HomeMy WebLinkAbout2000-P02169 - mechannical � • ` PERMIT
CITY OF ORONO PERMIT TYPE: Mechanical
2750 Kelley Parkway - P.O. Box 66 Permit Number : (JOa�ID�
Crystal Bay, Minnesota 55323 Date Issued: 1/11/00
(612) 249-4600
SITE ADDRESS: 2683 Casco Point Rd
Orono, MN 55391
MAJ
P.LN.: 20-1 17-23 23 0001
DESCRIPTION:
Fireplace
1 Fireplace Heat N Glo �
REMARKS:
FEE SUMMARY:
VALUATION $1100
Base fee $35.00
Surcharge $ .55
Total Fee $35.55
CONTRACTOR: Fireside Corner OWNER: George Mauer Construction
2700 Fairview Lane
Roseville, MN 55113
� TiIE UNDERSIGNED HEREBY REQUEST PERMfS�ION TO MAKE��THE REAL 1MPROVEMENTS SPECtFIED AND �
AGREES TO DO ALL WORK IN STRIC['��COMPLIANC�E WITH ALL C[TY OF ORONO ORDINANCES AND���STATE OF �
MWNESOTA BUILDING CODE RGQ�UIREMENTS. � � �
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APPLICANT/PERMITEE SIGNATURE 'ISSUED BY: SIGNATURE '�
CITY OF OR�NO APPLICATION F�R NIECI-�'`�IIICAL PERNIIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFOR'YIATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be
reviewed and a permit �vill be issued withi.n 2 working days.
2. Permit cards will be sent }�y retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK IvitiST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi�ns - Complete caiculations, 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. AlI 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.
Instructions Complete a11 items on this application. Comoute the permit 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
' Zip:
JOB SITE: ���_�,� �t.js �� f{ ��_r
� �, Tele hone Number:
Owner's Name: � , �r� �� �a� � L2;��,z; _ P
Mailing Address:
--� City: Zip:
Contractor'sName:�;.,) , �„__�. ��� �;,:�, , Telep�ioneNumber: /,.;�� F �_�� ._�5���
MailingAddress: �_�� � ti� �3���;��. C,��.� City: %�..;��„;��_ Zip:
SYSTEM DESCRIPTION
HEATING SYSTEMS �
Quantity:
Make: ,��;' ' -'=
Model: i�;� j�c,
Fuel: C��,
Flue Size:
Input BTUs:
Output BTUs: ��
CFM: -- ��-
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power _
� • w
WOOD BURNING EQtiIPMEI�iT
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.
Total
VEI�TTILATION
No. Kitchen E�aust ducted recirculating cfm
No. Bath E�aust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERNII'�' FEE CALCULATIOr►1
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�
�� ;;;; x 1.25 $ ��.�,w�
(contract price}
2. State SurcharQe. ** Add the State Building Code Division
Surcharge to each permit. �/. -�'-� x .0005 $ - ��5
(contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ ��
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ .S�_�- ;;
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount char�ed 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,
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,
the City may request the submission of a signed copy of the actual contract.
** The STATE SURCHARGE is .00QS 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 conect. �� /
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Applicant's Signature;i i„ ��� ,�, �,:/z— Date: �- � �,�
Approved By: Date: