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HomeMy WebLinkAbout1992-004414 - mechanical � PERMIT CITY OF ORONO PERMIT TYPE: I�EC:Ht�I�I�:AL 1335 Brown Rd. South • P.O. Box 66 Permit Number: tj(f,Q,$14 Crystal Bay, Minnesota 55323 Date issued: (612) 473-7357 ���•r��/'�i SITE ADDRESS: '��:3� LYD i A�D AVE . C:H F`. i . N. _ �1—ff7—�_;—i�'—iriyl� DESCRIPTION: �:;�st�iL I hl� '��Y:3TEhi 1 A I�' t�.i 3h�D I T I�iN I NG MAF�::E BF.'YAlVT t1+aDEL ��4 1"i ihl:;; � 1 r`'��:' =K �. � ��� � Y . f �'w�"F� .. �`i '� i' S t V J 4�4r fi Y`+e, y���� �,a 7 � � Y��p���lM�l �+ . � - � �� ���Gry���-' r� � ���� � ,�, � �+� fi� ��Y > � r�r �'�+ ,� � pH�r i��'""T �'{,ar� ��'���P j � .'j4�i����q���''6/� k e ' ,�u � � � �d� �"�,� �� a ' _;r � ;,�,,*Wp,�.��d,y'�,�t. � � w r` F I �t � - �k,..4�._K ^z � � � S 3� F k �g �,�� 4� 'k 3 ;� } : � . r4y�w� ,�a�� r � ..r�, �� ; " � � � _� �i i�e s.e� u��v�iYv � , ;,..� .� � c•f;�t:��;�r ;�rr r�r } .a� n�t�-i.. �1 e i �. � i"t�:'tt'ttt!e:'S:l 1J �•J1lVL VV REMARKS: �i ���' L�,t'""� ��.:::.•. ����,�,� � .►t���t.�;,, t�� G�:' .5� i JJ�I 1jVVlYVY � FEE SUMMARY: (�; �E:' �.�v r:i�t'1��• 71 't� r-+fY L�l.LL t IL d'i-aVV ='�.'��.'i'a`3�tr�ji� Vriii ::L�•�i+ ! ii Fe+ � +uv �E3[5C Ft�t� �:�i),t)t_1 ��}IL �� '-�i#'��.�,'sii4 ��rii 'fiTi•�! �_������_ 1/:�1 1�V1 11V�a:. ':ur�h�r�� SCy T�at.al Fee �:i�.i�<s L.�::��.�:' ��.����� ��i:Yi ��U�'��1�•�1 �i:j[),�t_1 CONTRACTOR: — F�p�l i c�n#. — OWNER: '�TAi�lDARD HTG a �C: t:►_i :����4����� MC:C:t!`3k::EY C:��iVN I E 4 i�.} LAN;E =�T W i���,E� LYL�I ARD AVE !`1 I NNEAF'+aL I'� MiV ���.i rc�c l�J�i i�i� t�ilV ��:3:�1 t:F,i�? ��t:'4-ir�.�F, �.71-<y�i��. __- _-----_ __ __ __ _.___ . ____ _ _- -__ _ _ _. _ _ _ _ __-------___ --- - __ _ THE {_!��ID�R':I GrdED �4�RE�Y �'E�;CJE_T:� F'E�,`M I ==_I}�+t�1 T;i t1t�F�::E TNE �,`Et�L I t'i��f=+VEM�NT'�: �_;F•EC:T��EC� �h�lC� ��;F;EE.°�� T+�E C�►:� F1La W��F���: I t� :��T�;I C:T ��+�F���L I r�t�C:E w I TH �LL ��I TY a iF � }�+R+�it�l;�t i;i'r�iD I tJF�1�GE°� r��lE� '='Tf�T� #��F ht I�lhJE'=��;�TA E��_!I Ld I N�, C:i�i�}E RE�:��1 I�ic€�1�t�i i'_� . � �� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE -�J � �:;; Y,•:i �", 4,� CITY OF ORONO ��;� ; , .; . : �� �`� APPLICATION FOR MECHANICAL PERMIT _ GENERAL .INFORMATION l. You may apply for mechanical permits by mail o�t n p�r�oz� at the City offices. Mailed-in permits are subject to the po�t�g� and��handling fees shown be Iow. ..� - � � ?. 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 x° 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. �' ,:". Y IhSTFIICTIONS Complete aZ I items on this application. Compute the perrnit fee. '=�; Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. ;�'� .,� If you have questions, call 473-7357. ; . ��:��f'�. 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 , Crysta2 Bay, MN 55323 �' ******************************************************************************** �� Please check one: New �Addition Repair Repiace �` JOB SITE: , -.x-c� ZiP= :%= � , Owner' s Name: � Telephone Number: �i ,�. �°,��� �?ailing Address ; -,. � „ . _ • City��TTeI �...c^ Zip , _ �� Contractor' s Name: . % ephone Number: �� .a� .