HomeMy WebLinkAbout1992-004893 (Mechanical) � PERMIT �
� CITY OF ORONO PERMIT TYPE: ������������- ;
1335 Brown Rd. South • P.O. Box 66 s_rt:a�.:=��:: ,
Permit Number:
Crystal Bay, Minnesota 55323 Date Issued: ��'��='�,���
(612) 473-7357 �
SITE ADDRESS:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO
APPLICATION FOR MECAAPIC�L PERMIT
GENFRAT. IpgOg�TION
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 YOII RECEIVE A PERMIT. WORR MOST .NOT i
BEGIN iTI�TIL THE. PERMIT CARD IS POSTED ON .THE_.JOB. .SITE. '
3. When any new construction or remodeling is invol ved, a separate building i
permit must be obtained. � ;
4. All work must be done in accordance with State Building Code requirements. �
5. AI1 work must be inspected (rough-in and final). Call 473-7357. 24-hour
notice required.
6. House 8eating Test Record must be submitted before final. �
INSTRUCTIONS Complete al 1 items on this application. Compute the permit fee. i
Sign and date the certification. ?�NCOMPi�ETE �PPLICATIOPJS WILL NOT BE PROCESS�D. �
If you have questions, call 473-7357. i
WALR-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 �
****�t****�****�****�x*****************��r*****a��r***************�x****�*************
Please check one: New Addition �Repair Replace �
, �
JOB SITE: �3 8� W Zip:
Owner's Name: Telephone Number: �
Mailing Address: City: Zip: i
Contractor's Name: ��(� Telephon Number: ��.(�2.�rj '
Mailing Address City: � �_ �oU`t�S �N!'�ZJr�U Zip: �
*******�r************* ******************* ***********�r*********************� ***
MINIMDM FEE ($30.00 per project)
*�t*******�r**************,��*********�t********************,�***********�r*****�***�t
SY$TEM DESCRIPTION: $15.00 each unit �
Heating Systems: ,�g _�_ !
Quantity: �i
Make: �
Model: �
Fuel: _ '
Flue Size: _ �
Input BTUs: _ '
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Output BTUs:
CFM: . :� . . . � �
�***,�***********�r*****�t�t*�t***********�r*******�******************� ***********,�
Cooling Systems: � - ,
Quantity:
Make: _
Model: '.
Tons: - �
H.Power: �
*************�****�*****�t*********�**�*****************************************t
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*WOOD BIIRNING EQIIIPI�NT $15.00 each unit
Wood stove with flue
Wood combination or add-on unit
Factory fireFlace with flue
Factor Fireplace (s) freestanding �asonry-
Wood Stove (s) franklin, other
BrandName Model No.
Mfgr's Min. , Clearances, side , rear , min. flue dia.
Total
*************�r****�r*******�r**,�*************************************************�
VENTILATION $15.00 each project
No. Ritchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
******�**********************************�*�************************************
FOSL 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 $15.00
�****�****************�**************�r***�***************,x�*******,r*****�r*******
P$RMIT FEE CALCIILATION • ��
1. Total of above Installations or Minimum Fee ($30.00) �,� $ � � �b
2. State Surcharge. Add the State Building Code Division
Surcharge to each permit $ .50
3. PostaQe and Handling on all mailed-in applications, $ 1.50
4. TOTAL PERMIT FEE add lines 1-3 above $ 3 a. o a
The undersigned hereby app lies 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 app lication are complete, true ancl correct.
Applicant' s Signature: � � Date: l a.-�3 v- �'a
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