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HomeMy WebLinkAbout1985-8207 - built-in fireplace ,�ENERAL PERMIT CITYPERMITNO. 820� ' CIT� OF ORONO � �_-�� _� P.O.BOX 66 Date CRYSTAL BAY,MINNESOTA 55323 (612) 473-7357 Owner �r ���� � Address / �.��� �_7��I 51C�1�� , Contractor � - `�� ��� Address l 7 � � < �� l_ City License No. �' � - State License No. REMARKS AND SPECIAL CONDITIONS 71..1�C'=(-�C���'' C 1 I���l �. > � ��I� �t 1 I�� — 11(1 �t 1 i�'P_f_7��C�._C_C�s PERMIT TYPE AND FEE: �'�NEW ❑ ADDITION ❑ REPAIR Inside Plumbing (#fixtures_) Fee $ Water Well Fee $ Water Meter (Size_) Fee $ Mechanical Equipment Fee $ ��, c�c� Meter# Remote# Moving /Lifting Buildings Fee $ Municipal Water Connection Fee $ _ Land Alteration (Excavation, Fee $ ❑ Grading, Filling, etc.) ❑Copper Mui�icipal Sewer Connection Fee $ Fire Fee $ ❑ PVC ❑Cast n Sprinkler System (Fire) Fee $ MWCC SAC Charge Fee $ Other: ��� 1 � �� Fee $ �y_ On Site Septic System Fee $ After-the-fact Investigation Fee $ ACKNOWLEDGEMENT TOTAL The 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 striclly limited in scope to the work, activity or improvement specified; that this permit does �� J'i not grant any authority to do work or activities requiring Total Amount Paid to City Fee $ ��r sepazate permit approvals; and that this Permit does not ' grant 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 heaith department regulations, and shall be This permit is not valid until the proper fee is paid and sublect to inspection, approval or rejection by the c�cy. it is approved by an authorized City Official. Whenever so ordered, the undersigned agrees to correct any work found to be in violation of the conditions of this permit. Signature f Applic �pt Signature of City Official : .'7 , �'� � Gil.��_- �� � � �Z� �.I�, Code:White—File Copy Canazy—Inspector's Copy Pink—Finance Copy Gold—Applicant's Receipt , CITY OF ORONO - 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 abtained. 4 . All work must be done in accordance with State Building Code requirements. 5 . All work mus,t be inspected (rough-in and final ). Call 473-7357. 24- hour notice required. 6 . House Heating Test Record must be submitted before final. INSTRUCTIONS Complete all items on this application. Compute the 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 *************************************************************************** JOB SITE ����; � ��,_, t�i' � L�Z r`= Owner ' s Name -�'c.; •- -�,�, ,, ,_ �,< r� Telephone Number Mailing Address r,�,=a,� ��: �G��_ ,�,�_,� K��, . Contractor ' s Name r; , - tt ;� X , , ,, , �-�: Telephone Number �j��i_��y .3 Mailing Address C��� ' ,� �.-���-�� ��.�:%� ;� _5;- � �;�. <-fc_rr� ,�k-�,� i� �i�> `>`��/-�C� *******************k**************�************ *************************** MINIMUM FEE ($25. 00 per project ) *************************************************************************** HF.�ITING SYSTEMS $20. 00 each unit FUEL nat. gas, lp gas, oil , elect. other ( specify if combination burner ) EQUIP. (if more than 1 unit per bldg. list each separately) NO. TYPE BTUH IMPUT BRAND NAME MODEL N0. f .a. f urnace hw boiler unit heater solar htg. equipment Solar Equipment $50. 00 each system Total ********************************************�r****************************** , AIR CONDITIONING $20 . 00 each unit Central Air Separate Central Air System - w/furnace Brand name Model No. Tons Total *************************************************************************** *WOOD BURNING EQOIPMENT No ctiarge Wood stove with flue No charge Wood combination or add-on unit $30. 00 each unit Fac ory fireplace with flue Factor Fireplace (s ) freestanding �built-in Wood Stove (s) franklin, other BrandName ���: �E_. ;.�.-y Mode1 No. �"�j'-��y°�'�- Mfgr ' s Min. , learances , side , rear , min. flue dia. " Total ,��_� <<z> *************************************************************************** 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 *�,t*���;�x,t*******�r*�******************************************************* SPRINRLER SYSTEMS Minimum $20 . 00 each system Number of Heads No. of Risers $2 . 00 per head *************************************************************************** PERMIT FEE CALCULATZON - l. Total of above Installations or Minimum Fee ( $25. 00 ) $ r1 �'` 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 $ ,_�� ��i� 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 �°�%��� � ���f ��t�2- //'``���- � Date * WOOD BURNING STOVES Please note that there is no longer a fee for wood burning stove permits. We do however sti 1 1 require a permit to be issued. If the permit application is mailed in we do require a $1.50 charge for postage and handling.