-.� Mailing Address 1��� �, `, , , ,� � � � City: >f, �, , _%' . Zip: � ********************************************************* ********************** �; �HINIMUM FEE ( $30. 00 per project) � ******************************************************************************** °�X �YSTEM DESCRIPTION: $15. 00 each unit '� �,_ Heating Systems: ;�r� Quantity: ���� :z tdake: �'" -- ;,�� :�ode1: '�� Fuel: �� Flue Size: a Input BTUs: ��' Output BTUs: _� �,� CFM: '"" �.� *********************************�********************************************** ,_; ..� Cooling Systems: � Quantity: �� t�ake: �,.�L, . �; Mode1. S �-r �� Ton s. ;;��i,�- ¢� H.Power: � y .-5 ******************************************************************************** �� . � ��� .. x,�,:� �� r,r� .. �� �� � �a' � x,� �; . . . . .. ,. _. ,-:�. }'.. �...c-�-�-.�-�m ��^.'..— 4�-..."T� .�. �:�z^ . �oal� 'YF.�3•-s�r'�a�. js°�'.:i 5 � �� � iT�R ���g��� ' ' ��� F ��' , � {Y`"Tk' . . .. . .� }� . . S{ � r ; . . �. . `.'�� ' ' ; x ,�. , � .. : .� .� .� '. .� .. . .� � �- fl ' , . . ' � �'. `��;� � : � ;�,,- i t . *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 fi;' �.�; Wood Stove (s ) franklin, other ��: Brand Name Mode 1 No. - �` Mfgr' s Min. , Clearances, side , rear , min. flue dia. �� Total �, ************************************************************,r****************** ��= VENTILATION $15.00 each project �rr: ��; ��5 No. Ritchen Exhaust ducted recirculating cfm ��°� No. Bath Exhaust (must be ducted outside) cfm ��`` No. Other Fans: Locations cfm Total �,e ******************************************************************************* ���' FUEL STORAGE (must be approved by fire marshal) � . $30. 00 Permanent/Temporary Fuel oil, gallons underground inside outside LP Gas, gallons Other Gas opening *********�********************************************************************* GAS LINE INSPECTION ���:` High/Low Pressure $15. 00 �xxxR*x**�*x***�*******�t*�t*�**�t**t,t*�r*****�t**************,t******************* �r'� P$RMIT FEE CALCULATION � 1. Total of above Installations or Minimum Fee ($30.00) $ 3 c�� c��� :+; � 2. State Surcharge. Add the State Building Code Division � ��' Surcharge to each permit $ . 50 � � �� � 3. Postaqe and Handling on all mailed-in applications, S 1. 50 � �� 4. TOTAL PERMIT FEE add lines 1-3 above $ �. � The undersigned hereby applies to the City of issuance of a Mechanical Permit �' ' c accordance with the ordinances of the City anc �;: agrees to do all work in stri t `•` the regulations of the Minnesota State Building Code, and certifies that a1 = �.:�; ,.� statements made on tnis app�ication are camplete, true and c�rrect. �, � � � � Date: �.��( - `�y '�� �� Applicant' s Signature: ` �' ;� �; .. . , w ~ , �4� . . . . , .. - � . ' _ . . . . . . � ' � � . � i. .�' . . �:�.: . ,', ' . .... ':::. - � � �,.:. � . . . � . . - . . � . . ...; ' . . ',. �:�4 � ��_ , . . � � � . . ., . . � . .. � � . �y. :::: . � �. . ;'� . i.� . . . . . �. ' ... $�. stt"'._ _ � � . . . . . � . .. , _, '. '�';' ' '. 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