HomeMy WebLinkAbout1992-004817 - mechanical �, PERMIT
C�TY OF ORONO PERMIT TYPE: MEC:HANIC:AL
1335 Brown Rd. South • P.O. Box 66 Permit Number: 004817
Crystal Bay, Minnesota 55323 Date Issued: 11/2-3/92
(612) 473-7357
SITE ADDRESS:
645 TONKAWA RD
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P . I . N. ,' 0-5-117-21'3-33-0001
DESCRIPTION:
1 HEATING SYSTEMS FUEL NATURAL ,GAES MAKE EMPIRE
MODEL RH-2.5 "v INPUT 25,000
1 GA's LINE INSPECT
CITY OF ORWO
FINAKE OFFICE
1313.14000L' J
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REMARKS: ��tt�[[]J'�� 01 CEM jj1.0
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FEE SUMMARY: 1A1"k
Ease Fee 30. 00 MAIL IN ------__ `-I--E0
Surcharge ----------1-5Q Total Fee $32.00
Subtotal $30 .50
CONTRACTOR: - Applicant. - OWNERS:
C:R+�NSTROMS HTG & AC: INC: 39203800 TEMPL ISREAL
7201 W LAKE ST 2324 EMER=Y ON AVE
ST LOUIS PARK MN 55426 MINNEAPOLIS MN S54t�S
(612) 920-3800
THE UNDERSIGNED I GNED HEREBY REQUE::T PER i I'r::;I i N TO MAKE THE RE�,L i'MPROVEMENT'=:
SPE I F I EES AND AGREES TO i DOALL W11R :: IN STRICT COMPLIANCE 'WITH Al ; i T`�' 1-1
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ORl_tNO ORDINANCES AND STATE OF MINNE-SoTA BUILDING, REQ JTREMEW"C �
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APPI If:ANT/PCGkAITCC CI(,NATI IRC ICCI Ir-n GV-CIf-AIATI IGC
CITY OF' ORONO
APPLICATION FOR MECHANICAL PERMIT ,t
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, fRMI3. 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.
Siq_n 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: riL ; Tnnknj,,� Pj Zip:
Owner' s Name: Temple-Isreal Camp Teko Telephone Number:
Mailing Address : 2324 Emerson Ave S City: M1nnPnpn1iS Zip: 55405
Contractor ' s Name: Cronstroms Heating & Air Conditionin,g Telephone Number: 990_.1g' o
Mailing Address 7201 W Lake St City: St Lolli.,; PArk Zip: 55496
MINIMUM FEE $30 . 00 er project)
SYSTEM DESCRIPTION: 15 . 00 ach unit
Heating Systems :
Quantity: 1
Make: Empire
Model: RH-25
Fuel: Nat Gas
Flue Size :
Input BTUs : 2.5,000
Output BTUs :
CFM:
Cooling Systems :
Quantity:
Make:
Model:
Tons :
H.Power:
*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
Brand Name Model No.
Mfgr' s Min. , Clearances, side rear min. flue dia.
Total
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
FUEL STORAGE (must be approved by fire marshal )
$30 . 00 Permanent/Temporary
Fuel oil, gallons underground inside outside
LP Gas , gallons
Other Gas opening
GAS LINE INSPECTION
High/Low Pressure $15 . 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 Permii
agrees to do all work in strict accordance with the ordinances of the City ar
the regulations of the Minnesota State Building Code, and certifies that al
statements made on this application are complete, true and correct.
Applicant ' s Signature: c Date:Ae
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