HomeMy WebLinkAbout2000-P02241 - fireplace � .
PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po22at
Crystal Bay, Minnesota 55323 Pe�mit Type: Mechanical Permits
(612) 249-4600 Date Issued: 3�23�00
SITE ADDRESS: 345 NORTH ARM LA
MOUND,MN 55364
P I D: 06-117-23-24-0015
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 45.00 Valuation: $ 3,600.00
State Surcharge Fee: $ 1.80
Misc.Fee: $ 1.50 MAIL IN FEE
TOTAL FEE: $ 48.30
APPLICANT: WOODLAND STOVES OWNER: DAVID SIPPRELL
1203 WASHINGTON AVE SOUTH 345 NORTH ARM LA
MINNEAPOLIS,MN 55415 MOiJND,MN 55364
THE UNDERSIGNED HEREBY REQUFSTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII.,DING CODE REQUIREMENTS.
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I BY SIGNATURE
Copies:City,Applicant,Assessor,Finance Page 2
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT �-
Box 66 (2750 Kelley Parkway) ��a� ��- w6:�;��,:��� � �
Crystal Bay, MN 55323
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GENERAI, INFORMATION ' `
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be � .°+ � (�
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reviewed and a permit will be issued within 2 working days. ;; ��},,
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID ,..w, r,:;
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS y�� ,�,y
POSTED ON THE JOB SITE. `;. F t
3. :�!echanical Designs - Complete calculations, details and specifications are required for each heating, �� _`
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ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat gain ,;; k �
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 ;�� �
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sha:: also �e pr:,vided. ,,,;�„ ,�:t�
4. When any new construction or remodeling is involved, a separate building permit must be obtained. S
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code �;i I
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requirements. x-
6. All work must be inspected (rough-in and final). Call 473-7357. 24-hour notice required. �E;
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. �: '� �°"
INCOMPi.ETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357. ,,�� �'
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Please check one: New Addition Repair Replace
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Residential Commercial k�
JOB STTE: Zip:
Owner's Name: Telephone Number: �'`'
Mailinb Address: ' City: Zip:
Contractor's Name: Telephone Number: � � ��
1�lailing Address: City: Zip: _.��:���;
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SYSTEM DESCRIPTION . . < ,t; _ ; •`
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HEATING SYSTEMS '�� '�:
Quantity: _ _ t � �
Make: "f "
Model: y ' � � '
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Fuel: �� �
Flue Size: - '�
.'``y /
Input BTUs: �� �
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Output BTUs: '` f
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CFM:
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COOLING SYSTEMS `�°` $ ;
Quantity: �
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Make: �
Model: `�r�
a 4,
Tons: � � '� �
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H. Power � ° �'t
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a �� . , _, .., l� � n� . y„ _a . ._.._ , _ . . ... .. s . „ �. , r..... ,� �. . ._ .ar�....�. .,.,� ..�.. .s t r 1 !. . r ,+I.'h.k�. av,,.. �_��.�
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WOOD BURNII4 G 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.
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)
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) $
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* 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 thz work done. If any materiai, equipm�;nt, labor, or installation arL furnished by the owner,
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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 $.50 - whichever is
greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
The undersi�ned 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: Date:
Approved By: Date:
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