HomeMy WebLinkAbout1984-7412 (gas fireplace) CITY YERMIT NO. __ �41� �
GENERAL PERMIT
CITY OF ORONO �--_ �_��
Y.O.BOX 66 Date
CRYSTAL BAY, MINNESOTA 55323
(6]2) 473-7?57
Owner Adclress
('<�ntra�tor Address � � ' �� /l/�'"' �� �
City I_icense No. State License No.
RE:MARKS ANll SPECIAL CONDITIONS
� � � �
P�:RM[T TYPE AND Ff�.E: ❑ NEW ❑ ADDITION ❑ REPAIR
lnside Plwnbin� ( # fixtures ) Fee $ On Site Septic System Fee $
Water Meter (Si�e ) Fee $ Water Well Fee $
Meter # ��
Mechanical Equipment Fee $
]Zemote#
Municipal Water Conn�ction Fee $ Moving�Lifting Buildings Fee $
❑Copper ❑ Land Alteration (Excavation, Fee $
Grading, Filling, etc.)
Municipal Sewer C�nn��tioil Fee $ �
❑ PVC ❑ Cast n Other: Fee $ �• �
MWCC SAC Char�� Fee $ After-the-fact Investigation Fee $
ACKNUW LEDGEM ENT TOTAL
T}�e undersigned hereby acknowledges receipt of this limited
permit, including acceptance of all special information, �
terms, conditions or requirements written above. The
undersigned understands and agrees under penalty of law State Surcharge: Fee $ "
that this permit is stricUy limited in scope to the work,
activity or improvement specified; that this permit does �j �
not grant any authority to do work or activities requiring Total Amount Paid to City F0e $
separate permit apProvals; and that this permit does not
�ant authority to violate any provision of any City
ordinance or State law,rule or regulation. All work shall be
done in strict compliance with all City ordinances, building
codes and/or health depaztment regulations, and shall be TI'11S peT1111t is not valid Ulltll t11e ]JT'Opei f2e 1S pd1C� illll.j
subiect to inspection, approval or relection by the City. lt 1S appT'OVeCl b}� 817 dUt�l01'1Ze(� Clty OtflClc'll.
Whenever so ordered, the undersigned agrees to correct
any work found to be ii� violation of the conditions of
this permit.
Signaturr, of App c� nt �� � Signat r of City Official , /Ps�
���� �� (
Code: White—I ile Copy Canary Inspector's Copy Pink—I inance Copy Gold—Applicant's Receipt
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^����0���� APPLICATION FOR
(�I'�'� c�� �R���_ _ � _ -
` ; MAY ^ 9 1984 M�C��rin��l ����1t
GENERAL INFORMATION �
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1. Vou �nay appC� 6u1 mechanicaL pcnmCto:.-by.,�id1'L.�_n:4�L,���n'. a1 Lhe Ca'ty o66icee. Mailed-.in penm<te a1e eubject to Ihe
poe4agc and handCing 6¢ea ehown beLow.
1. Vennit c��de wiCl be etnt by netuan mai[ the eame day thc appLicatlon t6 aeceived. FERA117S ARE N07 VAL10 UNTIL VOU
RfCEIVE A PERMTT CARD. WOKK 61US7 N07 6EGIN k1N7IL THE PER11I7 CARD ]S POS7ED ON i'HE 10B SITE.
3. When any new conetaue4ion on aemodeGing <e .�nvoLved, a eepanate buiLding pertmit muet be obta<ned.
I. ALC wunk muei be done <n aceoldance with State Bu<Cd<ng Code 2equtnemente.
5. ALC wortk muaZ be <nepzeied �nough-tn and 6CnaC1. CaCL 473-7351 2�-houa notie2 hequirted.
6. Houee Neating 7eet Recortd muet be eubmitted bebone 6inal - aee attached.
INSTRUCTIONS CompLete alf tteme on IhCe appLication. Compute .th¢ pelm<t 6v.e. S1gn and datt .the c¢atl6<catEon.
7NCOlIVLE7E AVPLIC.l7I0NS WJLL NOT BE P20CESSED. 16 you have queai<one, eaGC 173-7357
UTALK- TN PERMITS Ap�.�y a� C�,�y U���.ce.a , 1335 Sau�h Bnown Road ( C�y. Rd. l46 )
MAIL- IN P�Rh1ITS �vle.�a�e bee - Ma�..� �o : P. U . Box 66 , Cn���a.� Bay, Mn. 55323
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JOB SITE ' ' ` " �, � ��1. .�'_ �/�,�,_� _
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Occupancy 7ype: � aeaide Lal _ commeaeial; Othea
.
