HomeMy WebLinkAbout1999-012113 - 2 fireplaces , � PERMIT �
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 � -- '��?�. ��'�...
Crystal Bay, Minnesota 55323 Permit Number: '�;`�i, ,
(612) 249-4600 Date Issued: _
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECAANICAL PERMIT �i
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Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 �
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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. . i
2. Permit cards will be sent by retum 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 ON THE JOB SITE.
3. Mechanical Designs - Complete calculations, details and specifications aze required for each heating,
ventilation, humidificadon-dehumidification, and air conditioning installation including heat loss/heat gai.n
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 remodelina is involved, a separate building permit must be obtained.
5. All work must be done in accordance with the Uniio� Mechanical Ccd�/Sta:e B��ilding C��e
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 I
;.-� Residential Commercial
JOB STTE: 33G 3 C2�S�A�.. �A`< ��� Zip:
Owner's Name: ��r��nn rv►e sL Telephone Number:
Mailing Address: S/�v�n� City: Zip:
Contractor's Name: co�i�'cc�;s�� u�T-+- ��c�t- Telephone Number: Lj� � - + ���
Mailing Address: �S�� ��+ ��v A`; ► �-- City: M Pp�C ��.A�� Zip: SS3S�
SYSTEM DESCRIPTION
HEATING SYSTEMS '
Quantity:
Make:
Model:
FueL• � I
Flue Size: , �
Input BTUs:
Output BTUs:
CFM: ''
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COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
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WOOD BURNING EOUIPMENT
Wood stove with flue
Wood combination or add-on `
_� Factory fireplace with�e i-��A�-�G�� ~'�'T`-� �p `�
� Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other � �
Brand Name Model No. �
Mfgr's Min., Clearances, side , rear , min. flue dia.
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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)
Instailation 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)
�.`E:� : o� x .0125 $ `7 3 .���
—ontract pnce) .
� 2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. �.�.�`'� �
�>� x .0005 $ � ��`+
or $.50, whichever is greater (contract price)
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3. Posta�e and Handling (Only mail-in applicafions) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �-7�•S �
* CONTRACT PRICE or JOB COST means the actual or estunated 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 fumished by the owner,
tenant or any other party the reasonab?e marke[ value of such items mu�t 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 Ciry 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 Ciry 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: 1 1 � S-� 9
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Approved By: Date: