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HomeMy WebLinkAbout1991-004062 - mechanical �ERMIT a�I�T�� O� ORONO PERMIT TYPE: '5 Brown R<i. South • P.O. Box 66 I`1EC�Hr��d i��AL Permit Number: �rystal Bay, M�nnesota 55323 Date Issued: `�`��`-'�=`� (612) 473-7357 i j ;�.�f'3�. ADDRESS: :;:7'.�a :^��-i�G`i W����i� �E� .i�; -� - - DE C IP Ib : ' '-_- -_ - _ �".� : T4� ri � r�.�-r�� YiE_:7�'j 1 �'.j�3}'j y_„ i l4r=€\ 1 HEAT Il��G '=iY:�1'Et1:=� ��T�' �r ��'��It'J � � �� � . � c�����r�1,� �,cr r�c , 4�},� �� � �"� 1 1! f7 NL ! ! .� L � � � 13.#.,?,��'�'t�VL� � k� NN �,1�4 M ��"� 4 � � grt � `�"�''w � �' ° v1 ui�i� �G'.�f? � v � i ' � i �m u -a �, /j�Jy j � 4 r � �� i �_ � � 9r "��; , i:'.•;::t�/'jV}{lif 11 JttLL1 Vy � � p "r�'�� �'M �� u �'� y i�, vt3 VL�.t'�t� •tJV� � i F,,�iI��JU�r�r �i '�7�i �"/i^a 41�y� � �•�iP o $Yy r�'� re54 4 � � � + � '�, ^� a' q ����° � � �� � � v.� vu� 1.JL �� � � � � fi� a � � � ]� f{(� �t � �a � ,�k�°,�^ - � x :�A 1,,.���.�: Lr��4t�1• �L JLa V1� �� � �,�y `y ;�' s � � � �+n A } r � �G � z r 7�iJ t' i//�1 i �u -,yt &�� �- iit�..ir���f—r t tiY��� �v{1 �� }� �tvI TI��t3S � �. � F , * � ,�„ ,; t...(� {��- r�� �. . %r,: ia4n . _ 7)G��tJV 4V�� 1 I.'4�'�� REMARKS: FEE SUMMARY: �,��� ��� �:=:t_a. :;i z i�1t=i I L I td ________ _��:..a�? , ��=��= C•�z :=�u��cr��r��� �s.�a� `C��t-�,i ���. .,.� . .,•- �_?t..IG�.f i�.�(1 _......�__..----�—ly} �f-} CONTRACTOR: OWNER: _.._ �,F��,I i c a��t. -- �,• _• `�, .T�i.I�t� ti,1i i M i Nt�fE�t�'=;i:i i _�:���._.�.� ��L�.Y, f �.c��+ i�r:� ���t`'t�3�tfi�s_��_j�j �i�� _,.;��- �-,;^;. - ;t;,; ,��;.�.,_, E;�C�EL�_,�j�� r��v ��:�:1� t•i i±a��;�H� �_i'�= ; - -. . _ _ _ - � t ;-.3 • - ���, _ -- , y �., i .N � . ..,m � .., - ., i}J �.�. e• ,� @� ^ . _ _ f_.�—r.�.,F� . _ T t{'f.:.+-�: :":S"ei;'..`•`r�_ ;r �._.r.:_,r _ z�-r, r-,_.r--;.;, :.: :;- .a. _�i�_`i'•# I i� r`i�13:.,^ �j��c_ 'ii�.�t-li.._ s i }� 4'•.�_�4 �1 _!`4 ; _ � ..z z """' �::. ' _ � - 4'`1•; 1:��{_ 3Js�i s r :_.a.l�!`{:__�1 :'�t�_11 i 1 � .._ _���{ •:. ' _.. ' ' — _ _ �. ! . _.. ;-�,t_s: `. -, _ ' „ _ � . �.�{ . T "' 'E,.�y i_ l, ti �'f" r _ _ _ •-. .r- ��i j` i:i_i ' i, T'1 . ��'4 =�.i�i 5,�:; I _�.ii tF L_1!-:�.E.•� 't+?_��� -,.r'i.i.i�- i C..i.i r-;f'+�l.i i-e_��lt.�C_._ _ . Fi_ L.Li „- - : ;_ ,1 -�._,-_ �;_ r - . , � � _, -.r..,.?.•^•�s'`� ."{ _. :��i;�� i'i i ;•;i�;i..`,3_{�N ._�_��i._:.�'�4{�,7 ._ _ti.�i:_ 1'ti.:�s 1,1._, �'s._ 4 1 _ i ;E i i i t�t:1 S.i'-�"i �_ __�_. .... ._ • . � `. .. ... - ._ _ _ ._..; .. ' �� ;� -:f_:::_ J - .G� �� --- APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURF � � n;�, CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT GF.NF.R AT. INFORMATI ON ;� 1. 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. Wtien any r,ew ccnstruction or r_emodeiing is involvc_d, a separate building permit must be obtained. 4. All work must be done in accordance with State Building Code requirements. '� 5. AlI work must be inspected (rough-in and final). Ca�1 473-7357. 24-hour '_� notice required. 6. House Heating Test Record must be submitted before final. �� ':� ,� 1�V$lict�7l.TI�J1V� Comple�e a�.1 l�@iTiS CI'i i.ili5 a'1.j)�ilCa�10i1. Lv^Tipute t�':� �@r'^;�`�. f8�. 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 - Maii to: P.O. Box 66, Crystal Bay, MN 55323 � ******************************************************************************** Please check one: New Addition Repair �1Replace Y� � JOB SITE: - ;,2 � ^ � � > v� " � Zip: � `j� j / Owner's Name: --' . � /- Telephone Number: �/ - :i���a.�y ���ro�s ���- citV. ,�>���'-u� �l�,., � z�p: ��.�;� -; � . . : - � ___�_ �-_ Contractor' s Name: /� � � - - � -���� Tele hone Number L_-;`%-� -53�-�._ `� Mailing Address ,��,� /� City: ,,� S" ./',��,�� Zip: ����' �; *************************************************�** **�************************ =� MINIMUM FEE ( $30. 00 per project) � �� �G'� � � *********************************�*���*** ***********�************************ � �____.� ._.._.. SYSTEM _DESCRIPTION: $15. 00 each unit Heating Systems : Quantity: ;;=� Make: _ � Model: ` -1. •� Fuel. '� ;m Flue Size: Input BTUs : Output BTUs : CFM: + *************************************************************�****************** Cooling Systems: Quantity: Make: _ . Model• ' Tons• . _ _ . . __ , H.Power: �{ ******************************************************************************** ` �—�L,�C,—��'�—t—� �v // �-L vi>i u--��-�.--'�ti..� �•G��-�� � �v � � � MiNNECst4Sy0 � ,.:', r � . . .. � . . ,:� - .. . . . . .. _ - .. . � . . � "� 8 x�;r . . . � � � x : .. . _ Y� . ' . � *WOOD BDRNING EQIIIPMENT $15.00 each unit Wood stove with flue Wood combination or add-on unit Factory fireplace with flue Factor Fireplace (s) freestanding Masonry _ Wood Stove (s ) franklin, other BrandName Model No. Mfgr' s Min. , Clearances, side ! rear , iain. f��.ze 3ia. Total ******************************************************************************** VENTILATION $15.00 each project No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. Other rans: Locations cim Total ******************************************************************************** FIIEL STORAGE (must be approved by fire marshal) " $30. 00 Permanent/Temporary Fuel oil, gallons underground inside outside LP Gas, gallons Other Gas opening ******************************************************************************** GAS LINE INSPECTION High/Low Pressure $15 . 00 ******************************************************************************** P$RMIT FEE CALCQLATION 1. Total of above Installations or Minimum Fee ($30.00) $ 2. State Surcharge. Add the State Building Code Division Surcharge to each permit $ . 50 3. Postaqe and Handling on all mailed-in agplications, S 1.50 4 . TOTAL PERMIT FEE add lines 1-3 above $ 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 st�tements made on this application are complete, t�ue and correct. A�plicant' s Signature: Date: �� � z= ; . q �� ; � E � ; � � � �� �; ; � � � 4 � � � r � r . k�:. . . . . . �� . ,� � . . .. {F1�.�:. i .� . . . . � .. f. . . � � � . �I. f�.. � . , . . � � � . , . � .. � .t. � �- . . . . � . . . . .. . . . . . .. ' .� , . - . .� ��, � � . . . . . �. � . . . . . . .. : , , �;, s. . . . �, . . . . . < , . *. . . . . _ , ,� . €. � . . � : l�. ... .. � .... . . . _ . . . . �,.., .. ..�. -.._....