HomeMy WebLinkAbout1992-004320 - furnace/ac/fireplace "15
PERMIT
_ CITY OF ORONO �, �l PERMIT TYPE: �( u �I�.A�
1335 Brown Rd. South • P.O. Box 66 Permit Number: i�5��`;�'t3
Crystal Bay, Minnesota 55323 Date Issued: C3�IS:�.�.i�tt
_, ,_ _
(612) 473-7357
SITE ADDRESS:
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DESCRIPTION:
Ft 1RhIAGE,!�G?F I FiEF'LAC�E
1 HEA7I NC; =,Y'�TEM'; Ft�EL NATt 1Ri�L GA';� MAk::E LEl�IVi=�X
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i VEhIT I LAT I�iN
1 GA'� L I NE I IV:3FEC:T
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: - A��Iic�nt. -
C:ft��1TTEA�� :Ti7HN
:����C� '�;ILVE� VIEW aR
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�DE�i'=:I G(VED #iEREE�Y �E�:,��E_T`.� �'�Rh1 I _,,I_ _ _ - - __ __._._-- -_____ --- - --__ __--
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TH� !J� _ � f►N Ti� I�t�1��::E i'HE fiEAL ihtl='R+�1VEt1Eh1T, �
'w;F'EC:I�I EG �rhi�> t�C�;E�'�� T:�: �,}3-1 fiL.L �e��i��:: I(� '��T�;T�:i C:�:iMF'L I AP�lC�E W I TH ALL C:I TY t;tF �+
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �i��(l'
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CITY OF ORONO � � � -�`�
APPLICATION FOR MECHANICAL PERMIT "` "�
GENERAL INFORMATION
�
1. You may apply for mechanica2 permits by maiz or in person at the City `�
offices. Mailed-in permits are subject to the postage and handling fees �;
shown beiow.
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). CaII 473-7357. 24-hour
notice required. ��
6. House Heating Test Record must be su�bmitted before final. ;
CNSTRIICTIONS Complete aIl items on this application. Compute the permit fee. '��
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3ign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.
Cf you have questions, call 473-7357.
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aALK-IN PERMITS apply at City Offices, 1335 South Brown Road (Cty. Rd 146) �;
�IAIL-IN PERMITS enclose fee - Mail to: P.O. Box 66, Crystal Bay, MN 55323
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?lease check one: _�New Addition Repair Replace
TOB S I TE: o�65b ���pe,e p�e� ,(�,� Z i p: ,�'3Slo
S y
)wner' s Name: Sol„� C�j��a� , el phone Number: y7o�L�3 Y�/l/D
Zailing Address. 3�o Je�s�1�w i.�i�� Cit����s� Zip: r
:ontractor' s Name: S„c„� C,eo2�e,a�, TeZephone Number:
sailing Address �,g,� City: Zip:
�*******************************************************************************
iINIMUM FEE ($30. 00 per project)
�*******************************************************************************
�YSTEM .DESCRIPTION: $15. 00 each unit
[eating Systems :
►uantity: /
[ake: 1,,,,,ox
[odel: /
'uel: N�Tu,c.�l Gits
'lue Size: ��
nput BTUs: �
�utput BTUs: �,�
'FM: �:�
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ooling Systems:
�:
uantity: �
ake. �
odel:
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ons. 3 � �..T�/ :'
�
.Power.
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*WOOD BIIRNING EQIIIPMENT $15. 00 each unit
�.°=:' Wood stove with f lue
Wood combination or add-on unit
Factory fireFlace w th flue
Factor Fireplace (s ) freestanding Masonry. ��j
�nV; Wood Stove (s ) franklin, other
�` BrandName Model No.
�� Mfgr' s Min. , Clearances, side , rear , min. flue dia.
Total
ri` ********************************************************************************
VENTILATION $15.00 each project
,� No. _� Kitchen Exhaust ducted recirculating cfm
�` No. �_ Bath Exhaust (must be ducted outside) cfm ;
„;;:
��; No. Other Fans: Locations cfm ;
� Total ��
µP��..' ****Ilc*7F*7k*1k*7Y**�C*�c****ic7t****7F7k***71'7f7k**********IC*7k*7k******!t*****7k**7k***�c*7k***7t**7t
a�' FIIEL STORAGE (must be approved by fire marshal) ��
a�, •
���- $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
�`� ************************************************************x*******************
PERMIT FEE CALCULATION
� 1. Total of above Installations or Minimum Fee ($30.00) $
� 2 . State Surcharge. Add the State Building Code Division
� Surcharge to each permit $ . 50
� $ 1.50
3. Postaqe and Handling on all mailed-in agplications,
4. TOTAL PERMIT FEE add lines 1-3 above $
The undersigned hereby applies to the City of issuance of a Mechanical Permit,
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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 a
y?°; statements made on this application are complete, true and correct.
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AFplicant' s Signature: Date: s�9�
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