HomeMy WebLinkAbout1992-004556 - furnace/gas line PER, MIT
CITY OF ORONO PERMIT TYPE: I AL
1335 Brown Rd. South • P.O. Box 66 IES`c 56`CAL
Permit Number: i_ii_iti.._ _�_
Crystal Bay, Minnesota 55323 Date Issued: 08/11/92
(612) 473-7357
SITE ADDRESS: -----------------------_______
NORTHERN AVE
LSV
P. I . N. . 17-117-23-34-0013
DESCRIPTION:
FURNACE/GAS LINE
I HEATING SYSTEMS
I GAS LINE INSPECT
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FEE SUMMARY:
Base Fee $30. 00
Surcharge -----------aQ
Total Fee $30. 50
CONTRACTOR: OWNER: - Applicant -
BURNEVIK THOMAS
3630 NORTHERN AVE.
ORONO MN 58391
(612)471-0024
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO I,-O ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICA ERMITEE SIGNATURE ISSUED BY:SIGNATURE C��
CITY OF ORONO
APPLICATION FOR MECHANICAL PERMIT
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). Call 473-7357. 24-hou:
notice required.
6 . House Heating Test Record must be submitted before final.
INSTRUCTIONS Complete all 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
Please check one: New Addition Repair Replace
JOB SITE: �l0 C) J\JL) )-�kQ'rte zip: 1 I
Owner ' s Name : i hCgv1At> 8LJrne(, (k_ Telephone Number:y-7i -c)CA y
Mailing Address :3>L-3i; urtkerh Cz ve L::4�4 ro, City: Zip: SS 3q /
Contractor ' s Name : w.t,i� T— Telephone Number: --
Mailing Address -- City: Zip:
MINIMUM FEE ( $30 . 00 per project)
SYSTEM DESCRIPTION: $15. 00 each unit
Heating Systems :
Quantity:
Make.
Model:
Fuel .
Flue Size :
Input BTUs :
Output BTUs : —
CFM:
********************************************************************************
Cooling Systems :
Quantity:
Make:
Model:
Tons :
H.Power:
*WOOD BURNING EQUIPMENT $15 . 00 each unit
Wood stove with flue
Wood combination or add-on unit
Factory fireplace with flue
Factor Fireplace (s ) freestanding Masonry
Wood Stove (s ) franklin, other
Brand Name Model No.
Mfgr' s Min. , Clearances, side , rear min. flue dia.
Total
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
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 /
PERMIT FEE CALCULATION
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 . Postage 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 Permi'
agrees to do all work in strict accordance with the ordinances of the City ar
the regulations of the Minnesota State Building Code, and certifies that al
statements made on this application are com Tete, true and correct.
Applicant' s Signature: Date: