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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: ����� L:I LVE�C V I EW D�, L'�V � F. I . N. : �_-i i t:-�;.:-�.i-�:rC�ty9 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 hf�tC�EL F't i���:� 1 A I Ft Gi�iVD I T I i�ilV I NG T�iN'� :�t 1 f'� i VEhIT I LAT I�iN 1 GA'� L I NE I IV:3FEC:T I F-rep lczce� : : ��� ��� �.�� � � ���� �� ������ � ra���� ` � �� �� ��'� �.�� � �`��, � r���'✓"�r��.: 4 ,��"^4�`�'�r�, ��"�������,,��;�7�� ,�yroa�r r ,*���;. ��v ,y y�" l�-�..x��r �,�����> l,� ���r�"�`��i��� ��� . �� y r� �� I � i' w'� h z'��^'��.2"W'����iti�� � td � vh�t' ' , � ��� �� � � � �� , ��� ��� £�a+ .# y� � " ' k /" ! 4 4 �}�/ � � � 4'� "R�+�a. i '�. ,� �,�' M�^"A a 4 L N�� ��`�� ��/�� M��'e�r� +r ru�� �� r u o4yM1ri,� �' - M1���rv'� s � � . '� � , µ }� . � = ��M.,�'�1� ..-��r„r�lL ,i.t� A�u��a�i�ni�.�"�1N���� �� . REMARKS: FEE SUMMARY: E a�� F�� �7�. «�y :;ur c haa�3z ----------�-��t i �+���Z �C� ���•�t•' 417! L� 41'I�UTtV �'r�ihi��C tiL'CTrC 11 l!t L VI t 14L �:i',�a�rlrl��r� �i J1dJ �Y V iii fi�aieif i.�t.v�v �c ' i ti�.:t:�v�r�vvi! �'i � V}.L VLFF a MV �YEt',k' T� �`�.�� ,������ui-7���r�� 'r��l 1�f�.�1'f'TV IaVVi PSC}j �V��GL� � L�.J.�1tst%J�L CONTRACTOR: OWNER: - A��Iic�nt. - C:ft��1TTEA�� :Ti7HN :����C� '�;ILVE� VIEW aR i�fi��IVi_l �� ��:��F. �E�f�y 47t�—F.F.,�:: �DE�i'=:I G(VED #iEREE�Y �E�:,��E_T`.� �'�Rh1 I _,,I_ _ _ - - __ __._._-- -_____ --- - --__ __-- __ _- - _ _ 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 �+ ����t��+l���� i�ND I�lf�l�1C:E�..� ��iD '=ir�TE <<ti= h1 i t�ltd��:;:iTA E;t�I LD I�IG i=:�i�,lE �i�ti�4 t I FiE�'1EfVZ''_� . '� 1 � �.����� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �i��(l' �`i::s�`t�i #Y� . � ':,T:'�� ,� �, �� �� � ' . � 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. '�� k`� 3ign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. Cf you have questions, call 473-7357. .,w ,. 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 t******************************************************************************* <y;: �°.z ?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: �:� ******************************************************************************* '<°', ooling Systems: �: uantity: � ake. � odel: �� ons. 3 � �..T�/ :' � .Power. F �''A'�''�''k'�''A''A''k'k�''k'k'A'*'A''A''A'�''�''A''A''A'*'A'�'*�''A''�.�''�.*'�''k'k'A'*'�''A'�'*'A'�''A''�.*'�''A''k**'�''k'k'k'A'*'k'k'A''k'A''k'k'k'k'k'A''A''A'*'k'A'*�''A''A''A' :.'.�..�5 � .. . � . . � � ��. � � .. . � � �� . . � . : ��. . � . . � . � . . . � .. _ . � �_.' 1# . . . . . �� � . � . . - � . . . . .. . � . �'iS��: `f . � . } ���� -.\ j £.. 4 Z � , :.f' '�� Y^4.s. 1 � _ . . . . . .. . ... � . . . . . . .. . ..'... . . .. .... .. . ...... 5.:�� . , - .r .. ... i . . T� ����,�a .. r .-�,.� . . , .. . - , . . .. .�'�. 1. . . . � . � . .. �. . i ��� � i �� � � �� 1 .� .. # � , , _ *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 ******************************************************************************** � 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, R:; 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. i;�� � AFplicant' s Signature: Date: s�9� ��� � � i ' f ; � i , i - � � ' � s �:; cr� a.: ', t �, 1 " �� � ��. , '�.�� � � .. � 4� ; ' � 1. 5. a t # , � . ... . :�'3,$� . S �, �e � w ,�:, � . . . �. ���.�R�� � � � .. � . . . . � . .� � � � � � . . � . ��1 �� F � � � �: r s,l , . ._ . .. .. ... . '�t, .�..s' . �, � ... . . . . . . . � � . _ � � - . � . . . - .. '�=�s