HomeMy WebLinkAbout1992-004306 - htg system 4., - PERMIT
CITY OF ORONO PERMIT TYPE: ��I�;aL
1335 Brown Rd. South • P.O. Box 66 Permit Number: ����t�t�
Crystal Bay, Minnesota 55323 Date Issued: t�5/s���/,=�i
(612) 473-7357
SITE ADDRESS:
11�t:� �YMAN AVE
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� F'. I .N. : _'S-11�—t:�—q..�—C�C��i
DESCRIPTION:
Hl"�; �,y:�:TEM
i HEAT i NG '�Y'�TEM:� F��E� +�I L I�fA�::E LENAli.�X
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A�F•1 i c�nt• — OWNER:
_ ������ �:�� :1��:������� PALME�t ��jTJ�k�
r�;.�•. ' �fl 11'11Y
•,���� G�tFHah( AUE �; �. 1_�Cj LYMAN AVE
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE / -G��
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CITY OF ORONO
APPLICATION FOR MECHANICAL PERMIT `
GENERAL INFORMATION ����; `� "�`J�
l. You may apply for mechanical permits by mail or in perso� �t,.the City
offices. Mailed-in permits are subject to the postage and handling fees
shown below.
2. Permit cards wili be sent by return mail the same day the application i$
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). Call 473-7357. 24-hour
notice required.
6. House Heating Test Record must be submitted before final.
� INSTRUCTIONS Complete alI items on this application. Compute the permit tee. �
Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.
If you have questions, cali 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: �I � C1 �, '��.�-�_� �`� Zip:
Owner' s Name: /� � ti-� f' �.-�� �� � Telephone Number:
Mailing Address: �ity: Zio:
Contractor' s Name: �i�� Telephone Number:
Mailing Address City: Zip:
********************* *******************************************
MINIMUM FEE ( $30. 00 per pro�ect
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��
SYSTEM DBSCRIPTION: $15. 00 each unit
u Heating Systems :
Quantity: �
Make: Lv--^^�"`-cr�____ -
�� Modei: � ��(l CJ�� - i �D
Fuel: C� ^�-P. -c-7��
Flue Size:
Input BTUs: �.��.^'( .
Output BTUs:
CFM:
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Cooling Systems: l
�. Quantity:
Make:
Model: H5 �-� -411
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 fireFlace with flue �
Factor Fireglace (s) freestanding Masonry
Wood Stove (s ) franklin, other
BrandName 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 (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 $15. 00
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PSRMIT FEE CALC�`�;, "
1. Total of above Installations or Minimum Fee ($.30.00) S 3O. ��C�
2. State Surcharge. Add the State Buildir�o e ivision
Surcharge to each permit - � $ .50
3. Postaqe and Handling on all mailed-in aFplications, S 1. 50
4. TOTAL PERMIT FEE add lines 1-3 above $ � ?-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 tha� all
� s�ateme�ts :�ad� cn �ris ap�l?C3��OI! �re com�lete, true and correct. �
Applicant' s Signature: I� � �� .c��� Date: �� - ��9 �
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