HomeMy WebLinkAbout1997-008848 - install gas log '��� � PERMIT
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r (.r.� �..Y F ORONO PERMIT TYPE:
27 0 Kel y Parkway- P.O. Box 66
Cr tal B , Minnesota 55323 Permit Number: - ; -
(61 )47 357 Date Issued: _ : `
SITE AD RE S:
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PP ANT/PERMITEE SIGNATURE ISSU D BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHAIVICAL PERNIIT :;;
Box 66 (2750 Kelley Parkway) �
Crystal Bay, MN 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 return mail after a review is completed. PERMITS ARE NOT VALID �4
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS ��
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POSTED ON THE JOB SITE. 'v'
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 ,
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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. �a
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 final.
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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. ;�
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Please check one: New Addition Repair Replace
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Residential ommercial �
JOB SITE• ,..�> C. - Zi •` � �
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Owner's Name: Telepl�one Number: ` : -- �
Mailing Address:� City:L:'-%L-��L�s Zlp:G�� �
Contractor's N Tele one Number: � ' �; �
Mailing Address: City: Zip: °�
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SYSTEM DESCRIPTION
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HEATING SYSTEMS ;�
Quantity:
ake: �
odel:
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1ue Size: `��
put BTUs: �'
tput BTUs: �
�FM: ,�
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C OLING SYSTEMS ;�
antity: �
ake: �
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ons: �.
. 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 �'�
Wood Stove (s) Franklin, other �
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Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm ;�
No. Other Fans: Locations cfm '
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside .
LP Gas: gallons
Other Gas opening } �_�
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PERMIT FEE CALCULATION �6� s ;
1. 1.25% of Contract Price* or Mi� m F e 35.00 '
��jn x .0125 $
�ontract price)
2. State Surcharge. ** Add the State Building_Code Division �
Surcharge to each permit. 5�`_� `�-' x .0005 $ `� -�`�
or $.50, whichever is greater (contract price)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* 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 amount to be charged to the �
customer for the work done. If any material, equipment, labor, or installation are furnished 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 pemut 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 $.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 Buildin Code and certifies that all state ents made on this a lication are com lete, true �
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and correct.
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Applicant's Signature�:-- Date: � 2c� '�j ,�,:
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Approved By: Date: ���;
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DAT TIME
Ci F RONO CALLED IN ��.-a��7 ��L 3/a�i
INS CT N NOTIC � � SCHEDULED '� % a'�1
PE IT COMPLETED �_
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AD E I�
OW R CONTR.
TEL H E NO.
� D 1�1 ON ��' �Q �P a �C
� 01 F NQ ECHANICAL RI 19 D(CAV/O NC�/FIWNO
�Q 02 INO 13 MECHANI FlNAL 19 LAI�SHORE/NIETIANDS
� 03 IN U14ATi 24/25 WOOD BURNER/FlREPLACE 34 TREE REMOVAL
Z 04 W BD. 12 WATER HOOK-UP 17 SITE INSPECTION
iOS Fl � 14 SEWER HOOK-UO 06 PROORESS
� 07 27 SEPTIC MAINT. 21 COMPLAINT
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W 07 15 SEPTIC INSTALL 22 FpLLpyN{�p
= 08 N I 23 SEPTIC FlNAL 35 HARD COVER REINOVAL
v 10 M NAL 36 FOUNDATION REMOVAL
Z OWN CTOR TO MEET YOU: YE8_NO
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d TI CTORY:PROCEED � PROJECTCOMPLETE
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� COR E RK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
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O �O COR E T K,CALLfOFi REINSPECTION TEMPORARY
V BEF R ING PERMANENT
❑COR E T U FE CONDITION WITHIN HOURS. C PHOTO TAKEN
1 R WILL RETURN
❑STO O DE TED.CALL INSPECTOH �CITATION ISSUED
O INS tON EQUIRED.CALL TO ARRANGE ACCESS.
all ext i tion 24 hours in advance.473-7357
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