HomeMy WebLinkAbout1993-005634 (mech) P�RI'�I T
. CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 ' Permit Number. �`"=�`��":�;';.�a'.
Orono, Minnesota 55356-0815 '-"-'�����-���
(612) 473-7357 Date Issued: _ _ _. V - ;
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APP�ICANT/PERMITEE SIGNATURE II ISSUED BY:SIGNATURE
CITY OF ORON
APPLICATION FOR MECHAN$CAL PERMIT
G L�PIERA T. I NF O RMAT I ON
1 . You may apply for mechanical permit by mail or in person at the City
offices. Mailed-in permits are subje t to the postage and handling fees
shown be2ow.
2 . Permit cards will be sent by return ail 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 N THE_ ,JOB. .SITE.
3 . When any new construction or remodeli g is involved, a separate building i
permit must be obtained.
4 . AI1 work must be done in accordance wi h State Building Code requirements.
5 . All work must be inspected (rough-in nd final). Call 473-7357. 24-hour �
notice required.
y . House Heating Test Record must be subm tted before final.
:NSTRIICTIONS Complete al 1 items on this ajpplication. Compute the permit fee. F
7ign and date the certification. INCOMPLET APPLICATIONS WILL NOT BE PROCESSED.
if you have questions, cal 1 473-7357. �
�IALK-IN PERMITS apply at City Offices, 1335 South Brown Road (Cty. Rd 146)
;�iAIL-IN PERMITS enclose fee - Mail to: P.O Box 66 , Crystal Bay, MN 55323 ^
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a
Please check one: �_New Addition Repair Rep3ace
JOB SITE: L % Si` ��i' . Zip:
Owner' s Name: � � Telephone Number: ��'y,�'-��'j 7,�
Mailing Address p .�,.��t ty: ���y�..e��711� Zip: , -;,�3�[,,�
Contractor' s Name: �, Telephone Number: �Sc.i,S'- 3�7G Z
Mailing Address ��2 y��s ��+� �,q-�-� dlv.'� itY= �1f.✓��71/Li�-� Zip: ,�`j'y3Cx�
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MINIMUM FEE ( $30. 00 per project) r
*�***************************************** ***************************�********
SYSTEM D$SCRIPTION: $15 . 00 each unit
Heating Systems: '
Quantity:
Make:
Model:
Fael:
Flue Size:
Input BTUs:
Output BTUs :
CFM:
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Cooling Systems:
Quantity:
Make:
Model :
Tcns :
H.Power:
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;
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OCT �. g �i9�3
*WOOD BIIRNING EQIIIPMSNT $15.00 each unit
Wood stove with f lue
Wood combination or add-on unit
�_Factory fire�lace with flue � '"� ''
., -.
Factor Fireglace (s) freestanding MasQnry
Wood Stove (s ) franklin, other
BrandName '« Model No. 5 �/
Mfgr' s Min. , C1 arances, side � z�' , 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 outsidei •:f•��
No. Other Fans: Locations cfm
Total
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FIIEL 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 $15. 00
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P$RMIT FEE CALCULATION
1 . Total of above Installations or Mini.mum Fee ($30.00) $ ��• �O
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
The undersigned hereby applies to the City of issuance of a Mechanical Permit, 3
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 applicatio are comglet , true and correct. '
�__._`:
� � �J Date: �J: �-
Applicant s Signature: