HomeMy WebLinkAbout1992-004864 - ductwork only - PERMIT
� CITY OF ORONO PERMIT TYPE: �=r�.C;��'�;4t��:�:�.
1335 Brown Rd. South • P.O. Box 66 PermitNumber: ��`-'��_��=��
Crystal Bay, Minnesota 55323 Date Issued: ������_'�
(612) 473-7357
SITE ADDRESS:
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APPLICANTPERMITEESIGNATURE ISSUEDBY:SIGNATURE Lc�.I�✓
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CITY OF ORONO
APPLICATION FOR MECHANICAL PERMIT ���T' �"i' � J�Q
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(',F.NF.R AT. INFORMATI 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 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 PE�MIT. 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 . AZ1 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.
INSTRIICTIONS Complete all items on this application. Compute the permit fee.
Sig:. ard �a�� t:�2 certificaticr,. I2v'CO21rLETL �r^PL�CATiON� WILL i70T BE PRO�ESSED.
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: 2475i)tiawoody Ave Zip: 55�91
Owner' s Name: t�ave Vicicerman Telephone Number: 471-961h
Mailing Address : same as iob site address City: ?Jav�ata Zip: 553�1
Contractor` s Name: Cronstroms Heatin� F< <A�./C Telephone Number: ���-3�n�
Mailing Address 7201 G? Lake St City: St. Louis Par}c Zip: 55�-_'.�,
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MINIMUM FEE ( $30. 00 per project)
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SYSTEM DESCRIPTION: $15. 00 each unit
Heating Systems:
Quantity:
Make:
Model. ,'
Fuel:
Flue Size:
Input BTUs :
Output BTUs:
CFM:
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Cooling Systems:
Quantity:
Make:
Model:
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
**************�*************** * �r *******************************************
VENTILATION , $15. 00 each project
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rG-'�_,f% �'�^ C� �.
No. Ki�hen x�iaust ducte� recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
Nc�, Other Fans: Locations cfm
T�ta�
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FUEL 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 I,INE INSPECTION
High/Low Pressure $Z5. 00
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P$RMIT FEE CALCIILATION
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 application are complete, t�ue and correct.
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Applicant' s Signature: ,�� - c-
Date: Z l� ��
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