.i ._� f! �j` G.C,�,�
Owner' s Name � � , � � • , Telephone Number
Mailing Address � „t`-
Contractor' s Name a:. � �� _f,��,� a (Y j�. � ( �. Telep one Number T�,1 "�� '� ?3
��, �% - . --, �
Mailing Address ����:— � � — C�z� /�� � ��.��_��t ,��,� �k.��� ���N� S ����
******X**��*************�***�************************ ****** ***************�**
HINIMUM FEE (520.00 per projact)
•►����1��f��}t�������N�Rf�����i��lriii�ii�it/i�r�ti��}�t�iri�t��fif�}i��i�►��I��trO��if��t�f���������\����M�t�\i�t��f�flf�t•
HEATING SYSTEMS $15.Q(�ench unit
FUEL � n�t. gas, � lp gas, _ oil, _ elect.
� other (specify if combination burner)
EpUIP. (if more than 1 unit per bldg., list each eeparately)
No. Type Btuh Input Drand Name Model No.
� � 9
� f. a. :urnace �0��/73 �l,`���,��� -��� ��L �� S
_ hw boiler �
ur.i: heater
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iw � � _� ..,,��„,
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;� �/`� _3 �� /.s'c� y /C ���j � 1��, c���a��'. -
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MEpT (,Q6S Cp(:CULATtON$ .3 DEPARTMENT OF INSPECTION M[NNEpp�Ol.t$� NID�Qd.
Weatherurips Gu� Coauructan No. la�d�tion
Wiadowi Doon Rcferenu Out.WaU Int.Wall Ceilia� Roof Floor Kind How Applied
es— o I es— 0 19_
Fl.� Room L.en�th Width HeiQht Fl.� Room Lea�th Widt1� Hei�ht
Windows and Doors—Crackage aad Area �; �-` Windowa and DoorF-Cr�cka�e aad Area
Wldth H�I�nt No.ot Lln�al tt. An� ,��-- Wldth H�t�ht No.ot LlaMl tL Ana
�. ot p�n� �t�an• Ilfht� ot er�k �t�J ,��r� yi ` No. e!pan� o[pam Ilials �et or�ck p.tG ,
, F
:� �/� -�, � y
�.- i � � .� �
'l.� L / . 3' j - Coef. Btu Coe£ Bcu
lafiltration In6ltration
Glass ���
Eup.wall p �p.wall
Net e:p.w�ll Net e:p.wall
Int.wall ,� Int.wall
j Ceiling Ceiling
Floor Floor
Total Btu. _, Tocal Btu.
Required sq. ft. E.D.R.or�q.ias.W.A.Leader area Required�q. h.E.D.R.or sq. in�.WA.Leader ares
Fl.� Room l.enath Vflidth Height Fl,� Room I l.en`th Rlidtb Hei�I►t
'Windowa and Doorr--Crackaae and Area Windows aad Doors—Cracka�e and Area
Wldeh He1sAt No.ot Lta�al tt. Ar�a WIdtA Hal�ht� No.ot Llnhl tt. Aru
Ne. ot paes ot p�n� Il�hq ot enck p.!t. No. ot p�n� o[pan� Il�bu ot er►ok p.tt.
�f � �
3 v%� , ��, ,.zi�., %J.}� �'v
��" .3 c< !� .
t�-/� b � �� � _3 CoeE. Btu
lo6ltration 1 .��� 1-r.' 1n61tratioa
Clau � (� �'L' i:� 1�1% Clau
E�cp.wall E�cp.wall
Net e:p.wall �71 /l�' •� (r Net esp.wall
Int.wall Iat.wall
Ceiling ^.11 G` (C �� Ceiling
Floor : � ' � F7oor
Total Btu. � . Total Btu.
Required iq. ft. E.D.R.or�q. ins.W.A.L.eader area Required p. ft.E.D.R.or u�.ins.QI.A.L.eader area
Fl. Room �Lengeh WidtN Heisht F7. Room I L.ea�th Wideh Hei�ht
Window� and Doors—Crackage aad Area Windows aad Doors—Cracka�e aad Aroa
WIdtA HN�ht No.of Lla�al tt. A��� Idth d�At Na ot Llewl[G Ar�a
No. o[pan• o[p�n• Il�pb of araek p.[l. No. st oan� ot as� Il�pt� et Onek q.tt.
Coef. &u Coef &n
lnfiltration Infilt:ation
Glaa Glaa
E:p.wall Exp.waU
Net e:p.wall ' Net e�.waU
lnt.wall Int.wall
Ceiling Ceiling
Floor Floor
Total Btu. Total&u.
Required�q. ft.E.D.R or p.i�s.�IA.L.eatkr�re� A.q�ir�d.q.h.E.D.R or�p,wti R�.A.Leadet arra
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