HomeMy WebLinkAbout1998-010380 - factory fireplace PERMIT
�'����Y OF ORONQt - � PERMIT TYPE:
'r 2750 Kelley Parkway- P.O. Box 66 fi'��..s��H�?���f��'��... I
Crystal Bay, Minnesota 55323 Permit Number: i�f t i:�;;-;t+z
(612) 473-7357 Date Issued: t_ir.i��:,��_i
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: — H��F�1 i���it. — OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHAIVICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, 1VIN 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 PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desisns - Complete calculations, details and specifications aze 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 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 SITE: � -' Zip:
Owner's Name: j-� Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: + ' Telephone,���umber: .�ys 3i'j)
Mailing Address: ' City: j'�.,2.�=� Zip:�S�e>.S�'
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power '
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{ *�'°�� `"' WOOD BURNING EOUIPMENT
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� .f- Wood stove with flue
� ���'rx�'� Wood combination or add-on �:���
�� Factory fireplace with flue o_ "� ;
� _� Factory Fireplace (s) Freestanding Masonry -��� ;�.'-
� Wood Stove (s) Franklin, other �
��"�:, Brand Name � � Model No. �
� C� Q�?�' �;;:
��-,g���-`� :.:�.,�: Mfgr's Min., �Clear ces, side , rear , min. flue dia. ;;�
� T"ak�.�-L3y' ,,,�t
; 4 ,� ` i
, ,��" VENTILATION ;
� � 5�' `•` No. Kitchen Exhaust ducted recirculating cfm i;
� � f No. Bath Exhaust must be ducted outside cfm , -��
�+ �� : �� .�. -;�� � )
No. Other Fans: Locations _�_ � �_�__ __ cfm . f ,�`'
�a«-+�� � K
��" ��°�' FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) ' y
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�;-�i�,,�'" Installation Removal F°� `�'
1 � y� �}"Y� IY>�: ',
� -��=•� Fuel oil: gallons underground inside outside � ' ��
��' �riJ� "� . L P G a s: g a l l o n s a� � Y�:
��h<�� '�. } _ Other -- --- -- Gas opening °;
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��, PERMIT FEE CALCULATION 7
��; 1. 1.25% of Contract Price* or Minimum Fee 35.00
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�-��-�-�<' ���� X .oi2s $ .�.D� � ���
���'���'' (contract price) -
` ' 2. State Surcharge. XX Add the State Building Code Division
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^f Surcharge to each permit. �z7,";'�U-� x .0005 $ %, (J �
:�� �:: or $.50, whichever is greater (concract price)
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����` �7��, 3. Posta�e and Handlin� (Only mail-in applications) �� $ 1.50 �� �
���>� ;;� 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � ) � �j � :;,:
rt��7 x:�.�'
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�"' x� � * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
,���a'��'� �"� ,� work including materials, labor, profit, and other fixed costs. It is the amount to be chareed to the
��-� � - cu.sivmer ior the �;�ark cor e. If ar,y ir�teri�, equiprnent, Iaut3I', ar installat'ron are furnisned by the owner,
�'�,�r ':, tenant or any other party the reasonable market value of such items must be added to the estimated cost �,
or contract price for pernut fee purposes. In the event that there is a dispute on the amount of the job cost, _
x � ^�� the City may request the submission of a signed copy of the actual contract.
�` �
�ri�, �� ` ** 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.
�`"�' ��n=` The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do
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>� �>,:" all work in strict accordance with the ordinances of the City and the regulations of the Minnesota
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,T �.�:` State Building Code, and certifies that all statements made on this application are complete, true
, , ,: :
,r, and correct. �
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Applicant's Signature: ' �� � Date• LP � �� .
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y Approved By: _ Date:
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D TE TIME
CITY OF ORONO t ca��E�iN ��
INSPECTIONNOTICE �� � ��' scHE�u�Eo r�l�� �
PERMIT NO. COMPLETED ___��
ADDRESS , �'SCc � G��3le��_���
OWNER CONTR.
TELEPHONE NO. ��� " �7� ?
� DESCRIPTION ./�,u �
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
03 INSULATION 24/25 WOOD BURNE IREPLACE 34 TREE REMOVAL
Z04 WA�L 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED CI PROJECT COMPLETE
� G CORRECT WORK&PROCEED C, ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. - pHOTOTAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALLT ARRANGE ACCESS.
\
Call for t' s ction 24 hours in advance.473-73J�7
OwnPrlContr sit - �
:tor. '
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