HomeMy WebLinkAbout1996-008556 - gas log to fp � fer
� ' PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �'���..:�:���3 x����-
Permit Number. i,i�;_;:,.�r-,
Crystal Bay, Minnesota 55323 - � _. ._
(612)473-7357 Date Issued: ; � ;; ::�;_��:,
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: ~ ��=��=lic�.��7t. — OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHANICAL PERNIIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, NIl�1 55323 �
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GENERAL INFORMATION ;
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be ,
reviewed and a pemut 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 Desi�ns - 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 io type, manufacturer and model. "=r
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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 sepazate 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 fmal.
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. z.=�
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Please check one: New � Addition Repair Replace
� Residential Commercial
JOB SITE: ��-�3� �S��e 1 t ��. Zlp:
Owner'sNa€�e• �u�.+a� Ti�{� _TelephoneNumber: �/��- =;'i��
Mailing Address: ��:� >; ��u,ne.�-� �3v City: L` �L-�z� Zip: �; 3�%
Contractor'sName��� r;�l S'��S � , ��.� TelephoneNumber: �/�--�- a'��3� s:
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MailingAddress: J�).a-t,: t�o�-c�eti-, /�1.— City: �� c � `� Zip: 55 3 �Y
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs: —
Output BTUs: '`�
7
CFM: <;;i
COOLING SYSTEMS �
Quantity:
Make:
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ModeL•
Tons: �
H. Power
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WOOD BURNING EQUIPMENT
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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 Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
i�1,5��c�/ �' � i�c fz �.��r �5��c;;�<<= �'r�'%'��'�-e..�
VENT�.ATION ��� �'=`�) �
No. Kit�hen E�aust ducted recirculating cfm
No. Bath E�aust (must be ducted outside) cfm
No, Other Fans: Locations ��
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
� � - LP Gas: gallons Gas o enin
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) C o�
l;,��� `-- x .0125 $ � ���"
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(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ - -�L'
or $.50, whichever is greater (contract price)
�'� 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
���° 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ -�`� =`�
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* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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 fumished by the owner,
;,;..�,x;- -'; 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,
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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
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��� <� ;�= greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
�Ve The undersigned hereby a�plies 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 Ciry and the regulations of the Minnesota
�� State Building Code, and certifies that all s�atements made on this application are complete, true
�� and correct. %
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, A licant's Si ature: � � �'�' � ------------ -D�te: � �
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� L Approved By: Date:
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DAT TIME
CITY OF ORONO '} CALLED IN /' �
INSPECTION NOTICE'�I �`�� �%.���SCHEDULED � :' _�:�sc'a
PERMIT N0. �,-Y COMPLETED �_
ADDRESS .� �2e ; u� � �
-- �
OWNEF�' /�c<i�� CONTR._'�c��..���
TELEPHONE NO. 'S�'J.� '� � Y %
� DESCRIPTION L_�� : ��t �---�£�--�-�
� 01 FOOTINO 17 MECHANICAL RI 18 EXCAV/GRADINO/FIWN�
y 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z p4 WALL`BQ. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 14 SEWEFi HOOK-UO O6 PROGRESS
�
J DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
`Q 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOWUP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBINC3 FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORKSATISFACTORY:PROCEED ROJECTCOMPLETE
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� ❑CORRECT WOfiK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR -CITATtON ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for th t' ction 24 hours in advance.473-7357
OwnerlContra o sit :
Inspector.
White Copyllnspector's File Canary CopylSite Notice