HomeMy WebLinkAbout1999-012161 - gas fireplace � . , PERMIT
CITY OF ORONO PERMIT TYPE: -
2750 Kelley Parkway - P.O. Box 66 `= '�� ` - � � ���
Crystal Bay, Minnesota 55323 Permit Number: .�:l��::'��z��: _
(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 MECHA1vICAL PERMIT �" '�
Box 66 (2750 Kelley Parkway)
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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. ���� � '`='
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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 NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical DesiQns - 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
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shall also be provided. �?" � �r
4. W�en any new construction or remodeling is inv�lved, a separate building per�ut must be obtained. '` �
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code , �.
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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 final. :�
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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. -;� } j
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Please check one: New Addition Repair Replace � x ;
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Residential Commercial «s
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JOB SITE: l�lD 5 Gr� l.�Y Zip:�,_53�0� `,� � �
Owner's Name: ��d ��nr Sh-�Q r�r Telephone Number: ;�
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Mailing Address: SY�m� . City: �V�C Yl b Zip: �a m c,
Contractor's Name: iZ,;ve,r �;�.�, Sl�.ee�- rr�e�-P Telephone Number: �5�-a.l 4 9 �
l�Iailing Address: ��a.E bl�.teb�►7,-t. S�-Y1c.v _City: tclS Zir: 554` - �.: �
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SYSTEM DESCRIPTION . _ °`
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HEATING SYSTEMS "�"
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Quantity: -�r
1,.
Make: �`
Model: 4`�
Fuel: (',..Q,S Y�o;P�-t� 7nn�.✓�- �.���u 3a Q.r� �a
Flue Size:
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Input BTUs: ¢
Output BTUs: t ' �
CFM: ��'�
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COOLING SYSTEMS ; � �'
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Quantity: � �`
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Make: '����r ;k�'
ModeL• �'°�
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'� Tons: ��
H. Power "J "�
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WOOD BURNING EOUIPMENT
`' Wood stove with flue
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�>, � Wood combination or add-on
�'� Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
k:.: 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
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� FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
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��' Installation Removal
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k° Fuel oil: gallons underground inside outside
�`` LP Gas: gallons
�4;' Other Gas opening
�=" PERMIT FEE CALCULATION
�� 1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�' a000. c�d X .oi2s $ 3s. o �
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� (contract price)
�' 2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ � . C� �
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or $.50, whichever is greater (contract price)
s 3. Posta�e and Handling (Only mail-in applications) $ 1.50
� 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 3 '7.. S O
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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 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 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
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State Building Code, and certifies that all statements made on this application are complete, true
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and conect.
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��: Applicant's Signature: Date: ��
Approved By: Date:
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED ����Z" � � J�
PERMIT NO. ��t f(.0� COMPLETED f_� /. �'C�
ADDRESS � �� S �G�✓j'� DY-
OWNER CONTR. �i(,�Gl� �S��Q��Qfi•
TELEPHONE NO. �.� �—�I q�
� DESCRIPTION ��� �"7�-� �
� 01 FOOTING 11_MECHANICAL 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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d ORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
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� CORRECT WORK R PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDiTiON WITHIN HOURS. �, pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contractor on site:
Inspector.�����-t"� -���j�
White Copy/lnspector's File Canary Copy/Site Notice