HomeMy WebLinkAbout1992-004549 - duct work only PERMIT
� �jTY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 �������I�-'��-
Permit Number: [yt� _4°�
Crystal Bay, Minnesota 55323 Date Issued: i 7;;/t��./_�t
(612) 473-7357
SITE ADDRESS:
;:i� �!1GE �I P#E �I DGE
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DESCRIPTION:
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REMARKS: ���`
FEE SUMMARY:
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CONTRACTOR: — HF�F�Ii���+t� — OWNER:
�:��t J�li'�;Y';I QE HTU t3 G������L I NG :�44�,1�:���� �:����Y F�+fE�EfiT
�i�;;;1c? C:TY f;C� y�� �:i r �t JC=E L I NE R I CyCE
DEL�lhfi_� t�#�i ��_.�'�� t�iA�'LE F'LA I N MN S�:;S��
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AP IC T%PERMITEE SIG URE ISSUED BY:SIGNATURE
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CITY OF ORONO � _ � 4� ��� ��, �^�
APPLICATION FOR MECHANICAL PERMIT ��` "��� �'.> ���� " �
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GENERAL INFORMATION F�
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 be 1 ow. �
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. a�
4. All work must be done in accordance with State Building Code requirements.
5. All 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. :�
r.
INSTRIICTIONS Complete all items on this application. Compute the permit fee. �Y;fi
Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED =�
If you have questions, call 473-7357. `�
����
WALR-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 �
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JOB SITE: b� ' ��c � �,_;�i �,�� ZiP� � ;�1
Owner' s Name: �n -�- Co ' � Telephone Number:���--(�� �-� �
Mailing Address: ���w.� \ City: C�,r��,, ,� Zip: �
`ct`� '�
Contractor' s Name: ��y��,t-c-„�s�.�� �kt-�, , f-C �-r'.� Telephone Number: ���-�� � s,,
Mailing Address Lo���, �� . �.� � Zu C� y=�<�`�t� 7 Zip: �-�53�=� c
********************************************************************************
MINIMUM FEE ( $30. 00 per project) �
�
******************************************************************************** s�
SYSTEM DESCRIPTION: $15. 00 each unit �,�
���;fi
Heating Systems: w�
Quantity: ��
e fs
Make: - ���
Model: �
Fuel: �
Flue Size: �
Input BTUs : �
Output BTUs:
CFM:
********************************************************************************
Cooling Systems:
Quantity: '-_
Make: '��
<
Mode 1: ���
Tons: ��
;:_;
H.Power: r
******************************************************************************** ,,,,:�
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*WppD gIIRNING EQIIIPI�NT $15.00 each unit �
�` Wood stove with flue �
� Wood combination or add-on unit N
Factory fire�lace with flue ;;
� `3
� Factor Fireplace (s) freestanding Masonry - _�
� Wood Stove (s ) franklin, other
`�� Mode 1 No.
�� BrandName
�,� Mfgr's Min. , Clearances, side , rear , min. flue dia.
�, Total
�:; ********************************************�**********************************
�``_� VENTII.ATION $15.00 each project
No. Ritchen Exhaust ducted recirculating cfm ��
� No. Bath Exhaust (must be ducted outside) cfm �;, ` � ro �
No. Other Fans: I,ocations cfm
f'' Total
�:w,:
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****************************************************************************
F�U$L STORAGE (must be approved by fire marshal)
' $30. 00 Permanent/Temporary . 3
Fuel oil, gallons underground inside outside �
LP Gas, gallons
Other Gas opening
*******************************************************************************
GAS LINE INSPECTION
High/Low Pressure $15. 00
.� *******************************************************************************
� p�2MIT FEE CALCIILATION
1. Total of above Installations or Minimum Fee ($30.00) S
2 . State Surcharge. Add the State Building Code Division $ . 50 �
�f Surcharge to each permit
� �i
�� $ 1. 50 - � �;
�;<;, 3. PostaQe and Handling on all mailed-in agplications, _
��= add lines 1-3 above S
��. 4 . TOTAL PERMIT FEE
�� 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
�,.,
w�- statements made on this app lication are complete, true and correc .
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��;, � _.-- Date: �- �-1 �� �'��
�. A�plicant s Signature: �
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