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Home My WebLink About1987-9081 - 1 a/c - 2 tons GENERAL PERMIT CITY PERMIT No��.�,..,s o g� . n � . CITY OF ORONO '� �� ` Po.. ,� `,�� '.�"''s��:�. ��,, � �� / � P.O. BOX 66 Date '=�'� ��C= ��_ CRYSTAL BAY, MINNESOTA 55323 (612)473-7357 _ , � l� Owner ! r ^ ' c Address ��L�� ' � � / j/ �J��_ /�� /J �,P_ �-��Y��.L�-C,L �Tk ��.�� Address�� (.�,� ./�� C'�S ��CJC Contractor � LL` �/ City License No. �� City � �/�) � �-% � � 7 �:%-� y" �� REMARKS AND SPECIAL CONDITIONS � � � ,(_� i �-��'� ,`� PERMIT TYPE AND FEE: ❑ NEW � ADDITION ❑ REPAIR � REMODEL Inside Plumbing(#fixtures ) Fee $ Water Well Fee $ Water Meter(Size ) Fee $ Mechanical Equipment Fee $ -�� 'Ud 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 (Fire) Fee $ MWCC SAC Charge Fee $ - �, Other.�� -�-��— Fee $ ��J�J On Site Spetic System Fee $ After-the-fact Investigation Fee $ ACKNOWLEDGEMENT TOTAL State Surcharge: Fee $ ' �`'- � The undersigned hereby acknowledges receipt of this limited permit, ,�� C � including acceptance of all special information, terms, conditions or Total Amount Paid to City Fee $`'� requirements written above. The undersigned understands and agre� under penalty of law that this permit is stnctly limited in scope to the work, activity or improvement specified; [hat this pertnit dces not grant any ,.y authoritytodoworkoractivi[iesrequiringseparatepermitapprovals;and ��r7� � � / that this permit does notgrant authority to violate any provision ofany Ciry ordinance or State law,rule or regulation.All work shall be done in strict This permit is not valid until the proper fee is paid and it is approved compliance with all City ordinances, building codes and/or health department regulations,and shall be subject to inspection,approval or by an authorized City Of�ieial. rejection by the City.Whenever so ordered.the undersigned agrees to corrcct any work found to be in violation of the conditions of this permit. Signature of Applicant - Signature of City fficial -� �_�Yl�a�c�l .�n� �--�-f�-m � C��._� c�� Code: White File Copy Canary—Inspector's Copy Pink Finance Copy Gold—ApplicanPs Receip[ � CITY OF ORONO APPLICATION g'OR MECHANICAL PERMIT � �J r� �"��;! 1 GENERAL INFORMATION JUN '. : ; ,, '��'I : 1 b Ig;�r 1. You may apply for mechanical permits by �i��--ar ,in person at the City offices. Mailed-in permits are subject�he postage �n,d,' handlin 9 fees shown below. �-- 2 . Permit cards wil� 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. Al1 work must be inspected (rough-in and final). ca11 473-7357. 24- hour notice required. 6 . House Heating Test Record must be submitted before final. INSTRIICTIONS Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE ROCESSED. If you have questions, call 473-7357 . 4:F�LK-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 *******************************************************�******************* Please check one: X New Addition Repair Remodel JOB SITE 3205 Crystal Bay Road Owner' s Name Richard Anderson Telephone Number 471-9786 Mai�ing Addre�� 3205 Cr stal Bay Rd. Contractor' s Name Devendable Heating and A/C TeYephone Number 757-50 0 Mailing Address 2619 Coon R3DICIS BZvd, , Coon Rapids, MN 55433 ***ic**�r�lc***9ric**ic*****�k*tk*�ktk*�k�k****�kic�tyF*�k91r�Y*�c�kic�k�F*�k�c**�k*�F�t***�Y�k*tk*tkltik�t9cie***�r MINIMUM FEE ( $30. 00 per project) ***********************�*********************************�***************** HEATING SYSTEMS $25.00 each unit FIIEL nat. gas, lp gas, oil, elect. other (specify if combination burner) EQOIP. (if more than 1 unit per bldg. list each separately) NO. TYPE BTUH IMPUT BRAND NAME MODEL NO. f.a. furnace hw boiler unit heater solar htg. equipment Solar Equipment $50.00 each system Tota� *************************************************************************** -. � . r , AIR CONDITIONING $25. 00 each unit g Central Air , � Separate Central Air System w/furnace Brand name Carrier Model No. 38ES024/30 Tons 2 Total 25.00 ******�******�*********************************************�****�*********� �WOOD BURNING EQOIPMENT $35. 00 each unit Wood stove with flue $30. 00 each unit Wood combination or add-on unit $40. 00 each unit Factory fireplace with flue Factor Fireplace (s ) freestanding built-in Wood Stove (s ) frankYin, other Brand Name Model No. Mfg"r' s Min. , Clearances, side , rear , min. flue dia. �� ' Total *******************�***************�****�**************************�***�**� VENTILATIOAI $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 *******�*****��******�******�t******�r******�***�r��****�*********�***��r***** F�EL STORAGE (must be approved by fire marshal ) $20. 00 Permanent $10. 00 Temporary Fuel oil, gallons underground inside outside LP Gas, gallons Other �**�*,�***********�**********�************�*�***�*�**�r�***********�**�**�*** SPRINRLER SYSTEMS Minimum $20. 00 each system Number of Heads No. of Risers $2.00 per head ***�*****�***�***�**�x**�t*��***��*�****�*�*****��****�************�*****��** GAS LIP1E INSPECTION High/Low Pressure $30. 00 **�************************`***�********�***�*��******�***�**�***�********�.* PERA4IT FEE CALCDLATION l. Total of above Installations or Minimum �'ee ( $30.00 ) � 3n.nn 2. State Surcharge. Add the State Building Code Division Surcharge to each permit $ . 50 3. Postage and Handling on alI mailed-in applications, $ 1. 50 4. TOTAL PERMIT FEE add Iines 1-3 above $ 32.00 The undersigned hereby applies to the City of issuance of a Mechanical Permit, agrees to do aIl work in strict accordance with the ordinances of the City and the regulations of the Minnesota State Building Code, and certifies that a11 statements made on this application are complete, true and correct. Applicant � \�A(�� Date � i .