HomeMy WebLinkAbout1998-010085 - fireplace � PERMIT
�Y OF ORONO PERMIT TYPE: t��i:�r::;��i �:�;�
2750 Kelley Parkway- P.O. Box 66 - -
Crystal Bay, Minnesota 55323 Permit Number: '-'�`-'t-`�=�� _
(612) 473-7357 Date Issued: �j�!'���i�'�:�
SITE ADDRESS:
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REMARKS:
FEE SUMMARY: _ _
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APPLICANT/PERMITEESIGNATURE ISSUEDBY SIGNATURE
4—�3-1998 10=34A��1 FR0�1 F I RES I DE CORNER 612 633 888d P_ d
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R����4`�.i �;�;�� � � tg?3
' �p�ca�o� �ox hr�;cf��c�z,��rr
CyYT`I' OF ORpNO ,
Bo�: 66 (2750 Kelley Par�."way) '
�rystal Bny> N�N 55323
i
C;ENERAL XNFORI�LATT Oh
lI. You may app?y fo� mechaaical peruuts b�� mai! or in person at che Ciry offices. Applica�ions wiLi be
` �-cviewcd and a permll will be issued within 2 worktn� days.
�, Permit cards wil; be sent by recurn rnail afcer a re��iew is �ornplacd. PERMITS AF'.E NOT VAL1D
� UI�'TIL YOU RECENE A PERMIT. WORK MUST NOT B�GI1�` UI�TTL "FHE PERMIT CARD IS
; POSY�n ON Ti-IE JOB ST't'E.
3. Mechanical Desirns - Co�plete calcula�ions, details and specificacions are rcquired for c;ach hea�in�,
� ventilacion,humidification-dch�midificacion, 2ad air eondt[ioniug insialiaiio�ivcludin€beat loss/heai gain
� ca�culation, design tcmperatures, equipment racin�s aad idencificaLion as to type, manufacturer and modc:I.
! Da.a shall be preseneed on fQrm providcd, Jdcnufi:acion o:and sptcifications for wa�cr t�eatiug equipmeDc
� shall also be pro�ided.
4. �'hen any new coastruction or remodeIing is invo}ved, a scpara�c building pormit must be obtai�ed.
�. p�,� work must be dvne ia accordance wich the Uniform Mechanica] CodcJSzace Buildiag Code
j requirements.
6. All wor1: must be inspected (rou�-in and final). Call 473-7357. 24-bour notiee required.
House Fieaciug 7est Record musz be submiued bcfore fma�.
�
nstructions Compiete a1J itcros on tbis applicacion. CompL►e ibc permit fee. Si�n and daie �t�e eenificacion.
�NCOMPLETE APPLICATIOI�S WIL�. NOT BE PROCESS�D. If you kaavc questions, call 473-735'7.
Please check one: New� �i Addicion Repair Replace
j � Residcnual CommerciaJ
��s s�:��aa ��o�. ziF� _
Owner's I��ame: �ed Faesidf Telephone i�cumber:
1�vlaiiing Address: . ^� Cit�•: Zip:
�ontractor'sNarne; �r,,n� c.;.,�;.,.�,� _TelephoneI�iuuiber:
ailingAddress: Roseville MN 55113 �zt3'� ZjP�
i 12/ 25b
��EM UE�CR3P�'IO?�T
I
HEATIrzG SYSTEMS
Quantiry:
Make:
Model:
� Fuel:
i Flue Size:
; Znpu� BTUs:
' Qutput B�Us:
� C�M:
COOLING SYS7'EIv�S
Quantiry:
Make:
; Model:
', Tons:
' H. Power
�
I
�
�
4-03-1998 10.34ar� FROr� FIRESiDE CORNER 612 633 8884 P. 5
�
woon �vxNIIvG Eov�P3v�
�%ood stove with f�ue '
Wood coznbiaation or add-on � l�-) �� �a4��?2__
Factor�� fzzeplace with flue
Factory Firep2ac� (s) �reescanding Masonr}�
_ � — Wood SLOve (5) �ranklitl, Othei
Brand I�Tame,���,t�rn Model No. 7��'c�
Mfgr's Min., Clearances, side , rear , min.. flue dia.
Total
'4'E?�'TILAT�ON
No. Kitchen E�haust ducced recirculatin� cfzn
No. Bath Exhaust (must be ducted outside) cfm
; No. Other Fans: Locaiions cfm
� Totai
FCT�L STORAGE (I�UST BE APPROVED BY FIRE MARSHAL)
; Insialla�ion RemovaI
: Fuel oii: gallons underaround inside ouuide
LP Gas: gallons
Other Gas opening
PERMIT FE� CALCUT.A'Z'Z�N
1. 1.25% of Contract Price* or Min��nam Fee lS3a.(t0�
c��[)� � x .0125 � ��, oca
(contract price)
2. Scate SurcharQe. ** Add the State Building Code Division
Surcharge to each permit. ��X�� x .0005 � _ �- 1 � _
i (coniracz pricc)
or $.SQ, whichever is greater
, 3. Postade and Handlina (Oz1ly maii-in applicacions} �
�_ ?'OTAL PERM�T FEE (Add lines 1-3 above) S .�1�.c2�
* CONTRACT PRiCE or JOB COS7 means tbe acruaI or estimaud doilar amoun�chazged for the permitted
work including macerials, labor, profit, and other fixed cosu. It is tbe amou� co be charged to che
custom�r for the work done. If any macezial, eguipment, 3abor, or i,nstallation are furnis�ed by the owucr,
cenanc or an.}�oth�r pazry the reasoaable mazke� value of snch itezns must be added to thc �scimaced cost
or conzract price for permit fee purposes. In the evenc that there is a dispute on the amounc of the job cost,
the C�ry may request the submission of a sigaed copy of the actual contract.
** The STAT'E SURCHARGE is .0005 of tbe contract price under SI,OOQ,004 or 5.50 - whichever is
greacer. For valuacions over SI,OOO,OQO calI the Departm�nt of Inspectiona] Seivices for thc prir�.
The undersioned hereby applies to tine Ciry foz issuance of a Mechaz�ical Permit, a�rees co do
all woz�: zn scrict accosdance with the ordinances of rhe Ciry and the re�ulation.� 4�the Minnesota
Stace Building Code, and certifies chaz all statements inade on this a�giicatiQn are complete, true
and correct.
Applicant'sSi�nature: �P��, �1�,,,� _ Date: �',� a �
Approved By: Date: