HomeMy WebLinkAbout1992-004854 - connect gas log T 1 1� T — � . � - - -. .
ERMI�
�:CIT��( OF ORONO PERMIT TYPE: ti�:�' ,�•{F�,�:
�s�� AL
1335 Brown Rd. South • P.O. Box 66 Permit Number: '-"-'�'='�'�_
Crystal Bay, Minnesota 55323 Date Issued: i�y'�'�_�`�_�=
(612) 473-7357
SITE ADDRESS:
i�ir��, !�:t�t��:�;h:i�sl€a '=�T
_TE�
��. I . ��I . . 1%—7. 1�—"=:=;—•�'��—i;€�::;�
� DESCRIPTION:
i.:i:f��t�IE�::T L"���'�� L�taC�
1 t�r�'_, L I t��� I t�J=��'��:T
I
" L��r; ;:; ur�t�u
,
� . . . —i A':?At!'t 3!L L i(��
. . . }.J.ttltftt•L L'! t 1LrL
' � �. � � . 1J2L•aJIfVVVV n
. � �. '. .- . iJi !�� Li! ttrt
� � � V1 VLti rlYaVV
yx � a .., .` � �, R.��.: 7:•;i:f}:!f li�e! f+
. .. ?'^,�M,:�l.A..,�% x .: $"v�j"?;x ,.K..�,�i ys��.,':::� 1tiLtVl�ViV !1
.... ��. � ' .:�. . _.: . .. ' l L"
t�l N�� �tJV
L•R�,ttlt !L r���.'ia�t1�
lJt:'t i 3J i._i i1�tAth' Y!!�S
REMARKS: «�.�:t r;�rE rr,:;, r�;,; _� �=ae
7TtVVlYV 4YL1 !\Vl 71'7"7!
�':'{k�l jL' .
la'.: VVt Ii
FEE SUMMARY:
�;�c,�., �,_c t�:t�;. i rt i
�- . . �;"�
�-`LJ1-'-� 1=�� ��~ ----�----.....��...�z.a:
�'��t.�i �eY �:;i; . �i;
CONTRACTOR: — ��°��I ��_����� —
t�—Fi�1�i,E�`._� ._'�.�_�?_��.;''.i)�.� QW�� ,�. �{�1�'�L'S�
���. i �{I t����� . _�:�,�:. �.:�it��i::i k�i���� .=,T
F_:��:Ei_'=:I��ih t•��•1 �C:�:;1 �:��Y�r�i� hi�l S�-�'�1
t;,L�i,;`'i ,li.?F.—�?;`'f_l'�' �.;i._�,�_�;��;
� ?;•y1,�= t��`'�Is'`i„_1',:r`�E1=�' c`i�;=,`�i�='; °,'`�i'.���;�_�i=`_�i ': r's':f';r�T'.=�=;���;�`� T�_� �`1i-3�'=.� i i s� 's''.`.�� i 1'�i't'•'.�_t'1�i'�#�I�� �`•= �
_._t..� — r z�r- �' `�G- t a T .I i ` s
�`,�.C:_':�,r i C.�: l-;�tti) f}f=�+;�:i i�;.: �}s= t��...�.. �:°�...1�'';f��. i�'v �����.�:� ::�.��`'I�`!._:.�-?�'ti?_:�... 4t,'_.�i': �;e_i t_:� � �'? I_��
,"; i i"f i���.� r�r� - ��� =i;~.7 F_��- "�'� }�"°=;i� �;`_1 i 1 �j�,f:� t:;iLl�� �;���,}�!�`:�:�•j���•31�'� .
._(�_�i_ _� .4�I�i��..r'-� r�i�� � 4 �- � �" �#iE�i��.=..- :Ti�
� n �
/'l1` � _z,�✓
. � ���'�'�—� (�✓�_
APPLICANT,-PERMITEE NATURE ISSUED BY:SIGNATURE
r �
CITY OF ORONO
APPLICATION FOR MECAANIC:AL PERMIT
gF.NF.R AT. INFORM�TI 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 fees
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 IS POSTED Otd 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. AI1 work must be inspected (rough-in an.d final). CaII 473-7357. 24-hour
notice required.
6. House Heating Test Record must be submit.ted before final.
INSTRDCTIONS Complete aI I items on this application. Compute the permit fee.
Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.
If you have questions, cal I 473-7357.
WALK-IN PERMITS apply at City Offices, 1335 ��outh Brown Road (Cty. Rd 146)
MAII,-IN PERMITS enclose fee - Mail to: P.O. Box 66, Crystal Bay, MN 55323
********************************************************************************
Please check one: New Addition _Repair Replace
JOB SITE: �F/�i-� �v�'�c`V�.��l� `J � Zip:
Owner's Name: �qV�dy �,a��„ �il `-��vi Telephone Number: �y7/-<<�-�;,,� .
Mailing Address : _5rvv�- y City: Zip:
Contractor' s Name: �, . ��3�.t�v��� Telephone Number: �E� 1- ��_c�c=�
Mailing Address �;�i/'���,, 1 L City: ��c__ Zip: �,> � ;
*************************** ************************************************* **
MINIMUM FEE ( $30. 00 per project)
********************************************************************************
SYSTEM DESCRIPTION: $15. 00 each unit
Heating Systems: ,,. ,_.
Quantity: � r �_- � ��'T-•� �".�-:fii-rz��-: �i��- ��'= •
�
Make: - -
Model:
Fuel:
Flue Size:
Input BTUs :
Output BTUs:
CFM:
********************************************************************************
Cooling Systems:
Quantity:
Make:
Model:
Tons: ---
H.Power:
****************************************************************************�***
�g��l
�
, �
*WOOD BIIRNING EQIIIPMENT $15.00 each unit
Wood stove with flue
Wood combination or add-on unit
Factory fire�lace with flue
Factor Fireglace (s) freestanding Masonry -.
Wood Stove (s ) franklin, other �
BrandName Model No.
Mfgr' s Min. , Clearances, side , rear , min. flue dia.
Total
********************************************************************************
VENTILATION $15.00 each project
No. Ritchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
********************************************************************************
FIIEL STORAGE (must be approved by fire marshal)
' $30. 00 Permanent/Temporary
Fuel oil, gallons underground inside outside
LP Gas, gallons
Other Gas opening
********************************************************************************
GAS LINE INSPECTION
High/Low Pressure $15. 00
********************************************************************************
PERMIT FEE CALCULATION
l. Total of above Installations or Minimum Fee ($30.00) $
2. State Surcharge. Add the State Building Code Division
Surcharge to each permit $ .50
3. Postacte 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.
� L ;�%1� _ ,,;F- ; ��,�� �¢' �"r--'�� �� )
Applicant' s Signature: � ��� ` �` ``/`' ���v�•�L�`� Date:Jz _�S'_ �2