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HomeMy WebLinkAbout1992-004490 - htg system . PERMIT ., � ` CITY OF ORONO PERMIT TYPE: f��C:HRP�IIC:pL 1335 Brown Rd. South • P.O. Box 66 PermitNumber: ta�,��.��ta it; ���,��� Crystal Bay, Minnesota 55323 Date Issued: (612) 473-7357 SITE ADDRESS: :j;;���, C:�Y�:�TAL �AY �iD �:N F. I .N. : i7—f i7—�_;—�.1—i�i��:�: DESCRIPTION: N�{ ,_,�_;�.��� 1 HEAT I N�'3 :�y�_�TEh1`� C:Fht 1 ,'.;=i�t i �L!_iE '_�I�E .�'_„ Ft lEL NATL��i�iL C;�:�� hfA�`:E C:AF��;I ER h1+�DEL ��=.SXGi;F��_��-CiG f tt3�'��t1T �;f ,t:�t.�i5 T��`t 1"( �.F., i ri)i 3 1 �I R C:i�l�1D I T I��fV I Nr i�A��::E t:Ah�I E� h1�iDEL =;,=TMr�C�'�4 T�_i�d`=: i � �'�`; ` '' +� �r ��'� �`^° ��r��z� � �������, �� � ,r � � ��, �� "��.c� � m � ,�,,,g ; ,� ��s. �����-»���� ��� ,�", a.�,r ��� � . ..... REMARKS: FEE SUMMARY: ��j �' "' `="``"` t�:t!;;t;:�� .�c'r�r•� e i�inetL� i.a 1 14�L :i+-'-':i:iititrl � i,�i,:�,:�'vvvw �'ctS� �CC �•�() .t){� �'4 i �C:si —:i i!�'1 [.. ��1 L!L!1 i'4'at•V -_��.����i�G���'�"� � �t�y i......_ "_ � , �,•;'.'+fle e:ti iil 7 ---^------ ...aa- i,::�;.cvv�•vv ��_��•C{.L �C'�"' �_:_�, �l� V1 1.7L1�7 +JNk .•.�L•!.A• �.7 -si: �r. 1�•!fLL•!1 1 L +.1�a�-'t � '�'6!iJ f'_P L!:'4Afti �'!H! l�L6�t1! ! i!!l7/171 !VV ef'h�:'iJee! !�'i!i!? I:f!'t i! �'fiF 17i7!1TV l�Vl�1 �IV1 JVI�1V '... '�ii� V l.I�.S�J1!i.. �T — ��� i C catl . — CQ�T�1 I,'Y'��E NT� �� C:t a��L I i�t� _��.�.�•1�'�'� � ������ �;I C:HA�;C� 1 z�.�;_�� C�TY RD �-�i y � :1:�•�!� ��hY':TAL BAY RD C}ELAPd±� lyft�l 55:_;�;: j i��R��t�d�i lyih! C��'•'�1 �:�.1'�:� �.4r�—������t 471—=tr�.t�4 - __--_ _ _ _ _ . _ _ _ _ ___ ___ __ _____ .. ____ _____ _ ____. -____ __ _ _ _._--- T1-iE �11�ICfER'��I�t�F�y F-!FF�EE:Y �F t�t 1F _T:; �`E��'�I _•=�I�_t!�# T�=� t�f�tl�:E TNE F;��L T_t'fF F����1Ef`'iE�'�iT: � '==�'E!�I F I E(� F�t�l1� r��h�E:=; Ti i C}+_s ALL �,�J��I'tI'��. I I�� '=;T�I C:T C:i:it'IF'L I Hl�i:E �,�I TH r��.� C�I TY ��� ��' ��f��:?��i+�i l���;D�:h+li�P�f�:E'=� r��lCt :�;i FtTE t;� t�I i�l��lE'�;i_iT�; �ct 1 I L1�I�`�IC� C��r;L�E �E��l1I FiE�E�dT'=� . L � -� �� AP�� RMITFE SIGNATU ISSUED BY SIGNATURE -G/CJ � ��v • CITY OF ORONO APPLICATION FOR MECHANICAL PERMZT GENERAL INFORMATION l. 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 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 . All work must be done in accordance with State Building Code requirements. 5. AI1 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. INSTRDCTIONS Complete aIl 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 ******************************************************************************** Please check one: New Addition Repair �_Replace JOB SITE: 33ZS C,�yS-�-�,,� ��o,�y� �.c�. Zip: � S"36l Owner' s Name: Z�c�nu�s� S'.a.ke,L. Telephone Number: �t � I- q'�o 4 Mailing Address 5 u�c. City: Zip: Contractor' s Name : Co....�-t�r,,,��a.� �4-rc�� .� G 9� . Telephone Number: 4y��- 1z� � Mailing Address 1o$$v Co.��Zo �� City: p.��..o.� Zip: ��3zP ******************************************************************************** MINIMUM FEE ( $30. 00 per project) ******************************************************************************** SYSTEM DESCRIPTION: $15. 00 each unit Heating Systems : Quantity: 1 1 Make: C�.� r�c� C �r� � Model: ��,�xc_oba-�s� T pUZ4 Fuel: t. c,-�� Flue Size: �_�� lr C.� Input BTUs: ���o u � Output BTUs : �, � ,�p v vo 0 CFM: ��o c� �lo u ****************************** ************************************************ Cooling Systems: Quantity: 1 Make: C��r � e� Model. 3�Tfr1 FF�- Tcns: Z F-i.Powe r: i;************�t*icyt********�t***********�t**�tiric*�ticl�iric***it*yt***********�t*�tic******ir*** *WOOD BIIRNING 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 Brand Name Mode 1 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 ******************************************************************************* FOEL 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 $15 . 00 ******************************************************************************* P$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 permit $ .50 3 . Postage and Handling on all mailed-in agplications, S 1. 50 4. TOTAL PERMIT FEE add lines 1-3 above S 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 lication are complete, true anc7 correct. AFplicant' s Signature:� Date: � - I � � � �