HomeMy WebLinkAbout1992-004127 - gas line inspect -install dryer �
- PERMIT
1 �iTY OF ORONO PERMIT TYPE: ��;�t:���;;��;.;��
1335 Brown Rd. South • P.O. Box 66 Permit Number: ��'-��s�.�:f
Crystal Bay, Minnesota 55323 Date Issued: ��}�%'�=f;,'�-i;�
(612) 473-7357
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APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE.. ��
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CITY OF ORONO
APPLICATION FOR MECHANICAL PERMIT
(;E11E1ZAT, 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.
� . All work must be done in accordance with State Building Code requirements.
� . All work must be inspected (rough-i.n and final). Call 473-7357. 24-hour
notice required.
5 . House Heating Test Record must be submitted before final.
aNSiRIICTIONS CompleLe a�l items on this app�ication. Ca�r�pute the perziit fee.
'�ign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.
If you have questions, call 473-7357.
�VALK-IN PERMITS apply at City Offices, 1335 South Brown Road (Cty. Rd 146)
�,AIL-IN PERMITS enclose fee - Mail to: P.O. Box 66 , Crysta� Bay, MN 55323
;�*******************************************************************************
Please check one: New ` Addition Repair Replace
JOB SITE: �� ) �: `�� ��.-� � 't � �.- Zip; -`; `_> ��� �-> r
'�wner's Name �" �. ,i.�, ;� �3���� _ Telephone Nuinber� �r� `J I ^ �f� � /
. -
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Mailing Address _ ": L .. 4 \ , � '� ' � `_
.
� `�-� « r v._� t.._�� � � -. :�_� � .:�p: }
�ontractor' s Name t\\ ; � ,� �� Telephone Number: E . - .�_r
:�ailing Address ,, . '. . � ,. City: � , ( �-_. Zip: �-- -; ..;{::
�******************�******************************* ***************************
__.
MINIMUM FEE ( $30 . 00 per project) --' z' "
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SYSTEM DESCRIPTION: $15. 00 each unit
3eating Systems :
�uantity:
:�iake.
--
'cdel: �..
:�"li�l:
>r'ue Size:
�°nput BTUs :
)utput BTUs:
:FM:
******************************:�*************************************************
�ooling Systems:
Quantity:
���take•
��iode I:
Tons:
3.Power:
_ _.. .. _ .
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*WOOD BDRNING EQIIIPI�NT $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
BrandName Model 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 cim
Total
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FIIEL 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 CALCIILATION
1. Total of above Installations or Minimum Fee ($30.00) $ =��' G- �%
2. State Surcharge. Add the State Building Code Division.
Surcharge to each permit $ . 50
3. Postaqe and Handling on alr mailed-in applications, $ 1.50
4. TOTAL PERMIT FEE add lines 1-3 above $ - ,_y . f�---c=
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 thi�-�}pplication are complete, t�ue and correct.
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AFp licant' s Signature Date: ���'= " �� `j /
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