HomeMy WebLinkAbout1994-006210 - gas fireplace PERMIT
C;TY OF ORONO PERMIT TYPE:
� 2750 Kelley Parkway • P.O. Box 815 ��?�.����i-ry�=w i.�.��iL
Orono, Minnesota 55356-0815 Permit Number: ;:�}�:`�_}
(612) 473-7357 Date Issued: ,..+F 1;�,f.,,��
SITE ADDRESS:
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CONTRACTOR: — �?����1iT�i�;t. — OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE iC�i ,
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CITY OF ORONO APPLICATI��FO�ME�C'�ANICAL PERMIT
Box 66 (2750 Kelley Parkway) �t�N 2 7 1994
Crystal Bay, MN 55323
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GENERAL iNFORMA'I'ION �
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 worlang 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 OI�1 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 identificauon 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.
g, Ali wo:ic �us: be doa� ia zcccrdaace with the Unifcr� Mec�anical Code!Sta�e Bniding Code
requirements.
6, All work must be inspected (rough-in and final). Call 473-7357. 24-hour notice required.
7. House Heaung 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 STTE: �F'
Owner's Name: e. o�n r Telephone Number:
Mailing Address: City: Zip:
Tele honeNumber:
Contractor'sName: ! �a �-- P ,
MailingAddress: � �' �. '!o � City: ��J.�-� Zip:
SYSTEM DESCRIPTION
HEATING SYSTEMS % 4 � �, �
>f:t, 2'����.� �� 1 �1
Quantity: ----r�
Make:
Model: �
Fuei: <��k.�
Flue Size:
Input B'I'LTs:
Output BTUs: �/�..�Z'�
CFM: �
COOLIlVG SYSTEMS
Quantity: � -
Make: �
Model:
Tons:
H. Power
. . - .
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- . . . . . ---
WOOD BURNING EQUIPMENT -
- - Woad stove with flue . �
- Wood combination or add-on
Factory fireplace with flue � � �
- Factory Fireplace (s) Freestandi.ng Masonry �
Wood Stove (s) Frankiin, other �
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
Total
VENTILATION
No. Kitchen E�aust ducted recirculating ��
No. Bath Exhaust (must be ducted outside) ��
No. Other Fans: Locations �� �
. Total
FUEL STORAGE (MUST BE APPROVED BY FIltE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
I,p Gas: gallons
Other Gas openi.ng
PERMIT FEE CALCULATION
l. 1.25% of Contract Pricer or iYlinimum Fee ($35•a01
i C�z�- "`' x .oi25 $ �J�
(conuact price)
2. State Surchar�e. ** Add the State Building Code DiXisio�5 $ �
Surcharge to each permit. �
(contract price)
or $.50, whichever is greater 1.50
3. Posta�e and Handlin� (Only mail-in applications) �
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ��� ��'
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the perm.itted
work including materials, labor, profit, and other fized cosu. It is the amount to be charged to the
customer for the work done. If any ma[erial, equipment, labor,or installation are fumished by the owner,
tenant or any other parry the reasoaaoie marice� value a:suc� ite� m�.�..�t 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 �.SO - whichever is
onal Services for the rice.
greater. For valuations over$1,000,00� call the Department of Inspecti P
The undersigned hereby applies to the Ciry for issuance of a Mechanical Permit, agrees to do
all work in strict accordance with the ordinances of the C1tY and the regulations of the Minnesota
State Buildi.ng Code, and certifies that all statements made on this application are complete, true
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_ �_ .:. Date:
_ Applicant's Signature: � '
._ ._ Date:
Approved By:--:- : �
ATE TIME
CITY OF ORONO CAL�ED IN �.
INSPECTION NOTICE ��� SCHEDULED �/�9/9v �'i ' ��
PERMIT NO. � COMPLETED N �
ADDRESS ��i������g���c�
OWNER �� CONTR. %���c�tyt
TELEPHONE NO. ��S� --�%4�d
� DESCRIPTION ��t.cr'`l�� �
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGFADINGIFILLING
y 03 INSULATION 24125 WOOD BURNE /FIREPLACE 19 LAKESHORE/WETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE FEMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED � PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED �1 ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINfiPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
C CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�7357
OwnerlContracto s' :
Inspector.
White Copyllnspector's File Canary Copy/Sfte Notice