HomeMy WebLinkAbout1992-004258 (mechanical-install gas range) PERMIT
�• . ��TY OF ORONO PERMIT TYPE: ;�;��.�;���,���.H�_
1335 Brown Rd. South • P.O. Box 66 Permit Number: ;'t?��`'�=�
Crystal Bay, Minnesota 55323 Date Issued: ij�.,'t:}'�:;;`'��
(612) 473-7357
SITE ADDRESS:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �t�.�
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CITY OF ORONO
APPLICATION FO,�t MECHANICAL PERMIT -;/ ��7 .Z
GENERAL INFORM�TION
1. You may apply for mechanical permits by mai2 or in perso� 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 VAbID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT
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. A21 work must be done in accordance with State Building Code requirements.
5. All work must be inspected (rough-in and final). CaII 473-7357. 24-hour
notice required.
6 . House Heating Test Record must be submitted before final.
INSTRUCTIONS Complete alI 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 - Mail to: P.O. Box 66, Crystal Bay, MN 55323
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Please check one: New Addition Repair ��Replace
JOB SITE: �� �/ c� z t:.�1 �1 -�. �� � � '/ ZlP: �.� : .
�:
Owner' s Name: ��•,.,. - Telephone Number: - � -- . �
Mailing Address = . � City: Zip:
Contractor' s Name: . , Telephone Number: • � ,
Mailing Address � z. i City: ' Zip: -
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MINIMUM FEE ( $30. 00 per project)
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SYSTEM _DESCRIPTION: $15. 00 each unit
Heating Systems: .
�uantity.
Kake. �� ��� x.. -
�iodei. � � - f
L� L!
Euel. • � -
E'lue Size: �
Input BTUs : � � . ,
�utput BTUs � � ' �
ti
�FM:
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�ooling Systems:
�uantity:
Kake:
Kodel:
rons:
Ei.Power: _
k**************ik*�k***�Ir�ir*�k***�Ir1k**�t*1F*�k******�k�ir***�F************�k*****�k************
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*WOOD BIIRNING EQIIIPMENT $15 . 00 each unit
Wood stove with �flue
Wood combination or add-on unit
i4. Factory fireFlace with flue
Factor Fireplace (s ) freestanding built-in
;aood Stove (s ) franklin, other y
BrandName Model No.
Mfgr' s Min. , Clearances, side , rear , min. flue dia.
Total
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VENTILATION $15. 00 each project
No. Ritchen E:�haust ducted recirculating cfm �
No. �saL'n Exnaus� inust be d�:�t�d �u��iae? 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
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GAS LINE INSPECTION
High/Low Pressure $15 . 00
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PERMIT FEE CALCIILATION
1. Total of above Installations or Minimum Fee ($30.00 ) $ ,:: - �
2 . State SurcharQe. Add the State Building Code Division
Surcharge to each permit $ . 50
' 3 . Postaqe and Handling on all mailed-in applications, $ I.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 c�n thi5 application are conple�e, trua and cor�e�°t.
Agplicant' s Signature: �' - - � - � Date: -