HomeMy WebLinkAbout1995-007361 - fireplace .�
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4 2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE:
Crystal Bay, Minnesota 55323 Permit Number: y`-�- -"_'-:�'"_
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(612)473-7357 Date Issued: ` - � �=
SITE ADDRESS:
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CpNTRACTOR: ` _. .�.��•::. :� _-:::�,� — OWNER:
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APPLICANT PERMi TEE SIGN,i Ui?C
--__ � ISSUED BY:SIGNATURE �,
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APPLICAT'ION FO C�I�CAL PERMTT
CITY OF ORONO ��
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 Designs - 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. Ideatification 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 witli tne Uniforcn i.�iechaaical Code/State Builc3in.o 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
Re��ential Com�nercial
JOB SITE: � i ��i� '� Zip:
Owner's Name: �„�,% d orr�>.�Telephone Numh�er: �-i=�S�- %/!�
Mailing Address•-�(��, �' City��`'�� :=%� c. Zip: �;S 3 S ��
Contractor'sName•�-��p��. �,1''I��i Telep oneNumber:�. �3 ��5��
MailingAddress: �7G'�' /v� �=u�.��C.2-�� City: ��t�,<'���- Zip: >S//3
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantiry:
rriuiGi.: _ -
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
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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 ������`i� �t �-��, ModelNo.�t-���,�!/T�� �'-�1/(,�
Mfgr's Min., Clearances, side , rear , min. flue dia.
Total
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath E�aust (must be ducted outside) cfm
No. Other Fans: I.ocations cfm
'I'of�al
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 ee 35.00 �. �
�,", � �� x .0125 $ �5 � `�-�
(contract price)
2. State Surcharge. ** Add the State Building Code Division ,
Surchai•ge to each permit. %;`�/_� � �'�T) x .0005 $ � S S �
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �� .r���
* 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 atnount to be charged to the
customer for the work done. If any material, equipment, labor,or installation are fumished 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 conuact.
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 cali 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. %' i�'
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Applicant's Signature: !��� Date: �—� -/���
Approved By: Date:
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DATE TIME
CITY OF ORONO �I 2�, / CALLED IN ���� ��`�
INSPECTION NOTIC,�E�� ,s� SCHEDULED c/—�� '��
PERMIT N0. �''" COMPLETED �_ �
ADDRESS ���� .-�^� l'z-O�'�� ��
OWNER ,�Gc�� CONTR. ��%��� C.����
TELEPHONENO. � �� ��`�`'
� DESCRIPTION ��r v9�� �``9" �.(��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNE FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP 06 PFOGRESS
� 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 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED L� ISSUE CERTIFICATE OF OCCUPANCY
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� C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next i spection 24 hours in advance.473-7357
OwnerlContrac o n si
inspector. �
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