HomeMy WebLinkAbout1997-008701 - 0 clearance fp CITY OF ORONO PERMIT PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 Permit Number,
Crystal Bay, Minnesota 55323 Date Issued: A(�111 1�CAL
(612) 473-7357 01/17/'-17
SITE ADDRESS:
i i48 5 ONf."AWA RD
L!:-:,V
11 )
DESCRIPTION:
0 CLEri*%!RAN(':F P'P
I FIREPLACE F1 jEL NATt-)RAIL GAS MAKE HEAT-N-61-0
MODEL. EM41
REMARKS:
FEE SUMMARY:
VALUAT ION $1 z 10()
Base Fee V-3,5 .0 0
Tn-tal Fee
CONTRACTOR: - Applicant - OWNER:
R EN A R D C
MIHAR
-'J STIONE AI'0Rf- NAE
E--2-,,3 2 ARTHUR ST NE 11:=;5 TONKAWA RD
FIRCINC, MN -553--56
PR I NG LAk"E PARK MN 5,54-'34
(612) 0-312),786-2341
THE JNDE
FEW Ai TO -"M* PRE*
LR$1GNED 'HFRE8Y REQUESTS��P S1 D-N E
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SPEC F1�0 AND AGREES TD, 00- ALL,? RICE T
0RONC-1 ORDINANCES -AN6, 'STATE ',411,
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ISSUED BY:SIGNATURE
JAFI-16-1997 16:34 P.02
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Rax 66 (2750 Kelley Parkway)
Crystal Day. MN 55323
1. You tray apply for mnchanicai perutits by Mail or in person at the City offices. App", long will be
mvirwcd and•permit will be issued within 2 working days.
2. Permit cards will be sent by mum mail after a review is completed. PERNIM ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT, ifflaMSU -i fj T BEGIN.VNIII_ THE PERMIT CARD I
.THE 1911=If"
3. -Complete culculotivas, details aW specifiratious are required, for ewb 1%winS.
vemilation, and air¢auditioning instaHaden including heat loulheat gain
calculation,design temperatures,equipment radags a;ld idewifiealion as to type, manufacturer and modei.
Data shall be presented on foam provided. Identification of and specifications for water licating equiptt v
shall also be provided.
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
5- All work must be dune in accotdamt« with the Uniform Mechanical Code/State Building Crate
requiraments.
6. All work must bC inspected trough•in and AtW). Call 473-7357. 24-hour notico required.
7. House Heating Test (record must be submitted before final.
jeffLuckm Complete tell ittrrm on this application. Compute the permit fes. Sigh and date the cortiflcation.
INCOMPLUTE APPLICATIONS WILL NQT BE PROCESSFD. If you have que%tions, tail 473.7357-
aP'Ieasc check One: �. New XX Addltidn _Repair Rap]=
Residential T_ Comuterciai
JO&SITE: 1185 Tonkawa Drive _T Zip:, _
Owner's Name:�jk.' e &eh R.Rehard Telephone Number.. 471-95$4
Mg1lingAddruse 1-L85 T_Qn-a Deiy City: Orono zip; _
CoBUWtor's Name: Coronado Enterpr1 Ses Telephone Number: 78 -2341
MaUbW Adm; $282 Arthur_Street N.E. City;Spring Lake Ztp:_.a5432
-- ar
HEATING SYSTEMS
Quantity:
Make --
Model:
Fuel; _
Flue Size: ,T -
itrput BTCIs: - - ----�-- -
Output BT[!s:
CFM-
COOLING SYSTEMS
Quantity- —
Make: � •_. _ � �� _r
Model-
H. Power
WOCKI stove with flue
Wood combination of add-oiu
e Factory fireplace with flue
Factory Fireplace (s) Frtsestandiug Masonry
WOW Stove (s) Franklin, other
Hrapd Name /�o,4r Model No. 45 My l�
Mfyr'a Min,, Ciearances, side a rear C, rain. flue dia. Io %`ems b
No, Kitchen Exhaust dticted _ recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other FarLs: Lxnatioos w_ - ._ cfm
EUL NIQRA" (MUST BE APPROVED BY FIRE MARSHAL,)
Installation Removal
Fuel oil: gallons _ underground inside outside
_ LF Gas: gallons
EUM—EMIALMAIM
1. 1.25% of Cctntlact- 'ce" or NHWWwm,Erg (U5,00)
J/.__r) , Cr-C; x .b175 $ —�_• C�.C�
(Contract pried)
2. State Sure rr " Add the State Building Cade Division
Surcharge to such permit. __ x .0005
or $.50, whichever is greater (courract price)
3. Pnst�g ,and 3� ltg (only mail-in applications) $ l SQ
a. TOTAL. PERMIT FEE (Add €roes 1-3 above) $
CONTRACT MCE or JOB C'OS'T starts tilt actual or ettlmued dollar arnutwt charged for the pbnnitted
Work including materials, labor, profit, and other fixed coats. It is the amount to be charged to the
custoswr for the work doric. if any rzLmtcdal,equiptiwnt, labor,or installation art furnished by the owner,
tetuult or any outer party the rtasoiuble market value of such items must be added to the estimated coat
or coturaci price: file perutit fee purposes. In the event that there is a dispute on the amount of the job cost,
the City miry request the submission of a signed cagy of the actual contract-
** The STATE SURCHAIWE is .wm of tht contract price un&r S1,000,000 or 5.50 • whichever is
greater. For valuatinps over S1,000.000 call the Department of tnsprztionel Serviczs for the price.
The undcligned hereby applies to the City for issuance of a Mechunical Pcrmit, agrees to do
all work In strict accorlance with tux ordinances of the City and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, (rue
and correct.
f
Applicant's Sigtuttur~�ri L�:-�X l[ orf 1L7 W. Dstc:
Approved By: Ditte: —
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. � COMPLETED _G
ADDRESS ���� IQ®
OWNER / -2u Lc� CONTR.
TELEPHONE NO. '2 ��"
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
y 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O 03 INSULATION 24/25 WOOD BUR =REPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEMO—FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
CC
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Z) CU VN. AMt
CC
0
W
CC
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12
Z
W
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QC
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W W ElWORK SATISFACTORY:PROCEED PROJECT COMPLETE
cc ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473'7357
Owner/Contract sit -
Inspector.
White Copylinspector's File Canary Copy/Site Notice