HomeMy WebLinkAbout1992-004383 - ac =: �ERMIT
CITY OF ORONO � PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 � Permit Number: t�€EC�HH�(I C�AL
Crystal Bay, Minnesota 55323 Date Issued: ��`r����=_-��
(612) 473-7357 ���.f(y;j'�i
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PP I ANTiPERMITEE SIGNA RE ISSUED BY:SIGNATURE �j�,_
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CIZ� OF�ORONO
APPLICATION FOR MECHANICAL PBRMIT
GENERAL INFORMATION
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 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. All work must be inspected (rough-in and final). CaII 473-7357. 24-hour
notice required.
6. House Heating Test Record must be submitted before final.
INSTRIICTIONS Complete alI 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: 4 3n �. L,�� (�-,��t [�� Zip: 5 S 3 g l
Owner' s Name: ��;s �.�„�,. ���.�. Telephone Number: �{7 3- �'� � $
Mailing Address S'a.�.,,. c. City• Zip
Contractor' s Name: ��,Kt��,�,��e� �(ea-����- Cm�\��� Telephone Number: �{�6 -�zg�
Mailing Address �a $��, Cc,k'2� .�1, City: � ��r,,,wb Zip: 553�-8'
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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: S'�rri er' �
Model. 3 8Tw► R oz�
Tons. ?
..�
H.Power:
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*WOOD BQRNING .EQOIPMI�NT $15.00 each unit
Wood stove with f lue
Wood combination or add-on unit
Factory fireplace with flue
Factor Fireplace (s) freestanding built-in
� Wood Stove (s) franklin, other
Brand Name Model No.
;' Mfgr' s Min. , Clearances, side , rear , min. flue dia.
. Total
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VENTILATION $15.00 each project
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
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FIIEL _STORAGE tmust be approved by fire marshal)
$15. 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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PERMIT FEE CAI,COLATION
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 $ .
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, true and correct.
Applicant' s Signature: I �� �.���� Date: �-Z.- 9`L
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