HomeMy WebLinkAbout1997-009084 - fireplace PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 !k1EC-HAt" `—L.
Crystal Bay, Minnesota 55323 Permit Number: t!'084
(612) 473-7357 Date Issued: ,L=/1_ ;
SITE ADDRESS:
WATERTOWN RD
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
Bate Fee $35. 00
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CONTRACTOR: - Applical-it. - OWNER:
s.h'`.:=:j i ;:ii ;'}11 }' t 3-2!,�.# i1iJi_ _: � ���;A
:{1i1 i-Aii��`',, S4{ AVEN 271--10 WATERTOWN RD
R0--;FV V l LLE MN L=11'3 i_:iR<<iNO MN c S3SF_
THE UNDER S I NED HER'tE-''Y ,REQ ��.T�: �`�f��i 15�:�D � � kkE THE RtA �IF' NTS {
S 'EC E I ED
AND AGREES TO [3t� 'ALL k�I+ R �t� T�I CT ���"�-�� W I T� AL ' C I T'� � F
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'ITA RR -NtRCrRDIfiANCES AND, STATE E " N E L '
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE,,/--y4e
Frig-11-1997 3:22PM FROM FIRESIDE CORWR 612 633 8884 P. 2
CM OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
CrysW Bay, NEq $532.3
I. you may apply fat =mhatticai permits by maR or to person at the City offices. Applications will be
reiriewad and a prrmi: will be issued within 2 working days.
Z. Pent cards will be sea: bg return mail after a review is completed_ PERMITS ARE NOT VALID
UNTIL YOU AECBIVB A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMTr CARD IS
K THE 1015 S=-
M=b=iKzl Designs - Complete caleuladons, 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 es3o type.manufacturer and model.
Data sball be presented on form provided. Identification of and specifications for water beating equipmeat
shall also be provided.
4. when any new construction or remodeling is involved, a sepam building permit must be obtained.
5. All work must be done in accordance with the Uniform Mechavicai CodetStaae Building Code
requirements.
6. All work must be inspected (rough-in and final). Calc 473-7357. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Comte t2te permit fae. Sign and Hatt the Wdf cuian.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you hive questions, call 473-7357.
Pie= check ant- X _NCC Addition Repair Replace
Resicientisti ,w_ Co ial
JOB STTE: tri Zoo
Owner's Name: TeIephoveNumber: I1
SAL
Mailing Address: r'
City: tut: ip: � �
Contractor'sName: Pjj, T:rv,� ' t D _ Teiephon ber
Mailing A,ddress: 4CX) Y1( City:_ t& I C Zip:
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity.
Make: ( jt i.. r
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CI~?VI:
COOLING SYSTEMS
Qttatttity:
Malec:
Model:
Tons:
H. Power
1711-1997 3:22PM FROM FIRESIDE CORNER 612 633 8884 P. 3
WOOD RLMNIMG E0tWnZN'T'
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (S) Freestanding Masonry
Woad Stove (s) Franklin, other
BrAad Name Model No.
Mfgf s Min., Clearances, side , rear min.flue dia. .
VENTII.ATION
No. Kitchen Exhaust ducted recirculating cfm
No- Bath Exhaust (must be ducted outside) efm
No_ Other Fans- Locations efrn
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation' Removal
Fuel oih gallons _ underground inside outside
LP Gas: gal?ons
Other Gas opening
STT M CALCULATION
1. 1.251 of Conmet Price* or Minimum Fee (W.00 _
1l('y')Cf-) x .0125 S
(contract price)
2. fit.Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x
or S.50, whichever is greater (wait ct,price)
3. Postage an H� (Only mail-in applications) $ l 50
4. TOTAL PERMIT FEE (Add lines 1-3 above)
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amoum charged for the permitted
work including materia[s, tabor, profit. and other fled costs. R is the amount to be charged to tate
customer for the work done. If any material, equipment,iabm, or installation are furnished by the owner.
tenant or auy odder parry the reasonable marker value of such irems must be added to the estimated cost
or conuact price for permiiu fee purposes. Ln the event that tdzere is a dispute ora the amount of the job cost,
the Ciry may request the submission of a signed copy of the atxttal coomm.
** The STATE SURCHARGE is .4005 of the contract price under 51.000,000 or $.SO - whichever is
greater. For valuatiow over$1.000,040 call the Depattmem 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 ac=danee 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: r Dace.
Approved By: Date: