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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: ;�::;_;i_� i�E,I N�D�:�i�t WA'� �H �. I .f�. ' �r:='-117—:�::—:�::�—i td f 1� � • DESCRIPTION: � � �;E�`�I�. t��F�"� A��' fi���I � NERT�I�C� �_:�:=�TEi�'� . � �_ ; 1 1 � - , , , , - � f'FFY f� t]�i.tA}t� REMARKS: - � _ - - .�31�� t�IC� � , - ' � St�a.Cc�.ffSfif� •P�1aUi! � rAry''�. FEE SUMMARY: Q� �F� •`� .��1�'f�c� E:�=_.� ��� �=��y,c�t� ��y-tA I L Z i� ------ G�V 1 a�'1 _��.0�y ,s � . g/ �4# :�S�j���is1�''-�� �.a.�s} !����� F�L�L �'{�'�p��J{}p!L py� r�•r�� ����___�__ jC�Gr�r�i�i�iJ�YR• /� '_�I���i�=��•etl �:_ti,ciij �+I� �-f s , a�a�'.�a�'.a�� irVu� Is�}� 7��r.��d�� �i`�J�r�T'z I I C4N��RR�t�� C�=� ,���:���.7�.; C��fi� .�t��H� ; _•;zF��;F ['il 1�'1�1�1�°I �}�� '=: ;�;:,'-_:t 8 �i�Z�1�i��.�� ��� '�T L��c��:: �AFik:: �1�! �5��h �if�i:��li t t�#�! �5:1�� �L i.i� '�L,�-������ " - ' _ � T ' ' "_ . . ' " } ,` 3��. ����C��'ti���L�-��'��� ��I�C�:��a'�' �,°�l.a��:�+`�'::; �`���I�:::�I��� T�_� �t�l'�:E �'N� �s'E#'��. I��F`f*`�#»t�}���E�f I��� ` �=�'E�:�'1=I�� �a��I� t���`E��,: �"�� _�!a �L.t� +����};° I�� '=i`�a T g::T �;.:�t���`�.I t�t�l�� +�I T€� t�LL. �.I T'�" i i�' �, . ��.�.�����E eifi�I�'������E::� �i��3Cy �'�i�i�'�: '���" fi��'"f��l�:����e�"� ��t J I��a I t�� t':���C�E F�Ei�IlT fi�;.;.�iE�T:,;, i � � ; �' �1 - , (� .�. __:__ � - °', � �_ �_� �. r_ � � _�_._� __. __ ._�.{ �' -- _.��;�__. . ___ _ + __e�A , �t�- APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � . ��� � . � � � � 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: _ ' � Output BTUs: CFM: . :� . . . � � �***,�***********�r*****�t�t*�t***********�r*******�******************� ***********,� Cooling Systems: � - , Quantity: Make: _ Model: '. Tons: - � H.Power: � *************�****�*****�t*********�**�*****************************************t . �� 1 - �l a.,�-�--� �4 � , � < . *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 � � �� � �