HomeMy WebLinkAbout1996-007828 - fireplace . � PERMIT
. CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 #_��;;:.E-:r'_�;_L t C;�;i._
Permit Number: ;-;i ti f;�;:.,;�
Crystal Bay, Minnesota 55323 �= - -
(612) 473-7357 Date Issued: �«J��•�';���,��,,
SITE ADDRESS:
�i.f:•_'t�� i��i���!�_� t�`�_s!i�IT �'.!,i
�•t�
1�' . � , iV , , �`.}�� � _"' .iff�,.'"'�^�l�.r,`L'
DESCRIPTION:
F T�F��:_�:�t:�:
� f=I�:��'�r�C:i�
REMARKS:
FEE SUMMARY:
4�1"?L..�jf"� ! ;t_�f.ti �.! 7.i_�7f_}
�ei�'{j3-? �'.ui� 5,1.i.t't , �_iI_}
_+��!'=.�fc+.�'��-' �.....�,_�_ �' {-�"�
1 ��;�1•��. ��r� ys:;�yi=,i_7
CONTRACTOR: — �ar��<< i c.a.�-tt� — '=�'i . �F t=� OWNER:
l�;�1 T I_i ih�i:= %�i=`�;'�'=;:-� -'�;��.[-�:_:!7? '�'-t!'�,�. ;,c�t.€=L} r i_:i_i E �
_;:-�.y `�l=;�`i'��.`._�!-I�`t� L_�i �`!-!:_- t'�'r:�=;i�;#�i �'i_i i;�i'! �i`�
�ti �` +� i i i_C: :_'
F'I '{t+il_f%! i�r-I t°ij� _._,��..c i ,!�`i_�t�lf_7 i'�(u .. _. _�_1�.
t,i�,i '.;=.} ��'�.i=�•-:,�i.', %�.f�—.7'�:;':�;
_. . ,_, __�� �r.--.•..�._,r. . _ -•.� • - - -
.
! -i= :J.w t -, � c7 ;1�i i €-:`���•'��1-'''s' �'' _.i{-`=!:- r f�'I`'1� :- -��,!�t:u i i_i �'''i�. i ;-�•'� i f.I�f- 9 `• r,ri""�•E i G
,t-.. ..�._.� : .�...��:_r_•_r . r `- ., _. . .'`�'��.�. ����'".�'. .,_...r=L._ '�i��`t'�'_: ,�.M : .
. . _ . .� _�,•_ _. _.(._..__ . . ... 1``�_.,. _. _. _
`•�=�``�t_:;� 3 i.��J �-i�`�f� i����3�'.t:�`_; j!_i %�'�_` f�i�__�.._ ����_ti�fi��. i t`•� `.-��!-�'.i f�:..r �_:i�1(•I='"�L i.f'31�€�_� ��Ti i f-��E._ _�� �Y ��i-
;..,�____.- --
L f.7�f�:�•�i„I 1�:�-c'i,}��`r�j�ii'.!:_:�,'.-: �'i�'•wi) .-. ( f; � F :_!� f i i,IV�'�::_.'.��!_E���� ��1_)T��i 1 (y(� F:i�i�)E-_ ��,i:i.:i.�?`�E��`.I� F �w . �
�
� '"./
�
APPUCANT-PERMITEE SIGNATURE � ISSUED BY:SIGNATURE , ��'�
i �
� _ ;/,��� �
� -'r
♦
CITY OF ORONO APPLICATION FOR MECHAIVICAL PERMIT
Box 66 (2750 Kelley Paricway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical pemuts by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within 2 working days.
2. Pemut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED OIV THE JOB SITE.
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
shall also be provided.
4. When any new construction or remodeling is invoived, a separate buiiding permic 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 final.
Instructions Complete all items on this application. Compute the pemut 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
� Re�s`idential Commerci
JOB SITE: � ' ��, , Zip: �
Owner's Narrne:._ " �b � ; �� , elephqneNumber: ��(-
Mailing Address: ,�C ' ,;r'� City: ` ' ~� Zip:
Contractor'sName: �� ; r � Tele�honeN ber: - I� �
MailingAddress: ' ,,` ,/� City: , Zip: ����!
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs: _
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
} '
WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on
� Factory fireplace with flue— ���
Factory Fireplace (s) �reestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath E�aust (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%o of Contract Price* or Minimum Fee 35.00 ���
�:,�r r - x .0125 $ i �''�.J
(contract price)
2. State Surchar�e. ** Add the State Building Code Division –�
Surcharge to each permit. 1�✓ ��� x .0005 $
or $.50, whichever is greater (contract price)
3. Postage and Handlin� (Only mail-in applications) $ �'�
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ���V
* 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 pernut 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 S1,000,000 or $.50 - whichever is
ereater. 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. —
Applicant's Signature: Date: `/ `C �
Approved By: Date: