HomeMy WebLinkAbout1995-007602 - mechanical PERMIT
C�';,�Y OF ORONO PERMIT TYPE:
� 2;5G Kelley Parkway- P.O. Box 66 Permit Number: ' `-��`'-�
Crystal Bay, Minnesota 55323 Date Issued: - -
(612) 473-7357 - - -
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURt ISSUED BY:SIGNATURE
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1
` ' CITY OF ORONO
APPLICATION FOR MECAANICAL PBI2MIT
NOV 30 1994
GENERAT. 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
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. All work must be inspected (rough-in and final). Call 473-7357. 24-hour
notice required.
6. House Heating Test Record must be submitted before final.
INSTRIICTIONS 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 - Maii to: P.O. Box 66, Crystal Bay, MN 55323
******************************* ************************************************
Please check one: New �Addition Repair Replace
�rC�B SITE: .��r=�� Si�/'�i.1/V�� �PIU� Z�P� �S-"�8�
�wner's Name iV' � �f2r Telephone Number y�'J/-�j'75�
Mailing Address � .-Lltii`- -ill'� City: 5'pp/,v���72�� Zip:���y
Contractor' s Name: � ,C ? ' Telephone Number:
Mailing Address 'D F . � City: �`�L���� Zip: ,� ��
*******************************************�************************************
MINIMUM FEE ($30.00 per project)
********************************************************************************
SYSTEM DESCRIPTION: $15.00 each unit
Heating Systems:
Quantity:
Make. %C.L ) �,Q�,.� , _
Mode 1. .�'d'
Fuel: 1v��-.
Flue Size:
Input BTUs:
Output BTUs:
CFM:
***************************************************************************�**�*
Cooling Systems:
Quantity:
Make:
Model:
Tons:
3.Power:
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� 1
1
_ �
*WOOD �?7RNING E�vIPMENT $15.00 each unit
Wood stove with flue
Wood combination or add-on unit
Factory fireplace with flue
Factor Fireplace (s) freestanding built-in
Wood Stove (s ) fr�anklin, other
Brand Name Mode I No.
Mfgr' s Min. , Clearances, side , rear , min. flue dia.
Total
*******�******�*****************************************************************
VENTII,ATION $15. 00 each project
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
*�**********************�*********�***********************�*********************
FIII�L. _STORAGE (must be approved by fire marshal)
$15. 00 Permanent/Temporary
Fue2 oil, gallons underground inside outside
LP Gas, gallons
Other Gas opening
******************�r�*�*****************************�*********************#******
GAS Y�INL INSP$CTION
High/Low Pres.sure $15.00
*****�*********�****************�**�********************************************
Pffi2MIT FEE CALCDLATION /� -U�'
1. Total of above Installations or Minimum .Fee. 0._00) $ ��•�
2. State Surcharge. Add the State Building Code Division
Surch'arge to each permit $ _ .50
3. Postac�e and Handling on alI mailed-in applications, $ 1.50
4. TOTAL PERMIT FEE add lines 1-3 above $ ,,3��r�
The undersigned hereby applies to the City of issuance of a Mechanical Permit,
agrees to do alI work in strict accordance with the ordinance� 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.
�
AppZicant's Signature: Date: �l �� �