HomeMy WebLinkAbout1998-010652 - fireplace � . . PERMIT
CITY OF ORONO PERMIT TYPE: _ - -
2750 Kelley Parkway- P.O. Box 66 '=`-��'�"-'��`-��'`—
Crystal Bay, Minnesota 55323 Permit Number: ;_;��s f;=,�:� _
(612)473-7357 Date Issued: =;^�:;;_�;�
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FEE SUMMARY:
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� I NTPERMITEESIGNATURE ISSUEDBY:SIGNATURE
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CITY OF ORONO APPLICATION�'OR MECHANICAL PERMI�'
Box 66 (2750 Kelley Parkway) �
Crystal Bay, MN 55323
GENERAL I�'FORMATION
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.
2. Pernut cazds will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UIv'TIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON 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 aiso 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 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
� Residential Commercial
JOB SITE: �� a �"k-t��-�� t.�_ 1 ( r� ° 1< ���t� : � Zip:
Owner's Name: � ,nr-, � 'i F<,� �1 -i L 6-�c�x Y z t Telephone Number: ;,i;-� . �_����,.
Mailing Address• City: Zip:
Contractor's Name:C=�1�c �r�✓�=� ���ilcit��� ��.�`����Telephone Number: � 5;=�- �y1Ec�,
Mailing Address: j='x-I C�� 1`_�""ie• C_i_�� City: 'y>\�.tt ti'�'�i;t 1��ZiP� � � f l�'� `
SYSTEM DESCRIPTION
HEATING SYSTEMS
�:zantity: _ _
Make:
ModeL•
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model: �
Tons:
H. Power '
� ! �
��i'+�OI�URI�G E MEN� ��Ct� �'C_'����C'�L � �.,
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 �',�� (�� ,� ti CY' Model No. '17�i�T 4�— CI�i N`-�
Mfgr's Min., Clearances, side � , rear�, min. flue dia. s?��'
VENTII.,ATION
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)
l,��:��� x .0125 $ ?��•Ul��
(contract price)
2. State Surchar�e. "* Add the State Building Code Division
Surcharge to each permit. x .0005 $ �L;
or $.50, whichever is greater (contract price) _
3. Posta�e and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ��_, .��L�
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz 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 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 .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 conect.
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ApplicanYs Signature: �� �.}�,������� � Date: � ���{_,�
Approved By: Date: