HomeMy WebLinkAbout1991-003799 - a/c , -4 PERMIT
C1 OF ORONO PERMIT TYPE: M��:HANIC:AL
1335 own Rd. South • P.O. Box 66 Permit Number: O'-'�' 9
Crystal Bay, Minnesota 55323 Date Issued: 07/02-5/91
(612) 473-7357
SITE ADDRESS: '
2165 WATERTOWN RD
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P. I .N. ; 03-117-23-21-0023 f
DESCRIPTION:
1 AIR CONDITIONING MAKE LENNOX MODEL HS 1 9-5l i
TONS 4
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REMARKS:
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FEE SUMMARY: 41 GFX .54
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Ease Fee 3Cr. t�C� MAIL IN ---------I=Q TL 3 .44
: urti-�:xrge ----------I-5Q Total Fee $3 NI8T-ThtW YOU
Subtotal $30 . 50 #217334 001 a T111:42
47'43141
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:��t7CiGTI •. HTG u AC: CO 3.;$1f�i�t�y 0AWN ROBERT
810 WENTWORTH AVE C: 2165 WATERTOWN RD
MINNEAPOLIS MN 55420-2814 ORONO MN 55366
(612) 881-9000
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO '2 h �
APPLICATION FOR MECHANICAL PERMIT '} 3
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 Replace
JOB SITE: 9 //vs /Zd Zip:
Owner ' s Name: Telephone Number:
Mailing Address: City: Zip:
Contractor' s Name: ;;, }, Telephone Number:
Mailing Address MS SQ City Zip
MINIMUM FEE ( $30. 00 per project
********************************************************************************
SYSTEM DESCRIPTION: $15 . 00 each unit
Heating Systems :
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs :
Output BTUs :
CFM:
********************************************************************************
Cooling Systems:
Quantity: i
Make:
Model:
Tons:
H.Power:
********************************************************************************
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*WOOD BURNING EQUIPMENT $15. 00 each unit
Y a
Wood stove with flue .
Wood combination or add-on unit
Factory fireplace with flue
Factor Fireplace (s ) freestanding built-in
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 cfm
No. Bath Exhaust (must be ducted outside) cfm
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
GAS LINE INSPECTION
High/Low Pressure $15 . 00
PERMIT FEE CALCULATION
1 . Total of above Installations or Minimum Fee ($30.00) $ ,19,06
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 $ 3,-t.UZ�
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 R
the regulations of the Minnesota State Building Code, and certifies that all
statements made on this application are complete, true and correct. '{
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Applicant' s Signature: r Date: ,1Y
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