HomeMy WebLinkAbout1996-007778 - fireplace • � P�RMIT
� CITY OF ORONO
2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE: �,��,�.H�F����-.��
Crystal Bay, Minnesota 55323 Permit Number: i�t;;i r;_�
(612)473-7357 Date Issued: ��::;f; �,����,
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: — ������ 3�=����� � OWNER:
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APPLICANT'PERMITEE SIGNATURE ISSUED BY:SIGNATURE
. �
CTI'Y OF ORONO APPLICA'TION FOR l�1ECHr��tICai. PER�tiIIT
Box 66 (27�0 Kelley Par�'waY)
Crystal Bay, l��L�t �5323
GENER�IL Lti`FORtif?�TION
1, you may aoply for mechanical permics by mail or in person at the City offices. Applications will be
revie�ved and a permit will be issued within 2 �vorking days.
? Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT Vr�LID
L�iTIL YOU RECEIVE A PERI�IIT. WORK �1UST NOT BEGIN UNTIL THE PER�iIT C:�RD IS
POSTED 0�1 THE JOB SITE.
3. �techanical Desi�ns - Complete calculations, details and specifications are required for each heatin�,
ventilation, humidification-dehumidification, and air conditioning installation includin�heat loss/heat gain
calculation, design temperatures, equipment ra�in�s and identification as to rype, manufacturer and model.
Daca shall be presenced on form provided. Identifica[ion of and specirications for water heating equipment
shall also be provided.
.�, W�ea any ne�,v construction or remodeling is involved, a separate buildin� perm.it must be obtained.
j, :�11 work mus[ be done in accordance wi[h the Uniform Mechanical Code/State Building Code
requiremencs. C�1 47;_�35�. 24-hour notice required.
(, �11 work must be inspected (rough-in and final)•
'7. House Heating Test Record must be submitted before fmal.
Inst=ctions Complete all items on this apPT�BtE PROCE SED�I Pyrou�have que s onsacali 4 3e��s�fication.
INCOMPLETE ?.PPLICATIONS WILL NO
New � Addition Repair Replace
Please check one: Commercial
Residential ZlP:
JOB SITE: ZZ.�S i � ,; l� Sho�'L� �Q;J�'
Telephone�umber
Owner's Nacr:e: � �h City: Zip:
Mailin�:�ddress: . Telephone umber:��#S'=3 � 7
Contractor'sName: /� �= � � Ci Zip: .S�3Gs
i�iailin��ddress: � ` ��
SYSTEti1 DESCRIPTION
HEATING SYSTEMS
Quanciry:
Make:
Modei:
Fuel:
Flue Size:
Input BTUs:
Output BTUs: -
CFM:
COOLL�`G SYSTEVIS
Quanticy:
iViake:
Model:
Tons:
H, power
� _ % , ., . .. . . _� ,.. .�..
.
�VOOD BtiR.ti�TG EQUIP�IEN'I'
`Voad stove with flue
Wood combination or add-on
� Factory fireplace with flue Maso
Factory Fireplace (s) Freestandin� �Y
`Vood Stove (s) Franklin, other
Brand Name r�u i��C Model No. � l�
�1fQr's yiin., Clearances, side `�_, r����
min. flue dia. �
VENTIL�TION
No. Kitchen Exhaust ducted recirculatingc� cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations
FUEL STORaGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons under�round inside outside
LP Gas: gallons
Other Gas opening
PERiI�IIT FEE CALCTJLATION
1, 1.25 90 of Contract Price* or Minimum � ($3$-00)x .0125 �
/{-�XS —
(contracc price)
2. State Surcharae. ** Add the State Buildin; Code Division
Surchar;e to each permit. x .0005 �
or �.50, whichever is greater (contract price)
3, Postaae and Handlin� (Only mail-in applications) �
1.50
4 TpTAL pERMIT FEE (Add lines 1-3 above) �
* CO`1TRACT PRICE or JOB COST means the acrual 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,
tenanc or any other party the reasonable market value of such items must be added to the estimated cost
or con�ract price for permi[fee purposes. In the even[that there is a dispuce on the amount of the job cost,
the City may request the submission of a siened copy of the acmai con[ract.
** The ST'�TE SURCHARGE is .000� oi the contract price under 51,000,000 or �.50 - whichever is
Qreater. For valuations over S1,000,000 call the Department of Inspectional Services for the price.
The undersi�ned hereby applies to the City for issuance of a Mechanications of theQMeinne�ota
all work in strict accordance with the ordinances of the Ciry and the regul
State Buildi.n� Code, and certifies that all statements made on this application are complete, true
and correct_
� �/ �J Date: , '�� �
�,pplicant's Signature- ��'� �i l °�y — .
Date:
A.pproved By:
` DATE TIME�
CITY OF ORONO CALLED IN �..3 :�I ��G �� �� �y
INSPECTION NOTICE ` > SCHEDULED �� -�,�,9� ��� 3� /f'I
PERMIT NO. � � � ;s COMPLETED �" �Z- �t �� ��
ADDRESS �� �s ��2�if"/ �i�C�
OWNER ��� CONTR�� � ' ��
TELEPHONE NO. `� �f��� ���l � "
� DESCRIPTION
� 01 FOOTINCi 11 MECHANICAL RI 18 D(CAV/dRADINO/FIWNQ
�Q 02 FRAMINO 13 MECHANICAL FINAL 19 LAI�SHOAE/WETLANDS
Q 03 INSULATION 24 ,�5 1IOOD BURNE REPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER NOOK-UP 17 SITE INSPECTION
Q
= OS FINAL 14 SEWER HOOK-UO 06 PROGRESS
F` 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
�Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING Fil 23 SEPTIC FINAL 35 HARD COVER HEMOVAL
J 70 PLUMBINCa FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d ORK SATISFACTORY:PROCEED = PROJECT COMPLETE
W �,
� ' ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
G CITATION ISSUED
❑ INSPECTION flEQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContract r o � it . ~�
Inspector. � !
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