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Home My WebLink About1987-8884 - new 2 wood stoves GENERAL P�RNIIT CITY PERMIT N0 8 8 8 4 �C�['Y� OF' �i7.0I�t� P.O. BOX 66 Date I � � 1 CRYSTAL BAY, MINNESOTA 55323 (612)473-7357 Owner �� `� ��Q�� Address ��vO ��1 �-��` (�� r� Contractor ��—�-'�F � ��X�' l ��r�i�11� Address �� J I' �"� ` ��1�.� City License No. � I� City �v � ' '' , 'v ��`�`f�� REMARKS AND SPECIAL CONDITIONS �'"` ��,�OC.1� L�fC�V'eS PERMIT TYPE AND FEE: �[l NEW � ADDITION ❑ REPAIR ❑ REMODEL / \ Inside Plumbing(#fixtures ) Fee $ Water Well Fee $ Water Meter(Size ) Fee $ Mechanical Equipment Fee $ Meter# Fireplace/Wood Stove Fee $ � Remote# Moving/Lifting Buildings Fee $ Municipal Water Connection Fee $ Land Alteration(Excavation, ❑ Copper ❑ Grading, Filling,etc.) Fee $ Design Review Fee $ Municipal Sewer Connection Fee $ Fire Fee $ ❑ PVC ❑ Cast ❑ Sprinkler S tem (Fire) Fee $ MW CC SAC Charge Fee $ � �–�-� Other: �� Fee $ �l�2� On Site Spetic System Fee $ After-the-fact Investigation Fee $ ACKNOWLEDGEMENT TOTAL State Surcharge: Fee $ '�� 'Ilie undersigned hereby acknowledges receipt of this limited permit, (��f including acceptance of all special information, terms, conditions or Tota1 Amount Paid to City Fee $ �_ v reyuiremen[s written above. The undersigned understands and agrees under penalty of law[hat this permit is strictly limited in scope to the work, activity or improvement specified; that this permit dces not grant any �uthority[o do work or activities requinng separate permit approvals;and that this permit dces not grant authority to violate anr'provision of any City ordinance or State law,rule or regulation.All work shall be done in strict T'his permit is not valid until the proper fee is paid and it is approved compliance with all City ordinances, building codes and/or health department regulations,and shall be subject to inspection,approval or by an authorized City Ot�eial. rejection hy the City.Whenever so ordered.the undersigned agrees[o correct anv uork founcl to be in vialation of the conditions of this permit. Signature of Applicant f�� Signat re f City Official � � � � � Code: White—File Copy Canary—Inspector's Copy Pink—Finance Copy Gold—ApplicanPs Receipt _.__--- • � ��a �-!_� , D �---1_ . ,�AN 2 I �987 � ? ,; . ; , " � ��'�� DEC I 01386 . �� ' � ` ;'�'' ,.� =;i �`�:� _ ._�_�- ORONO >.�. .�r...�.______--- .. ._ --.. i�_._,--_�_.---_____ ------ APPLICATION FOR MECHANICAL PERMIT GENERAL INFORMATION l. You may apply for mechanical permits by mail or in person at the City offices. Mailed-in permits are subject to the postage and handling fees shown below. 2. Permit cards will be sent by return mail the same day the application is received. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. When any new construction or remodeling is involved, a separate building permit must be obtained. 4 . All work must be done in accordance with State Building Code requirements. 5 . Al1 work must be inspected (rough-in and final ). Call 473-7357. 24- hour notice required. 6 . House Heating Test Record must be submitted before final. IPISTRIICTIONS Complete all items un this application. Campute tPie permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357. WALK-IN PERMITS apply at City Offices, 1335 South Brown Road (Cty. Rd 146) MAIL-IN PERMITS enclose fee - Mail to: P.O. Box 66 , Crystal Bay, MN 55323 *****************************�****************�*�t************************** JOB SITE Q ~ Owner' s Name Telephane Number Mailing Address Contractor ' s Name Telephone Number Mailinq Address 8/ a S *****�************************************ �******************************* MINIMUM FEE ( $25. 00 per project) *******************��****************************************************** HEATING SYSTEMS $20. 00 each unit FUEL nat. gas, lp gas, oil, elect. other (specify if combination burner) EQIIIP. (if more than 1 unit per bldg. list each separately) NO. TYPE BTUH IMPUT BRAND NAME MODEL N0. f .a. furnace hw boiler unit heater solar htg. equipment Solar Equipment $50. 00 each system Total ************************************�t************************************** � AIR CONDITIONING $20 . 00 each unit Central Air Separate Central Air System w/furnace Brand name Model No. Tons Total *********************** �*********************************************** *WOOD BIIRNING EQUIPMEN 00 each unit ' -flue $30. 00 eac unit Wood com ination or add-on unit $30. 00 each unit Factory firepls�ce__with flue Factor Fireplace (s ) freestanding built-in Wood Stove (s ) franklin, other Brand Name Mode 1 No. Mfgr' s Min. , Clearances, side , rear , min. flue dia. Total /'p ��' *************************************************************************** VENTILATION $5 . 00 each exhaust fans, (bath, kitchen, attic, etc. ) No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside ) cfm No. Other Fans : Locations cfm Total *************************************************************************** FUEL STORAGE (must be approved by fire marshal ) $20. 00 Permanent . $10. 00 Temporary Fuel oil, gallons underground inside outside LP Gas, gallons Other ******�******************************************************************** SPRINRLER SYSTEMS Minimum $20. 00 each system Number of Heads No. of Risers $2. 00 per head *************************************************************************** GAS I,INE INSPECTION High/Low Pressure $30. 00 *************************************************************************** PERMIT FEE CALCULATION 1. Total of above Installations or Minimum Fee ( $25. 00 ) $ 2. State Surcharge. Add the State Building Code Division Surcharge to each permit $ . 50 3. Postage and Handling on all mailed-in applications, $ 1. 50 4. TOTAL PERMIT FEE add lines 1-3 above $ ,r�� The undersigned hereby applies to the City of 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 �"�-�-c,eti��c;`�=�" Date ,. ... ,. ... _ ...,<.�.�.::.n<;: - O TELETYPE 0 TEIEGRAM O MAII TO AT ECKERT & SON MASONRY, INC. 8140 MT CURVE BLVD. SUBJECT DATE MECHANICAL PERMIT FOR 1700 SHORELINE DR, ORONO 12/11/86 Enclosed you will find your application for a fireplace p�rmit for the above address. We are returning this to you as your minimum required insurance (10-50-100 ,000) and bond ($2,000) , for cerLification, are not up to date. When you have pravided the required documents, you may reapply for the permit. . � Reg rds, 4-p (� �'� ?edifprm� Thomas cobs Buildin Official ' 45 4615, � SIGNED .�b� . ,