HomeMy WebLinkAbout1999-011933 (mechanical- fireplace) PERMIT
� CI�Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 Permit Number: -=�„�`���;=:�.t'��r�a�_
Crystal Bay, Minnesota 55323 1'.��" ' �=' �� ��
(612) 249-4600 Date Issued: _ ,
I SITE ADDRESS:
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DESCRlPTI��i:
REMA�iK�:
FEE SUMMARY:
CONTRACTOR: -- . - =;_ ;t�:��:;. �- OWNER:
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APPLICANT/PER ITEE SIGNATURE ISSUED BY:SIGNATURE .�
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CITY OF ORONO APPLICATION FOR MECHAlvICAL PERNIIT I
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 Desi�ns - Complete calculations, details and specifications are required for each heating, ,
ventilation, humidification�lehumidification, 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 final). Call 249-4600. 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 249-4600.
Please check one: New Addition Repair Replace
Residential Commercial �
JOB STI'E �-��� �� ` C ��
'� Zip:
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Owner's Name: �� U� e Tele hone N
Maihng Address: '?.�1�� 'l��[ �-� C.�,I� � �,� Cit3' �- � �,'���;;� Zip �'�?�� 1
Contractor's Name: ��r �t � � Telephone Number: �-�;1��3-��
Mailing Address: �y-� ?:.�� ��� '�t� � C�rf V�', City: '� Zip:l�;-j�`��
SYSTEM DESCRIPTION ��� ) _ f,���-j �,rSt S �•� �������� '
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HEATING SYSTEMS
Quantiry:
Make: � � ��.
Model: �G�-� /(�'�
FueL• /�,�-�b--�,.-.o. f
�lue Size:
Input BTUs: ��
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
. �
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
Brand Name Model No.
Mfgr's Min., Cleazances, side , rear , min. flue dia.
VENTII,ATION
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
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee 35.00
L�% `��— x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
or $.50, whichever is greater (contract price)
3. Postage and Handling (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 pernvtted
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 ord' es of the City and the regulations of the Minnesota
State Building Code, d certifies that all s te ents made on this application are complete, true
and conect. i � `
Applicant's Signature: �'� ` �`r��._.. Date: ��'� �(�
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Approved By: Date:
DATE TIME
CITY OF ORONO CALLED IN �G�/�I y
INSPECTION NOTICE SCHEDULED oC%� /O -3C�
PERMIT NO. %/>.3=3 COMP�ETEO %D fG'� 3�
ADDRESS �-=-�.� `�-�7 �- �.:1�-,c �z.�c��
OWNER CONTR.��'=��.��(�.�.:.��
TELEPHONE NO. �•Z.�' � .�� �L.C,
� DESCRIPTION ' � _ �
� 01 FOOTING 11 MECHANICAL RI 18IXCAV/GRADING/FIWNG
� 02 FRAMING 13 MECHANICAL FINAL _...,..,r._� 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURN�FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 72 WATER HOOK-UP – _.__ . 17 SITE INSPECTION
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= 05 FINAL 14 SEWER HOOK-UO O6 PROGRESS
F` 07 DEMO—SITE 27 SEPTIC MA�NT. 21 COMPLAINT
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� 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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Q �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETUFN
❑ STOP ORDER POSTED.CALL INSPECTOR ^ CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contractor on site:
Inspector. /�'L�A.vG��vr
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. //�(�3 COMPLETED � `�? `2-�'�C7
ADDRESS s�-�'�? C�S�f� C-/�l2
OWN ER CONTR.
TELEPHONE NO.
�-� ����
� DESCRIPTION
� 01 FOOTING 11 ME HANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 1 L FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 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 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �j VORK SATISFACTORY:PROCEED �ROJECT COMPLETE
�o�CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �- pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
�= CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor on site:
Inspector. ����(/�
White Copy/lnspector's File Canary CopylSite Notice