HomeMy WebLinkAbout1992 - 004275 - gas line inspect PERMIT
4 . CITY OF ORONO PERMIT TYPE: MEC:HONICAL
1335 Brown Rd. South • P.O. Box 66 Permit Number: 004.:.;.1.; _
Crystal Bay, Minnesota 55323
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Date Issued:
(612) 473-7357
SITE ADDRESS: 4760 WEST BRANCH RD
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P . I .N. > 06-117-23—:::3-000
DESCRIPTION: GAS DRYER
1 GAS LINE INSPECT
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FEE SUMMARY: VAL VA }' • i!
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Base Fee $30 . 00 MAIL IN --tit,,-:5(1 i]L1T.;.. . 2..—:''..'
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Sub t _ta1 $30 .50
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BOX 1165 4760 WEST BRANCH RD
MINNEAPOLIS MN 55440 ORONO MN .55:364
(612) 342-5326
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CITY OF ORONO `
APPLICATION FOR MECHANICAL Il'ERf4IT --
GENERAL
GENAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City
offices. Mailed-in permits are subject to thempo,staind 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 I` Repair Replace
JOB SITE: Lk (QCT S ���C {� Zip:
Owner's Name AQ-- c ecjc-4' r- Telephone Number: - -
Mailing Address : 'L-- City: Zi :
Contractor' s Name:,.0nr- �q SL O Telephone Number: - ,`�/
Mailing AddressQb ` c>/___ c( k,cx City: (5 Zip: 5 ZY,-
***************************************************** ********************* - *
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:
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
BrandName 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
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GAS LINE INSPECTION
High/Low Pressure $15. 00
**********icer l******** ****•******************************************************
PERMIT FEE CALCULATION
1. Total of above Installations or Minimum Fee ($30.00) $ 3o29 (9---(9
2. State Surcharge. Add the State Building Code Division $ .50
Surcharge to each permit $ 1.50
3. Postage and Handling on all mailed-in applications,
4. TOTAL PERMIT FEE add lines 1-3 above $ :39---c _
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 application are complete, true and correct.
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u er�� ��4a., Date: `�—/�-j�'
Applicant' s Sign �:,,,: -a } < ; . . _ , -, ;;, .s .
4.
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