HomeMy WebLinkAbout1992-004838 - fireplace � -� -. PERMIT
CITY OF ORONO � ' �ERMIT TYPE: ����:H�—ify},F�•NI
1335 Brown Rd. South • P.O. Box 66 Permit Number: �'��a��=�=��_�
Crystal Bay, Minnesota 55323 Date Issued: ��i�`t}�=�``_��
(612) 473-7357
SITE ADDRESS:
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REMARKS:
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APPLICANT%PE IGNATURE ISSUEDBY:SIGNATURE ��.�j `
1
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CITY OF ORONO
APPLICATION FOR MECHANICAL PERMIT
GF.r7F.R AT. INFORMATION
l. 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 F
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 y
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 . AII work must be done in accordance with State Building Code requirements. `
5 . Al2 work must be inspected (rough-in and final). Cal 1 473-7357. 24-hour :
notice required. y
6 . House Heating Test Record must be submitted before final.
INSTRIICTIONS Complete aIl items on this application. Compute the permit fee. �
Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. "
If you have questions, caI 1 473-7357.
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 Repair Replace
�,
JOB SITE: �� �Y i �E.���l i��L�G`'�l�-� �� Zip:
Owner' s Name : Telephone Number:
Mailing Address : City: Zip: -; �:
Contractor' s Name: /� _=, .�� �;���- �.-��✓ Telephone Number: ; `%S -��j;�j
Mailing Address /_�,'y�G� GL'��-= z-:3r1�- �/v(.?. City: ��-i'. �.;,�,-;;»�f,,,-� Zip:,�� =5C� 3'
***************************�**************************************************
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:
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*WOOD BIIRNING EQIIIPMENT $15. 00 each unit
Wood stove with flue
�Food combination or add-on unit
actory fireFlace with flue
Factor Fireplace (s ) freestanding Masonry
Wood Stove (s ) franklin, other
BrandName �'�;-' ��- ��`��. Model No. ��+`� /�� E� y;�
Mfgr' s Min. , Clearances, side/%, '� , rear ;_�, min. flue dia. �'�
� Total
************************�*******************************************************
VENTII�ATION $15 . 00 each project
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside ) cfm
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
********************************************************************************
GAS LINE INSPECTION
High/Low Pressure $15. 00
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PERMIT FEE CALCOLATION
1. Total of above Installations or Minimum Fee ($30.00 ) $ �
2 . State Surcharge. Add the State Building Code Division
Surcharge to each permit $ . 50
3 . Postage and Handling on all mailed-in applications, $ 1. 50
4 . TOTAL PERMIT FEE add lines 1-3 above $
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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Applicant' s Signature:
"/ � .i '���� Date:�/��%-'��