HomeMy WebLinkAbout1999-012086 - fireplaces . , PERM
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 r . .__
Crystal Bay, Minnesota 55323 Permit Number:
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(612) 249-4600 Date Issued: _
SITE ADDRESS: I
DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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;�'PIJCANTPFRMITEESIGNATURE ISSUEDBY�SIGNATURE /�`.�
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CITY OF ORONO APPL CATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 i }
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or i person at the City offices. Applications will be
reviewed and a permit will be issued within 2 vvor ng days.
2. Permit cards will be sent by return mail after � rev ew is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MU NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi�ns - Complete calculations, �tail and specifications are required for each heating,
ventilation, humidification-dehumidification, and r eo ditioning 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. Identificatio of and specifications for water heating equipment
shall also be provided.
4. When any new construction or remodeling is involve , a separate building pernut 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). C 1 249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted befor final.
Instructions Complete all items on this application. Comp te the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESS D. If you have questions, call 249-4600.
Please check one: �t� ew Addition Repair Replace
� esidential Commer ial
JOB SITE• Lf�C�/ v' ; i �r r �� � Zip: SS 5' �.�
Owner's Name: t�t ' Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: r �� , / � i' Tele hone Number: �!c{ S - i�s S
Mailing Address: City: r�v� a Ke, Zip: s S.� "-7�--
SYSTEM DESCRIPTION
HEATING SYSTE �
Quantity: �
F
Make: aC �
Model:
FueL•
:
Flue Size: ��t� Jc /z z
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 ��S�,n,�,� Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia. g'X�Z y�/� X i 7 ,
2"C/u��n��s�2jn �o t1��S��/� /Ylal�c'%�� oYr�t e� Si�s- ,
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
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) �
��fj� 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. Posta�e 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 charaed for the pernutted
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 $1,000,000 or S.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 Signature: � � i � Date: //3 �' '
Approved By: Date:
DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED r Qg� � 2�'3�
PERMIT NO. COMPLETED � 3 �`� ' L>' �t'
ADDRESS ��� ��- ` 5 � � '��
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
l� � �(k>i 11 MECHANICAL RI � 18 EX�AV/G ADWG/FILLING
Q02 FRAMIN �l 13 MECHANICAL FINAL/IZ�� 19 LAI�ESH �2E/WETLANDS
y 03 INSULATION 2 /25 WOOD BURNE REPLACE 34 TR�E RE OVAL
� 04 WALL BD. 12 HOOK-UP 17 SIT�INS CTION
Z 1
Q 05 FINAL 14 SEWER HOOK-UP 06 PR(DGRE
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COfy1PLAI T
� 07 DEMO-FINAL 15 SEPTIC INSTALL 22 FOI�LOW-�P
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HAF�D CO ER REMOVAL
J 10 PLUMBING FINAL 36 FOII�NDATI N/REMOVAL
� OWNERICONTRACTO TO MEET YOU: YES_NO I
� CO MENTS: �'���G� �:{ "��f�?�✓�c.�. 5��, r��
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� �C WORK SATISFACTORY:PROCEED ❑ PROJECT COMPL�TE
� ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICAT�E OF CCUPANCY
W
O CORRECT WORK,CALL FOR REINSPECTION TEMPO��RARY�
V BEFORECOVERING PERMA�IENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r� pHOTOTAKEN �
INSPECTOR WILL REfURN
❑ STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED I
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
II for th next ins ction 24 hours in advance.473-/�3�J�
Ca e pe
Owner/Contractor on site:
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Inspector. • �/'� ��
White Copyllnspector's File Canary CopylSite No�ice
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