HomeMy WebLinkAbout1998-011035 - 3 fireplaces ,.� PERMIT
CITY ��r ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 I=i�_��:�-;�::fi°a:}:�;=._
Crystal Bay, Minnesota 55323 Permit Number: �;i 3 t_;:^..�
(612) 473-7357 Date Issued: � _`,.,`�; ,;,�;;`;
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY: � v I
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CONTRACTOR: ._ �;�:�,; ; ,,�a.�;. -- OWNER:
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APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE
1 1-23-1 99 �34A�1 FROh1 F I RES I DE CORNER 612 633 �884 P. 2
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C�Y 4F QRONO APPLICA'I"�O� FOR 1�'�:.C1iAI�'�CAL P�trgL'
Bo� 66 (275Q Kelie}� Pazltway} '
Crvstal Ba}�, h�1 55323
f=FAtFR At �F�ORIV�AT�ON
1. You may apply fo: mecbanical permiu b�� mail or in person at the Cicy offices. Applications K�itI be
Teviewed and a persnit will be issuc,� wiinin 2 workin� days.
?, permit cards will be stni by rctura mail afl�r a re��ieK� is coznpl�ted. PER�1I7'S ARE NC3T VALID
U1�TIL YOU RECENE A PERMIT. WOR}. MUST �OT �BGTN U1�TIL TH� PE MtT CARD TS
POSTEn ON T'�E JOB ST___.
3. Mcch�snical esi ns - Compte�c c:al�ulaLions, details and specificacioas are rcquired for each beacin�,
vcntilation,humidificazion-dehumidificatiou, and xir coudiuoniAg installation including hcat losslbeat eain
calculacion, design cemperan�res, equipsnenc zatings and identification as to rype, manufaccurer and model.
D�ta s�all be presented on form gro��ided. Identificaciaa of and specificacions for wa�er heating cquipmenc
shai2 also be pro��ided_
4. Whcn azry new consuuction oz reuzodeliag is xnvolved. a separatt buildin�permii must be obcaiued-
5. All worl: inust bc done is� accordance with thc t3niforrn Mechanical CodetScace Buiiding Codc
requiremcan.
6. All worl: mus� be inspectcd (rough-in atid fenal). Call 473-7357. 2�-hour notice required.
?. House �ieatiug Trsi Record mus� be subraitted before fival_
ln�t� Coznplete all �tems on this application. Comp,l�e ih� �ersnic fee. Si�n aad daie �s� cenification.
XNCOMPLETE APPLICATIONS wILL NOT BE PROCESSED. lf you have questioas, caJl 473-7357.
Please cbeck one: rew Addition Repair Replace ��'�'���'-�'+
� Residenaal Commercial
sos s�: G ' � �F� -
pwner'sl�ame: [Z}� ,�2.fo�.Ze�N Telephane�iumber:
N�ailing A.ddress: Cit��: Zig:
Contractar's�Tame: TelephaneNumber:
Mailin.gAddress� Cit3�: Zip:
2T00 N.Fairview Av�
SYSTEM D�SCRIPI'ION 61�����113
HEATING SYSTEMS
�Quanury:
Malce: w
Ivlodel: �-�
Fuel: !�c t �-�
Flue Size:
Input BTUs:
Ourput BT�,7 s: �a,aa�
CFM:
COOY.XI�IG SYSTEMS
�uantic��: .
Make:
Model:
Tons:
H. Pawer
11-23-1998 9:���! FROr-1 FIRE�IDE CORNER 612 6�3 8884 P. �
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W�C QD Bt7��VG EOU�PMEN�
� Wood sto�e with fluc '
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masozu'y
Wood Stove (s) Franklin, other
Braad I��ame 3��ode1 No.
Mfgr's Min., Clearances, side , reax , min. ffue dia.
Total
�rE.N'X'I.�,ATION
No. Kitchen Exhaus� ducted recircutating cfua
No. Bath Exhaust {must be ducted outside) cfm
No. Ocher Fazu: Locations � cfm
Tatai
FLTEL Sx'O GE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons under�round xnside outside
LP Gas: callOns
Other Gas opez�izlg
PERMIT F�� CALCULATI(JN
1, 1.2�% of �ontract Price* or Minimum �ee (�35.00)
..33a�� X .o��s � �i.as _
(contract pric.�)
2. State Surcharse. ** Add the State Buildin� Code Division
Surcharge to eaclt permit. x .0005 �
(Goatract price)
or �.50, whichever is greaiez
3. PoscaQe az�d Handlin� (4n1�� xnail-ia appticarioris) � 1.50
4. TOT1�1L PERMIT FE.E (Add lines 1-3 above) $
� CONTRACT PRJCE or IOB COST meaus the actual or esumacai dollar azuount charged for the permiRed
work inc�ud'vng materials, labor, profit, and or.bcr fviced costs. Ic is t2�e aznount to be chazged to the
customer for the worl:dona. If auy materiai, equigm�nt, Iabor.or installation are fuinished by tt�c ownei,
cemanc or any ot3�er parry the reasonabl� marber va�ue of such items must be added co the estimated cost
or contrac.�pric�foz permis fee purposes. In rhe event tbat there is a disputc on the am.ounc of the job cost,
ths Ciry may reqvcst che submission of a sigaed copy of ch� acma] conuacc.
"^` 'I�e STA'I'E SURCFiARGE is .4005 af thc conuact pnce under 51,000,000 or �.SO - whichever is
greacer. For Yatvations over 51,000,000 call thc Depanment of Inspeccional Services for thE p:icc.
'�e undersi�ned hereby applies to the City for issuance of a Mechanical Permit, aarees ro do
a�l work in sirict accazdanc� wich the ordinances of the Ciry and the zeaulatior�� of the Minnesota
State Buildirig Code, and certifies that all statements made an thzs application are complete, true
and correct.
Applicazzt'sSzgnat�re: �d, ; � Date: ti
Ap�roved By: Date: