HomeMy WebLinkAbout1992-004671 - htg system �
. PERIi�IIT
�ITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 �i��.�j�����'�
Permit Number:
Crystal Bay, Minnesota 55323 Date Issued: i�`�ri:�;t:k/��;�
(612) 473-7357
SITE ADDRESS:
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REMARKS:
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CONTRACTOR: — �'�'�'� 1��`'�'#� � QWN�R:
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AP ICA PERMITEF SIGNAT E ISSUED BY:SIGNATURE �
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CITY OF ORONO
APPLICATION FOR MECHANICAL PERMIT
(',�AT INFORMATION
1. You may apply for mechanical permits by mail or in person at the City
offices. Mailed-in permits a.re subject to the postage and handling fees �E
shown be 1 ow.
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 I;S 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 acco�rdance 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.
INSTRIICTIONS Complete aYl items on this application. Compute the permit fee. ;
Sign and date the certification. I:NCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. ;
If you have questions, call 473-73�i7.
WALK-IN PERMITS apply at City Offic�es, 1335 South Brown Road (Cty. Rd 146) y
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 f Replace
JOB SITE: ZZ) S� C�,SGo -t�o'� ►n."� �.�t , Zip: 5��j`� � ;
Owner ' s Name : Z"e.r rc.� E r i.,� �`,.� Telephone Number:
Mailing Address : ��,�,�� City: wu,�-z�..-��, Zip: 5�3°ll
Contractor' s Name: �'ou.�ct,rv,����� ",�,, � GL� � Telephone Number:�{�-�zs�� '
Mailing Address �p88o Ca, (La,71Jr- � City: �p�f�„v�.o Zip: �$'3Z8 R
****�k******�k***�c***�t******�k�k*�F***�t*�k*ic*�c********�c***�F�t�k*****7Y****ic*******�r�t**�t*�k
MINIMUM FEE ( $30. 00 per project)
***�t**�c***�t�k�t****�k*�k*****�k�lr******�F*k***�k*******�Y**�t*****�k****************�Y*�lr***ic
SYSTEM DESCRIPTION: $15 . 00 each unit
Heating Systems :
Quantity: l
Make: �A,�r,e,� _ '
Mode I: 5 8sx B o Sa-G-�
Fuel:
Flue Size: -Z'� VG
Input BTUs . �4(o�p ao
Output BTUs -t�400�
CFM: � r,
**************** ***�*********************************************************
Cooling Systems :
Quantity:
Make.
Model:
Tons:
H.Power:
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*WOOD BIIRNING EQIIIPMENT $15.00 each unit
Wood stove with flue
Wood combination or add-on unit
Factory fire�lace with flue
l'
Factor Fireplace (s ) freestanding _ Masonry
Wood Stove (s ) franklin, other _
BrandName Model No. _
Mfgr' s Min. , Clearances, side , rear , min. flue dia. :
Total 5
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VENTI7�ATION $15. 00 each project
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm F,
Total "
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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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GAS LINE INSPECTION
High/Low Pressure $15. 00 „
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P$RMIT FEE CALCULATION
1 . Total of above Installations or Minimum Fee ($30.00 ) $
2 . State Surcharge. Add the State Building Code Division �
Surcharge to each �ermit $ . 50
3 . Postaqe 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 app lication are complete, true and correct.
Applicant' s Signature: --�J�� C� ,c�ts� Date: q- �G •� Z
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