HomeMy WebLinkAbout1998-010891 - gas fireplace -, PERMIT
• CITY OF ORONO PERMIT TYPE:
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2750 Kelley Parkway- P.O. Box 66 ' '��-'�'�i��=��~'--
Crystal Bay, Minnesota 55323 Permit Number: r�}j�;;`;��i +
(612)473-7357 Date Issued: ;�;;��_t;����;
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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PLICANTiPERMITEE SIG ATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHANICAI;PERMTr
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 o�ces. Applications will be
reviewed and a permit will be issued within 2 working days.
2. Pemut 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. 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 fmal). 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 pernut 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: "� � 3 b �' t�� A 5 � N"P' A� � 'x C. � L� S i r� •;�. i�'1N Zip: .5 S 3 3 �
Owner's Name: `�q �, � S j� '� �... E�t Telephone Number: y'� i- d �1 9 �i
Mailing Address: � City: Zip:
Contractor's Name: �C � t� � S t�1 r t_& `,' Telephone Number:
Mailing Address• City: Zip:
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
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue �
.�'�Factory Fireplace (s) Freestanding Masonry v' A 5 w;
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfrn
No. Bath Exhaust (must be ducted outside) cfm
No. . � Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) i�
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
l. 1.25% of Contract Price* or Minimum Fee ($35.00) '
� ; LC. '� x .0125 $ =
(con[ract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. � 's �� � `"`" x .0005 $ `"
or $.50, whichever is greater (contract price) 7�
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 "`
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4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pemutted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the �k
customer for the work done. If any material, equipment, labor, or installation aze 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,
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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 $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accordance with the ordinances of the� City and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct.
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Applicant's Signature: Date: 1 p � �� �$
Approved By: Date:
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DATE /� �TI�
CITY OF ORONO CALLED IN ' '
INSPECTION NOTICE SCHEDULED I l�'.U �M
PERMIT NO. COMPLETED �
ADDRESS �
OWNER , CONT .
TELEPHO 0. —7 � - —�
� DESCRIPTION
� 01 FOOTING 11 MECHANIC RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL AL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/�WOOD BURN FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
h 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
07 DEMO-F 15 SEPTIC INSTALL. 22 FOLLOW-UP
L I I 23 SEPTIC FINAL 35 HARD COVER f1EMOVAL
r 1'0 P FINAL 36 FOUNDATION/REMOVAL
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� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFOHECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for N�e ne t i ion 24 hours in advance.473-7357
Owner/Contra s e:
Mspector. �
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AT TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED s�(S' 9s //�30
PERMIT NO. / COMPLETED � =1A.
ADDRESS
OWNEfi CONTR.
TELEPHONENO. '��� - O��I �
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FFiAMING 13`M HANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNE FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
�Z„ 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 1�BING FINAL � 36 FOUNDATION/REMOVAL
Q OWNE� ONTRACTOR TO MEET YOU: YES_NO
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� COMMENTS:
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d IVORKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE
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� ❑CORRECT WORK&PflOCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTiON TEMPORARY
0 BEFORECOVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance.473-73�J7
Owner/Contr ite:
Inspector. ��
White Copyllnspector's File Canary Copy/Site Notice