HomeMy WebLinkAbout1993-005673 - 2 fireplaces PERlliIIT
� �ITY OF ORONO PEl�MIT TYPE:
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2750 Kelley Parkway • P.O. Box 815 ;°;�3":f�s�:F°v�.i:�;L..
Orono, Minnesota 55356-0815 Permit Number: _.
Date Issued: '`��"i�`r,�:�
(612) 473-7357 ;t;;;:��=,;`��;�;
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APPLICANVPERMITEE SIGNATURE ISSUED BY:SIGNATURE , ��G.�
,�, �S�73
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CITY OF ORONO _ APPLICATION FOR MECHANICAL PERNII'T
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 ,I'y r,� =� � �J�?�
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GENERAL IlVFOR11sATION
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. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST IVOT BEGIN UNTIL THE PERMIT CARU IS
POSTED ON THE JOB SITE.
3. Mechanical Desi�ns - 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
shal: zlso be gr�vi�e�.
4. When any new construction or remodeling is involved, a separate building pemut 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 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
JOB STI'E: / � � a �" � Zip:
Owner's Name: Telephone Number: � 7 � - G�9 G �
Mailing Address: City: Zip:
Contractor'sName: `�. ,� TelephoneNumber: �_3 � -�y��/
MailingAddress: ���.i- � � ��'C�_�� `�� City: �'�� -e��i' Zip: s�;�z_z
SYSTEM DESCRIPTION
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�� ���ti.� � ,&'� � �.s � a<< � : �-� �—
HEATING SYSTEMS �
l2uantiry:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantiry:
Make:
Model:
Tons:
H. Power
f �
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WOOD BURNING EQUIPMENT _
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
VENTII,ATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: i,ocations cfm
Total
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) -� '' G ��
13�,c ,�� c, x .0125 $ �d , � S
(contract price)
2. State Surcharge. ** Add the State Building Code Division _
Surcharge to each permit. x .0005 $ �' -�
(contract price)
or $.50, whichever is greater
3. Posta�e and HandlinQ (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 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 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 correct.
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A licant's Signature: ;�� .�� , Date:✓L' �,�S^ ��f"�
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Approved By: Date: