HomeMy WebLinkAbout1992-004779 - gas log � PERMIT
�CfTY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 t�iEC�HAN I C:�:L
Permit Number. i;�rq.77��
Crystal Bay, Minnesota 55323 Date Issued: �. �.:f t���.t���:°
(612) 473-7357 �
SITE ADDRESS:
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FEE SUMMARY:
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CONTRACTOR: — R��F=} ic�x-�t� — OWNER:
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APPLICANT/ RMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO ���
APPLICATION FOR MECHANICAL PERMIT � �� ,, '�t�;,�� � a �������`
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GENERAL INFORMATION
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 :s�;
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 obtained.
4. All work must be done in accordance with State Building Code requirements.
5. AII work must be inspected (rough-in and final). Call 473-7357. 24-hour '
notice reguired. `�
6. House Heating Test Record must be submitted before final. >
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INSTRIICTIONS Comp2ete aIl items on this application. Compute the permit fee. ;=;
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Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. 'r�
If you have questions, call 473-7357. ��'
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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
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Please check one: New Addition Repair Replace
JOB SITE: iG�� '� �?_� �'� Zip: �S-�+1
Owner' s Name: Telephone Number:
Mailing Address City: (;�1.����-- Zip: -� ;
Contractor's Name: - � �- ��.r - Teleph Number: ?''-�.:�� ' k`
Mailing Address °�r� ` ' ,s� ✓' ,_ �" City: %�_ Zip: c- -^ �,
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MINIMUM FEE ( $30.00 per project��v
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SYSTEM D$SCRIPTION: $15. 00 each unit
Heating Systems:
Quantity:
Make• l_ ..
. � _ _ � __. - .'_,:
Model: - �
Fuel:
Flue Size:
Input BTUs: %;!:' , C'i � _ _ . _ _ ;.
Output BTUs: * -
CFM:
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Cooling Systems: �
Quantity: ��
Make: _ _ . - - . �,:
Model: �
Tons: M
H.Power: _ �:
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*WOOD BIIRNING EQIIIPI�NT $15.00 each unit
Wood stove with flue �
Wood combination or add-on unit
Factory fire�lace with flue
Factor Fireplace (s) freestanding Masonry--�
Wood Stove (s ) franklin, other �
BrandName Model No.
Mfgr's Min. , Clearances, side , rear , min. flue dia.
Total
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VENTILATION $15.00 each project
No. Ritchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm :
No. Other Fans: Locations cfm
Total
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FIIEL STORAGE (must be approved by fire marshal)
' $30. 00 Permanent/Temporary
Fuel oil, gallons underground inside outside
LP Gas, gallons
Other Gas opening
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GAS LINE INSPECTION
High/Low Pressure $15. 00
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PERMIT FEE CALCIILATION
1. Total of above Installations or Mini.mum 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 applications, $ 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
statements made on this app lication are complete, true and correct.
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Applicant' s Signature: ���_/� � ��� !,r'�n� Date: �� � " � .�—
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