The URL can be used to link to this page

Home My WebLink About1986-8677 (repair- furnace) GENERAL PERMIT CITY PERMIT N� 8 s�'� CITY OF ORONO P.O. BOX 66 Date �" / � �) �' CRYSTAL BAY, MINNESOTA 55323 (612)473-7357 � .� Owner ,�� • -.� -�_. Address �-v ��_�� ` _��(� ��%1.. „ Contractor �� " `�� t � ��'�� Address � � �`� �� 1��-� �� City License No. /'r � � / City � �� `�� J � -� REMARKS AND SPECIAL CONDITIONS ( j� '��1�'1��C� c�o �— r�� _ Q �.�, � h PERMIT TYPE AND FEE: ❑ NEW ❑ ADDITION � REPAIR ❑ REMODEL Inside Plumbing(#fixtures ) Fee $ Water Well Fee $ Water Meter(Size ) Fee $ Mechanical Equipment Fee $ �� 'Z% Meter# Fireplace/Wood Stove Fee $ Remote# Moving/Lifting Buildings Fee $ Municipal Water Connection Fee $ Land Alteration(Excavation, ❑ Copper ❑ Grading, Filling etc.) Fee $ Design Review Fee $ Municipal Sewer Connection Fee $ Fire Fee $ ❑ PVC ❑ Cast ❑ Sprinkler System (Frre) Fee $ MWCC SAC Charge Fee $ ,�!� i,. �- , Other: ��--' t:�- Fee $ �- On Site Spetic System Fee $ After-the-fact Investigation Fee $ ACKNOWLEDGEMENT TOTAL ,� State Surcharge: Fee $ f�C � Thc undersigned hereby acknowledges receipt of this limited permi[. �%'� '"") ��---} � includin� acceptance of ail special information, terms, conditions or Z'O� E�ITIOUrit P'd1C� CO Clty F0e $ L� /: �-' �� reyuirements written above. The undersigned understands and agrees under penalry of law that this permit is strictlylimited in scope to the work, activiry or improvement specified: tha[ this permit dces not grant any authority[o do work or activioes requinng eparate permit approvals;and that ihis permit dces notgrant authority to viola[e anV provision ofany City ordinance or State law,rule or regulation.All work shall be do�e in strict This permit is not valid until the proper fee is paid and it is approved compliance with all Ciry ordinances, building codes and/or health department regulations,and shall be subject to inspection,approval or by an authorized Ciry Offieial. rejection by the City. Whenever so ordered,the undersigned agrees to correct any work found to be in viclation of the conditions of this permit. Signature of Applicant � Signat,ure�City Official j .�7�!'�� --- _ --� �. — � � - �y1. � Code: White—File Copy Canary—Inspector's Copy Pink Finance Copy Gold—ApplicanPs Receipt �o�=� �� D � _ 9 �� CITY OF ORONO I SEp .. APPLICATION FOR MECHANICAL PERMI GENERAL 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 THE 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. All work must be inspected (rough-in and final ). Call 473-7357. 24- hour notice required. 6 . House Heating Test Record must be submitted before final. INSTRUCTIONS 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 - Mail to: P.O. Box 66 , Crystal Bay, MN 55323 *********�***************************************************************** JOB SITE - ' . Owner' s Name � Telephone Number �7�-��Z z X Mailing Address � Contractor ' s Name p ,.,� ,, , ' �� Telephone N mber y z y -�3 ,�3 Mailing Address �/ �? ��!-h ,Q u+ Q �'�'_�rc k��.,,_ /� �t y s/ -3 ****************** *********************************�***** ************ MINIMUM FEE ( $25. 00 per project) *********�***************************************************************** HEATING SYSTEMS $20. 00 each unit FUEL �nat. gas, � lp gas, oil, elect. other (specify if combination burner) EQUIP. (if more than 1 unit per bldg. list each separately) NO. TYPE BTUH IMPUT BRAND NAME MODEL N0. �_ f .a. furnace /130,C�`�' ' `b r � I.��GKi��o hw boiler unit heater solar htg. equipment Solar Equipment $50 . 00 each system Total ******************************************************�******************** R � AIR CONDITIONING $20 . 00 each unit Central Air Separate Central Air System w/f urnace Brand name Model No. Tons Total *************************************************************************** *WOOD BURNING EQUIPMENT No charge Wood stove with flue No charge Wood combination or add-on unit $30. 00 each unit Factory fireplace with flue Factor Fireplace (s ) freestanding built-in Wood Stove (s ) franklin, other Brand Name Mode 1 No. Mfgr' s Min. , Clearances, side , rear , min. flue dia. Total *************************************************************************** VENTILATION $5. 00 each exhaust fans, (bath, kitchen, attic, etc. ) No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside ) cfm No. Other Fans: Locations cfm Total ********************************�****************************************** FUEL STORAGE (must be approved by fire marshal ) $20 . 00 Permanent Fuel oil, gallons underground $linsideemporaoutside LP Gas, gallons Other *************************************************************************** SPRINKLER SYSTEMS Minimum $20 . 00 each system Number of Heads No. of Risers $2 . 00 per head *************************************************************************** PERMIT FEE CALCIILATION l. Total of above Installations or Minimum Fee ( $25. 00 ) $ �1 �,,��: 2 . State Surcharge. Add the State Building Code Division Surcharge to each permit $ . 50 3 . Postage and Handlin 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 his application are complete, true and correct. ` � A licant � � PP �, Date � �� * WOOD BDRNING STOVES Please note that there is no longer a fee for wood burning stove permits. We do however still require a permit to be issued. If the permit application is mailed in we do require a $1.50 charge for postage and handling.