HomeMy WebLinkAbout1992-004390 - air conditioning -, �'ERMIT
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„�n Rd. South • P.O. Box 66 MEi.:H�h!I C�AL
. 'rl Permit Number: c;t f,�:;��i l
� i ay, Minnesota 55323 Date Issued: i�F.IC��/_�;�
�,b12� 473-7357
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CONTRACTOR: — A�F�1 i c a�-tt� — OWNER:
�:ENTRA I�E I iVC: �3'�A�11 i�4.4 F`I LL�E���tY GEi i�iGE
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APPt_ICANTPERMITEE SIGNATURE ISSUED BY:SIGNATUFE ,.�C.</��
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CITY OF ORONO
APPLICATION FOR MECHANICAL PERMIT
GF.'r7ERAL .INFORMATION � � 1 G�%�
1. You may apply for mechanical permits by mail or i �ers n•�-a`t 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 . AIl work must be done in accordance with State Building Code requirements.
5 . A1 1 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.
SNSTRL�CTION� Complete a11 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.
�IALK-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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�Iease check one: New Addition Repair �Replace
JOB SITE: �j � � C; -��� �,�r,� — -'�� Zip: �=�� >`!,J
Uwner' s Name : «� -Y � ,�� , Telephone Number: �7,3 - 9�:��y
.�r?; i;_n� Address : ��,-��. ..; City: ;�,,._-� Zip:���1L
�ontractor ' s Name: - � -, - �� _ Telephone Number: ?�j� 1Gfyy
�lailin Address �-a.-`-,,-, �. • , � � CitY'r �,r� i,,, Zi ,--r-
9 �, _� r,l.-' ��i nt: .; � -��,�� •zc �..�''��' P'� -�
�**************** ******* *****************************************************
'KINIMUM FEE ( $30. 00 per project)
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SYSTEM DESCRIPTION: $15 . 00 each unit
Heating Systems :
Quantity:
Make: --
Model:
Fuel:
Flue Size:
Znput BTUs :
Output BTUs :
CFM:
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Cooling Systems :
Quantity: j
Make. ,�. .;�� ,�.��.r �:
.Mode l. .����-�i l/�y51;`"7�" 3%
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
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. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (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
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PERMIT FEE CALCULATION
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, $ 1 . 50
4 . TOTAL PERMIT FEE add lines 1-3 above $ �3,� ,('��
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 iication are complete, i.rue and correct.
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Applicant' s Signature: Date: (;-�-,�- ���Z.
�
DATE TIME
CITY OF ORONO CALLED IN 9 �-
INSPECTION NOTICE SCHEDULED ��z � �- 1� � 3d
PERMIT NO. �� �� � COMPLETED G( G1
ADDRESS �� �
OWNER CONTR. .������a �
TELEPHON E NO. �?`� � lD�S�
� DESCRIPTION •
� 01 FOOTING 11 MF['Hpn� 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINA 18 EXCAV/GRADING/FILLING
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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Q 05 FINAL 13 METER SETITURN ON 17 SITE�NSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
T 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO ^
� COMMENTS: ���• . ��-� ��--�-��-�
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GW WORK SATISFACTORY:PROCEED �OJECT COMPLETE
� ❑ CORRECT WORK&PROCEED �'. ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �, pHOTO TAKEN
INSPECTOR WILL RETURN
C CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnedContra r on ite:
Inspector.
White Copyllnspector's 'le Canary CopylSite Notice