HomeMy WebLinkAbout1995-02-13 Application for Fireplace Permit Pg1»
CITY OF ORONO
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
APPUCATION FOR MECHANICAL PERMIT
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GENERAL INFORMATION
1. You may q)ply for mechanical permits by mail or in person at the City offices. A’ plications will be
reviewed and a permit will be issued within 2 working days.
Permit cards will be sent by return 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.
M«»ffhantpai rvaigna - Complete calculations, details and specifications are required for each heating,
ventilation, humidification-dehumiUification, 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.
When any new construction or remodeling is involved, a separate building permit must be obtained.
All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
All work must be inspected (rough-m and final). Call 473-7357. 24-hour notice required.
House Heating Test Record must be submitted before fmal.
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Tn«triM^tnti| Complete all items on this qiplication. Compute the permit fee. Sign and date the certiftcation.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, caU 473-7357.
Please check one:>< New Addition
Residential Coi
Repair Replace
ircial____ Residential ____ Lorpmei
JOB SITE: . A/__________________Zip:
Owner’s Name: Telephone Number:
City:Zip:Mailing Address: ____________^. _________ _ __________
Contractor’sName: / TelephoneNumber: Y
Mailing Address: V; / > c. o A:v>c City: Zip: 9
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: __
Make: __
Model: __
Fuel:
Flue Size:
liq)ut BTUs:
Output BTUs:
CFM:
COOUNG SYSTEMS
Quantity: __
Make: __
Model: _
Tons: __
H. Power __
r
X
WOOD BURNING EQUIPMENT
____ Wood stove with flue
____Wood combination or add-on
____Factory fireplace with flue
____Factory Fireplace (s)_____
Wood Stove (s)
Freestanding A Masonry
Franklin, other________
Brand Name_____________
Mfgr’s Min., Clearances, side rear
__Model No. _
, min. flue dia.
Total jr>:TOO ca
VENTILATION
No.____
No. ___
No.
Kitchen Exhaust ducted recirculating
Bath Exhaust (must be ducted outside)
Other Fans: Locations__________
cfm
cfin
cfin
Total
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
____ Installation ____ Removal
____ Fuel oil: ____ gallons ____ underground ____
____ LP Gas: ____ gallons
Other ___________ ___
inside outside
Gas opening
PERMIT FEE CALCULATION
1. 1.25 % of Contract Price* or Minimum Fee ($35.00)
X .0125
2.
3.
4.
(contract price)
^Sfate Surcharge. *♦ Add the State Builduig Code Division
Surcharge to each permit. __________________ x .(X)05
(contract price)
or $.50, whichever is greater
Postage and Handling (Only mail-in applications)
TOTAL PERMIT FEE (Add lines 1-3 above)
$
$
$
1.50
* CONTRACT PRICE or JOB COST nwans the actual or cstim;^ dollar amount charged :or the permitted
work including materials, labor, profit, and other fixev. vosts. It is the amount to tv> 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 mark^ value of such items must be added to the estimated cost
or (X'ntract price for permit fee purposes. In the event that there is a dispute on the amount of d>e 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 Building Code, and certifies that all statements made on this application are complete, true
and correct.
Applicant’s Signatu
Approved By:___
/ * 0\-