HomeMy WebLinkAbout1992-004440 - mechanical CITY OF ORONO PEP�IVJITPERMIT TYPE:
; 4C:HAtj I C:AL
1335 Brown Rd. South • P.O. Box 66 Permit Number: t_1_:�i t_}
Crystal Bay, Minnesota 55323 Date Issued: t:}i=.i 4 9
(612) 473-7357
SITE ADDRESS:
3785 WATERT OWN D
P . N. ; 32-1 i — —:_;=;—i}i}t}
DESCRIPTION:
AIR CONDITIONING
1 AIR Ci iND I T I IN I NG MAl::E _TAN I TRi iL Ti 3 its'
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REMARKS:
FEE SUMMARY:
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Bas--e Fee
(A)
Surcharge
=+U1C}�Iarge' ----------$_50 r•TTV fir Ij4,nAj,i!
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CONTRACTOR: OWNER: - Applicant. -
BROOKS __TAMES
e — WA I ER I OWN RD
IRi_iNi_► MN 55:359
THE: (-JNDER'::,*I GNED HEREBY REQUESTS PERM IS'_i ON TO s MAKE THE REAL IMPROVEMENTS
'-PEC I F I ED AND AGREE., TO F)C-i ALL WORK IN ' TRIC:T COMPLIANCE WITH ALL CITY CCF
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OR'DINANCE':-5 AND STATE OF MINNESOTA BUILDING CODE REti!i j I REME NT'=3 .
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE tQ�r
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. y .
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. i
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 F'
Please check one: X New Addition Repair Replace
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JOB SITE: �7�� �> e {w �N r��a_� ► a +r .. _ Zip: Ss
Owner ' s Name : j-/4:0 I3R-O S Telephone Number: 12_ 277777-77 • ,
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Mailing Address : opc City: VkZkPI Zip:S's 37,]
Contractor' s Name: QUJNX-'R Lw;j o,LL«TI'D Telephone Number:
Mailing Address ScNme, a.S Ma-,L; City: IyVW,(A c Zip: z
MINIMUM FEE ( $30. 00 per project) W 0144 AD" -
SYSTEM DESCRIPTION: $15. 00 each unit
Heating Systems :
Quantity: +lK #
Make:
Model:
Fuel: ;, .
Flue•Size. ����- •�...
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Input BTUs :
Output BTUs :
CFM:
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Cooling Systems:
2uantity: I A�0,
Make: Tcoj u L_
Kodel : ✓
Pons: 'Z�`{
H.Power: OUo
aUFOfING E2UTELLM $15.00 each unit
Wood stove with flu$
`woad combination or adder-on unit
Factozy fireplace with flut
Factor Fireplace (s) freestandingMasonry
Wood Stove ts) fzanklin, other
Brand Name ' Model No.
Mfir ' s Min. , Clearances, s e _ rear , min. flue die.
Total.
VENT UA ION $15. 00 each project
Kitchen Exhaust ducted recirculating cfm
Nei. Bath Exhaust (mus be ducted o�uu side) cfm
No. _ Other Fans: Locations cfm
Totalr"
FU#. lSTORAGE (must be approved by fire marshal )
$30. 00 Permanent/Temporary w4
Fuel oil., gallons underground � inside outside
LP Gas, gallons
other Gas opening
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G" Za" INSPECTION
pligh/Low Pressure $15. 00
FRIT FER, CALCULATION
1. Total of above Installations or Minimum Fee ($30.00) $
State Sur ehargre. Add the State Building Code Divis on
SOU—c�ia.rge to each permit $ .50
3 . PostAge and Handli
.nj on all mailed-in applications, $ 1.50
4. TOTAL PE]. TT FEE add lines 1-3 above ��
The undersigned hereby applies to the City of issuance of a Mechanical Permit,
agreets to coo all work in strict: accordance with the ordinances of the City and
the regulations of the Minnesota State Building Code, and certifies that all
statownt8 made on this flP licdti.on4, eQmp lete. true and corze .
Applicant' s Signa6turat v�(` , i" l�(�o �O
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