HomeMy WebLinkAbout1992-004541 - mechanical �
-� : ERMIT
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1335 Brown Rd. South • P.O. Box 66 Permit Number: i at��.��.#,
Crystal Bay, Minnesota 55323 Date Issued: i�::�t;��./��i
(612) 473-7357
SITE ADDRESS:
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DESCRIPTION:
1 HE�tT T Pd�; '=:Y=�TEM'r� �:FM 1 ,:;i ri� F�!s� �_:I�� 7
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FEE SUMMARY: ""• • '`
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CONTRACTOR: — A��F�1 i c�c7-�t- — OWNER:
D I i'7ER 1 Nr: :;47;3��55=� FA�;LEY }::ATHY
;�;:�i� Tir�WER FiC} ;�;i� E,fi���Wl� �;U �
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✓ A'r'f ,ANT PER ITEE S NAT E ISSUED BY SIGNATURC
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CITY OF ORONO
APPLICATION FOR MECHANICAL PERMIT �
GFNERAT. INFORMATION
' 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 YOU RECEIVE A PERMIT. WORK MUST NOT
BEGIN UNTIL THE PERMIT CARD IS POSTED ON TFiE 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. A1 1 work must be inspected (rough-in and final). Cal I 473-7357. 24-hour
notice required.
6. House Heating Test Record must be submitted before final.
INSTRIICTIONS 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 - MaiZ to: P.O. Box 66, Crystal Bay, MN 55323
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" Please check one: New Addition Repair �_Replace
JOB SITE: :r� t ��� i' ! Zip: � � -
Owner' s Name: Telephone /Number:
Mailing Address - City: Zip:
Contractor' s Name: � TeZephone Number: <
- Mailing Address ' City: �< � Zip: �
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MINIMUM FEE ( $30. 00 per project)
********************************************************************************
SYSTEM DESCRIPTION: $15. 00 each unit
Heating Systems :
Quantity: � „
Make: �'�/i >�'�1�.��,i;�, r��� _
Model. �';�i ;l�- f�i�
Fuel. <
Flue Size:
Input BTUs. i�. `�
Output BTUs " _
CFM: �; ,, ;-
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Cooling Systems: '
Quantity: !
Make. ' � �1�rUc
Mode I. _�•�� „ �/��
Tons. /�
H.Power:
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� .
( *WOOD BIIRNING EQIIIPMENT $15. 00 each unit
° Wood stove with flue
< Wood cQmb��ation or add-on unit
Factory fireFlace with flue
Factor Fireglace (s) freestanding Masonry
` Wood Stove (s ) franklin, other
Brand Name Mode 1 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
***************************************************************�r****************
j 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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f
GAS LINE INSPECTION
High/Low Pressure $15.00
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PERMIT FEE CALCULATION , ,�y
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 . Postaqe and Handling on all mailed-in applications, S 1.,50
4. TOTAL PERMIT FEE add lines 1-3 above $ ,. �, ` i _
The undersigned hereby applies to the City of issuance of a Mechanical Permit,
agrees to do al 1 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 c�smplete, true and correct. -
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Applicant' s Signature: ��`� ''��.� Date: � , � ���' --
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