HomeMy WebLinkAbout1992-004400 - mechanical , . PERMIT
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'' t�IT� OF C)RONO PERMIT TYPE: ���.�����.��
�:�35 Brown Rd. South • P.O. Box 66 PermitNumber: iit�q.c��iti
Crystal Bay, Minnesota 55323 Date Issued: t:r�.j i �,/_a';�
(612) 473-7357
SITE ADDRESS:
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DESCRIPTION:
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FEE SUMMARY: ''' ����' �
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CONTRACTOR: — AF�F�iic�nt. — OWNER:
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THE 11NDE�`1 I�".;NF_D HE�iEBY ��f,!1E'v;T'=� �'�Fi'h1 i'=�'�I�+PJ 33a MAI�::E THE �EAL I I�1#=`��=��'Et�Et��T'=�
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
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CITY OF ORONO � _. : ---- . _. �I
APPLICATION F�R MECHANICAL PERMIT �>'�'�. � � ! ,�
GFNERAT. INFORNIATI ON
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 fee:
shown below. ��G;'„ ' � '
2. Permit cards will be sent by return mail the same day the application zs �
received. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NO2
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. AlI work must be done in accordance with State Building Code requirements. =
5. AI1 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 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: �� � � - �
; �, Zip:
Owner' s Name : � ,t_ Telephone Number: ��j- �_�� y
Mailing Address � ' • �_� C;ty; ,� � �:--,, � Zir:
Contractor ' s Name: ��. �_•,.� ��L ��� ,c.�fc.-�-7ti��.� Telephone Number: ,7 3 7-���i�
Mailing Address l�1��-/ �l a -,-,_.�l �:�,-�,,� )z.� City:LT>.�, �«..f' ZiP 5 �v-� z -
*************************************************** **************************** ';
MINIMUM FEE ( $30. 00 per project)
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SYSTEM DESCRIPTION: $15. 00 each unit
,
Heating Systems : ��'���,� .�'�-<' C�i-L-� �c- t-`z Y c_::. �--�_���.�c_._�'��-c.c�-yc.�
,�
Quantity: /
Make: �-�
Model. C�' C��' L� /U G
Fuel: `h.a,� C
Flue Size: '
Input BTUs . /CJc;-���o '�
outPut aTUs �� , 6���
CFM:
******************************************************************************** ;
Cooling Systems:
Quantity:
Make:
Model:
Tons. �
�
H.Power:
4c�tiF******�k*iciritic*iF**�k�ciciFic�c*tk**�c**�t�k*�kir**�F�k�k***�k�c�kic�kic�Y�k**�c�k�Yiricirtk*�k*�k**�t**ic*SYicirir*i-„
,. � ^ �
*WOOD BORNING EQIIIPMENT $15. 00 each unit
Wood stove with flue
Wood combination or add-on unit
Factory fireFlace with flue
Factor Fireplace (s) freestanding Masonry - �
wood Stove (s ) franklin, other
BrandName Model No.
Mfgr's Min. , Clearances, side , rear , min. flue dia.
Total
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VENTILATION $15. 00 each project
No. Ritchen Exhaust ducted recirculating cfm �
No. Bath Exnaust (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
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GAS LINE INSPECTION
High/Low Pressure $15. 00
***t****#****�*�********************�******************************************
PERMIT FEE CALCIILATION
1 . Total of above Installations or Minimum Fee ($30.00) $ ,�(;', c= �%
2 . State Surcharge. Add the State Building Code Division
Surcharge to each permit $ .50
3 . Postaqe and Handling on all mailed-in applications, $ 1.50
4 . TOTAL PERMIT FEE add lines 1-3 above $ �;1 � c? �-'
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 an
the regulations of the Minnesota State Building Code, and certifies that al
statements made on this app�ication are complete, true and correct.
� - �� � � �.� Date: (�; _r-. __ � z�
Applicant s Signature: ,� �1—C-�<--