(inarric nnly)
All porcclsin eh8ettiel unils 1ncluJc gold plated doors�nd IDuv�re
Min.C:iearanee to Combustible�: �"�- .�.���.
i)IA4C'I�le�pt�S f'C)h f[f.EPLACE II�SCRF, e,,, c._, �
A�UI:)[?f. 14(11 -�s•,.�•
' AMMI[ql�Tp�IACIIp � � �
Mln.Flrcplace Upening�7.5'VV x221�x14"(� � 1
A cumbusUble iloot must Fx��rotecic d hy� � y „_��,. �
npn-cc�mbiuUbM rt�terlal extcnding 18"tothe �p �ea� `' ��r ���
front of thc unit and e"In rhr sltl�c. � u+� �, � �
' ��. knahr4p M.tiMO�
w��TM �iir��, �r
Ni�K�k+nn uams ari'(1`M1iC(YI(pr 41TIIScIGfK W CPA�Ii.ia�y 1 uup,n�1 pEQ 198b�unclvck,nd rkty�cstcd Err
Wema�t it•M•}•�n Nnrl}i�mcricnn G�pnckvdc;CS.A B]GG.�.ULC SG17,�1LG SG1k and UL 14tS2.
Ir�.•,•..,.�.".....,sr,••rr,w.••..�•xynr�rn�m��va�rrrr.�rrrr....wwrw�u�..�.� . . .
..,......�M,,..�......................��............,..,�. ..... . . . .
Ct�in.uh yuur�n�miv'c manu�l it��tdnKrft�Ih uiGInII,Nun fnsU�,cGpn�,n�check all Ipea�and nallanal Luilding crxlcs. n�thorizccl U��;Jor
nll sp��c:lflcndons nnd drsiFns arr x+b}cct to chnngr wi�hr�u�nollcc�o oflpw for on•guink pr���lucl Improvrn��•�I,
�k1ual�nnmrl�x,tn��rc n,lebr hn alrFtit�y diflcrunt a�cha+�i�In hf[�[hVEC.
h�N�,n.1y4SR9.(C>Wnlf��i��l���I,Napole�n•Ie A�CglRlenxi tiaJMeatk of Wolf S1trl Lld,
'�l1MC�Y.1� �$rTE��:�° r,{�J: C°
.�
Iy t� . r�y w��w a�ri��
kk�1 l3srrlC,011t�riU ' �APY�LQN ��
Canada L4hd 4YA FIRERLAC�S �� � �'�'�'`"
R��onc(705}721-1?.12 � r��O� �rarqr
rax(n+s)�2a.-(,c�3� CERTIF1Eb *w�°ry
�+....+ 1'rintcYl I n C:ti nacl�
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE i SCHEDULED 6� �S-y�
PERMIT N0. �3�� COMPLETED
ADDRESS �v r5 L�ti',0-t^! ��
OWNER ���� CONTR.
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTINO 11 MECHANICAL RI 16IXCAV/ORADINQlFIWNO
�Q 02 FRAMIN� 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 031NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FlNAL 14 SEWER HOOK-UO O6 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEMa—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBINO RI 23 SEPTIC FlNAL 35 HARD COVEH REMOVAL
v 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
y V..fc:�c=-w7 �;��__��.).� �.t�-- �
oPz� r�► l��..��..��' r��,
'' ,�r/Lt��c�-� c���
�
0
�
W
�
Q
�
2
W
�
W
�
j
d CWORKSATISFACTORY:PROCEED OJECTCOMP�ETE
W
� ❑ CORRECT WORK 8 PROCEED
W C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR
C CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnedContra s' -
/
Inspector.
WhNe Copyllnspector's File Canary CopylSite Notice
�
DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NO CE g�� SCHEDULEO � t d
PERMIT NO. - COMPLETED � �
ADDRESS �
OWNER � CONTR. �
TELEPHONE . ��j`/— 7�l' 9Cv
� DESCRIPTION
� 01 FOOTiNO MECHANICAL 18 DCCAV/ORADINCi/FIWN�
�Q 02 FRAMINO CAL FlNAL 18 LAI�SHOREIVVETLANDS
2 03 INSULATION 24/25 WOOD BURNE REPLACE 34 TREE REMOVAL
Q p4 WqLL BD. 12 WA7ER HOOK-UP 17 SITE INSPECTION
= p5 FlNqL 14 SEWEA HOOK-UO 06 PROORESS
� 0�DEMO—SITE 27 SEPTIC NWNT. 21 COMPWNT
J
� 07 DEM�FlNAL 15 SEPTiC INSTALL 22 FOLLOW-UP
= 09 PLUMBINd RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
v 10 PIUMBINQ FlNAL 38 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
y COMMENTS:
a �.. �GQ vl � � ✓l�'.� 1'c v�t,c� � Nn
�
�
0
' (�
�
° �t c�'
W
�
Q
�
Z
W
�
W
�
�
d ❑WORK SATISFACTORY:PROCEED G PROJECT COMPLETE
W
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
OCORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
�TOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
INSPECTION HEQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins tion 4 hours in advance.473-7357
OwnerlContractor on e
Inspector:
White CopyAnspector's Fik Canary Copy/Ske Notics