HomeMy WebLinkAbout1991-004021 - mechanical PERMIT
I CITY OF ORONO PERMIT TYPE: M :HANICAL
1335 Brown Rd. South • P.O. Box 66 Permit Number: C}� C� 1
Crystal Bay, Minnesota 55323 Date Issued:
10/16/91
(612) 473-7357
SITE ADDRESS:
47: 5 TONK AV I EW LA
CH
P. I .N. . 07-117-23-32-0004
DESCRIPTION:
FORCED AIR
1 HEATING SYSTEMS FLUE SIZE 4" FUEL NATURAL GA:
MAKE TEM P$tAF MODEL NUGE 12S
OUTPUT 10(x,U(10 INPUT 125,000,
CITY OF ORONO
131B 44F OFFICE N
k
" 01 CEN 3 00
#
13517004
REMARKS:
01 LEN 1�50
1044lt4 #
'4 01 CEN .50
CHECK X
FEE SUMMARY:
#223530 0001 R014.41
1OT,61191
Ease Fee $30. 00 MAIL IN
Surcharge ----------I-5Q Total Fee $32.00
Subtotal $30 .50
CONTRACTOR: -- Applicant -- OWNER:
ROYALTON HTG b COOLING 34248333 33 KELLY MICHAEL
4120 85TH AVE NO 4735 TONS AVIEW LA
BROOKLYN PARK MN 5544:3 ORONO MN S5354
(E.1 ) 424-8333 472-739
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APPLICANT/PERMITEE SIGNATURE 1057ISSUED BY:SIGNATURE !
1
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
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Please check one: New Addition Repair Remodel
JOB SITE: q2 LV 'I o t`K r4, uy (--94 Zip: s
Owner' s Name: 111itilkeL Ke /I as Telephone Number: n-
Mailing Address: City: Zip:
Contractor' s Name: Telephone Number: VI!V- �,
Mailing Address y , �C , City: /�,^hl�'��Y, �F Zip: c
********************************************************** ** ********** **** **
MINIMUM FEE ( $30. 00 per project)
********************************************************************************
SYSTEM DESCRIPTION: (heating & cooling) $25.00 each unit
#1 #2 #3 #4
System Type: "10
t-
Quantity:
T
Make: � s1
Model:
Fuel: Q�k �, A►
Flue Size: �r� I '^
Input BTUs: /7,S- V,p Q
Output BTUs: 1 c7 o 00 G
CFM:
Tons :
H.Power:
Gas Opening:
*WOOD BURNING EQUIPMENT $35 . 00 each unit Wood stove with flue
$30 . 00 each unit Wood combination or add-on unit
$40 . 00 each unit Factory fireplace with flue
Factor Fireplace (s ) freestanding built-in
Wood Stove ( s ) franklin, other
Brand Name Model No. _
Mfgr ' s Min. , Clearances , side rear min. flue dia.
Total
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VENTILATION $5 . 00 each exhaust fans, (bath, kitchen,
attic, etc. )
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside ) cfm
No. Other Fans : Locations cfm
Total
********************************************************************************
FUEL STORAGE (must be approved by fire marshal ) $20 . 00 Permanent
$10 . 00 Temporary
Fuel oil, gallons underground inside outside
LP Gas, gallons
Other
********************************************************************************
GAS LINE INSPECTION
High/Low Pressure $30 . 00
********************************************************************************
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
3 . Postage and Handling on all mailed-in applications, $ 1. 50
4 . TOTAL PERMIT FEE add lines 1-3 above $
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 applica ion are complete, true and correct.
Applicant ' s Signature : Date :