HomeMy WebLinkAbout1992-004499 - remove oil tank PERMIT
j.��'-'i' OF ORONO PERMIT T PE: �EC:HA�IIC:AL
1335 Brown Rd. South • P.O. Box 66 Permit Numbe : ;�{���'��
Cr stal 5a , Minnesota 55323 C��%f 17j'�t
y y Date Issued:
(612) 47 -7357
SITE ADDRESS:
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DESCRIPTION:
REC���VE f i?i�C? t;AL TAP�F��:
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REMARKS:
FEE SUMMARY:
E���� Fee �:�:i�, i�i�
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATUR _
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CITY OF ORONO ` �
APPLICATION FOR MECHANICAL PERMIT � `
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GENERAL INFORMI�TION �:;
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 con�truction or remodeling is involved, a separate building j�
permit must be obtained.
4 . AlI work must be done in accordance with State Building Code requirements. `�
5. AI I work must be inspected (rough-in and final). CaI 1 473-7357. 24-hour �
.;s
notice required. �`;
6. House Heating Test Record must be submitted before final. ;`x�
,�
INSTRDCTIONS 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 - Mail to: P.O. Box 66, Crystal Bay, MN 55323 �
**it***iF*�t�F*tIF*ir�Fit�k******�k*�t**it****it**yt*�t�t***tk�h*�k�t*ltirit*ititir�t�tir*�ricir�fc�k***�tiricit*ic*�t*itirx t�
Please check one: New Addition Repair Repla�e r� �'
JOB SITE '��S l�� �� ��� Zip � � � ����1, �
;
Owner' s Name: Telephone Number:
Mailing Address: City: Zip:
Contractor' s Name: �fy �S'o� x_C_ Tele hone Number:� �- %�.;�1 ��
Mailing Address ��y Y , ' � c, ' City: � �>- �� /.'..� ZiP:,,z�.;,rl,� <�
**�************************* ********************* ********************�*******
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MINIMUM FEE ( $30. 00 per project) �`
*yF*******i�*******icir********ir***itic**�F************�F�c�k***�tiE**1F**�Ik***'*�t**�k*********:+x .�
SYSTEM DESCRIPTION: $15. 00 each unit �
��
Heating Systems: '�i
:�
Quantity: =�
Make: �
Model:
Fuel: ��
Flue Size:
Input BTUs: �
Output BTUs: �
CFM: �
********************************************************************************
Cooling Systems : �
Quantity: x�
Make: �
Model: �
Tons: z�
H.Powe r: `£'
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� ' *WOOD BDRNING EQIIIPI�NT $15.00 each unit -
�'�` Wood stove with f lue
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�A" Wood combination or add-on unit �r" r>
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� Factory fireFlace with flue af
�" Factor Fireplace (s) freestanding Masonry -
'� Wood Stove (s) franklin, other
BrandName Model No.
� Mfgr's Min. , Clearances, side , rear , min. flue dia.
a�
� Total
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��� y y y yyyyyy y y yyyyyyyyyy .{. yy. yy
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°�� VENTILATION $15.00 each project
��:
�'- No. Ritchen Exhaust ducted �recirculating cfm
° ` cfm t. ..
% No. Bath Exhaust (must be ducted outside)
s�
�� No. Other Fans: Locations cfm
. .
ry�� Total
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�� FUEL STORAGE (must be approved by fire marshal)
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��. $30. 00 Permanent/Tem orary
xFuel oil, ���vv 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 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 rt"
�'`' 3. Postaqe and Handling on all mailed-in applications, S 1. 50 �`�� ,,
�` 4 . TOTAL PERMIT FEE add lines 1-3 above S
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� 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 an
f�;4
'>° the regulations of the Minnesota State Building Code, and certifies that a
ry;; statements made on this appl�ation are complete, true and correct.
��. � / Date: ���'l"` / �� r
. . AFplicant s Signature:
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