HomeMy WebLinkAbout1997-009082 - fireplace PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 raiz,:b-i tv
Crystal Bay, Minnesota 55323 Permit Number: ;ti a1;_;
(612) 473-7357 Date Issued: ��,
SITE ADDRESS:
WATERTF-NIN RD
t_L 7
0020
DESCRIPTION:
.4 ori c�—I='i_3 its MAL 1i:_ i H T` iy —S3!i l •'s.Iw#€�'�i_ °_�L —:31`2Cji3V
REMARKS:
FEE SUMMARY:
UN
CONTRACTOR: — Applicant — OWNER:
F I E :_`�:I I� t_:# 1 '.., - ` - - �:;=y i4,= ;i;_t ':W i:3 t.'R A :E
FA i RV I EW VE N 276". WAIERTOWN RD
700
(61,42)
THE I NDERSI GNED �HE_ E Y REOVESTS PERM i kap �� TO# MAKE HE fiE#�t,. . MP111, i��VEMENTS
-SPEC-IF IED AND AG E.E'55. T# DO AL WOE`. I N STR I CT COMPLIANCE: V I T1111H AL CITY OF
r#RONC ' 0 I NANC=ES: AND STATE: OF MIA-,�i��:�� �J I�D I ice' �;6 'E�, VI ;'E T:� .
iu
APPLICANT/PERMITEE SIGNATURE t ISSUED BY:SIGNATURE_ �4,
6-11-1997 7:07AM FROM FIRESIDE CORNER 612 633 8884 P. S
r
1
CITY OF ORONO APPLICATION FOR MEC LAICAL,PER1v U
Box 66 (2750 Kelley Parkvay)
Crystal Bay, J*N 55323
JiMqUAL 0
1. You may apply im mDechmcal permits by mail or in persoa at the City offices. Appheatioas wf7l be
reviewed and a permit will be issued within 2 working days-
2. Permit cards will be 5=' by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK HUST NOT BEGIN UNM TKI: PERMIT CARD IS
POSTEDSITE.
3. Mechaui�j Desi - Complete calculations: derails and specifications are required for each heating,
ventilation,humidification-dehumidification, and air conditioning installation including heat loss/hen gain
calenlalson, design temperatmres, equipment ratings and identification aslo type,mamfscturer and model.
Data shall be presented on form provided- Identification of and specifications for water berating equipment
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 done in accordance with the Uniform Mechanical Code/State BRAftg Code
requirements.
6. All work must be inspected (tough-in and final). Call 473-7357. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Inargaigo Complete all items on this application. Compute the permit fee. Sign and date she certification-
INCOMPLETE APPLICATIONS'WILL NOT BE PROCESSED. 'If you bane questions, can 473-7357.
Plelse check one: New Addition Repair Replan
Aesidendai Cozametcial
JOB SITE: YN
Owner'sName: TelephoneNumber: ,,34,
Mailing Address: City: $[�� jo Zip;
Contractor'sName: �' Tele honeN bee:
MailingA.ddress: City: Itto d
�vSTE.M DESCHU ON
BEATING SYSTEMS
Quantity:
Make: -
Model: �-32L�►[ 1
Fuel:
Flue Size:
Input BTUs: -
Chl1pua BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power -
6-11-1997 7:OSAM FROM FIRESIDE CORNER 612 633 8884 P. 2
WOOD BG E() NT
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 Mode!leo.
Mfgr's Min., Clearances, side_, real min.flue dia.
VENTILA'Y'XON
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) _ cfm
No. Other Fans- Locations cf n
EM STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PFJUWff FEE A t Cjj4,4TION
1. 1.25% of C2= ct Price* or Minimum Fee 35.00
X .oils $ 3-
(emzr= price)
2. Ste,SurchU&L ** Add the State Building Code Division
Surcharge to each permit. x .0005 S
or S'.50, whichever is greater (contract price)
3. Posta. e+� and Ha (Only mail-in applications) $ _ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above)
* CONTRACT PRICE or JOB COST mesas the actual or estimated dollar amount charged for the permitted
work including materials. labor, profit, sad other fixed costs. It is the amount to be charged to rbc
customer for the work done. If any material, equipment,labor,or installation are f4ruished by the owner,
tenant or any other parry the reasonable market value of such ire= must be added to the estimated cosy
or contract price for permit fee purposes. In the event that theta is a dispute on tht=aunt of the gob cost,
the City may request rhe submission of a siped copy of the a=ctual contra=_
* Tire STATE SURCHARGE is .0005 of the contract price under S1,000,000 or $.50 - whichever is
greater. For valattions over Si,000= can 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 izz strict accordance with the ordinances of the City and the regulations of the Minnesota
State Huilding Code, and certifies that all statements made on this application are complete, true
and correct.
Applicant's Signature Dare:-
Approved By: Date.