HomeMy WebLinkAbout1992-004795 - mechanical r
44 PERMIT
' ,ITY OF ORONO PERMIT TYPE: MEC:HANIC:AL
1335 Brown Rd. South • P.O. Box 66 Permit Number: 00479S
Crystal Bay, Minnesota 55323 Date Issued: 1 I j 1_;/9
(612) 473-7357
SITE ADDRESS:
:3775 Ti_rG�� FAD
J8
P . I .N. : 17-117-2:2-34-0049
34-i yi X49
DESCRIPTION:
1 HEATING SYSTEMS FUEL NATURAL GAS MAKE LENNOX
MODEL , 021Q-3-100
3 VENTILATION MAKE 1 JTCHI2- BATH
1 GAS LINE INSPECT
CITY Or DROND
FlVACEE
t;1 CEv 45.00
01 CEN .50
REMARKS:
FEE SUMMARY:
Ease Fee $45.00
Surcharge ----------I-5_'
Total Fee $45. 50
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CONTRACTOR: - ARRIica it• - OWNER:
BBC: HEATING INC 34718272 KOLLENSERG VON
4125 SUNSET DR 3775 TOGO RD
SPRING PARE; MN 55382 WAYZATA MN 5539 1
(61'2) 471-827
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO
APPLICATION FOR MECHANICAL PERMIT
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City
offices. Mailed-in permits are subject to the postage and handling fees
shown below.
2 . Permit cards will be sent by return mail the same day the application is
received. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT
BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE.
3 . When any new construction or remodeling is involved, a separate building
permit must be obtained.
4 . All work must be done in accordance with State Building Code requirements.
5. All work must be inspected (rough-in and final). Call 473-7357. 24-hour
notice required.
6 . House Heating Test Record must be submitted before final.
INSTRUCTIONS Complete all items on this application. Compute the permit fee.
Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.
If you have questions, call 473-7357.
WALK-IN PERMITS apply at City Offices, 1335 South Brown Road (Cty. Rd 146)
MAIL-IN PERMITS enclose fee - Mail to: P.O. Box 66 , Crystal Bay, MN 55323
Please check one: New Addition Repair ✓ Replace
JOB SITE: 377$ T GO Zip: X539 /
Owner ' s Name: 06A1 Telephone Number:
Mailing Address: City: Zip: —
Contractor' s Name: 0- yG�A)G_��� Telephone Number: //- 7/-6Z--77—
Mailing
/- 7/- L'77 -
Mailing Address ft)71 Jf�IySe-?- ,�/�., City: T;0121x) ASK Zip:
LMINIMUM
FEE ( $30. 00 per project)
ESCRIPTION: $15 . 00 each unit
„y•5
Heating Systems :
Quantity:
Make:
Model: GZ/ Q3 -/QO
Fuel : /J S
Flue Size: -,7�" pVC,
Input BTUs : /O D, 0VV
Output BTUs :_ q y. a 0-0CFM:
Cooling Systems :
Quantity:
Make:
Model:
Tons:
H.Power:
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*WOOD BURNING EQUIPMENT $15. 00 each unit
Wood stove with flue
Wood combination or add-on unit
Factory fireplace 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. / Kitchen Exhaust ✓ ducted recirculating //0 cfm
No. Bath Exhaust (must be ducted outside ) 1e0 cfm &-4- ,
No. Other Fans: Locations cfm
Total
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FUEL 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 CALCULATION
1. Total of above Installations or Minimum Fee ($30.00 ) $
2 . State Surcharae. Add the State Building Code Division
Surcharge to each permit $ . 50
3 . PostacTe and Handling on all mailed-in applications , $ 1. 50
4 . TOTAL PERMIT FEE add lines 1-3 above $ ".7 7
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 licatio are complete, true and correct.
2__
Applicant ' s Signature: Date:
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