HomeMy WebLinkAbout1992-004490 - htg system .
PERMIT
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1335 Brown Rd. South • P.O. Box 66 PermitNumber: ta�,��.��ta
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Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357
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AP�� RMITFE SIGNATU ISSUED BY SIGNATURE -G/CJ
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• 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
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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
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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
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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
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FOEL 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 $15 . 00
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P$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 � � � �