HomeMy WebLinkAbout1991-003813 - mechanical PERMIT
- CITY OF ORONO PERMIT TYPE: MC�:HANI :AL
1335 Brown Rd. South • P.O. Box 66 Permit Number: O�:. 81:3
Crystal Bay, Minnesota 55323 Date Issued: 07/12/91
(612) 473-7357
SITE ADDRESS:
500
ORONO ORCHARD RD
Je
P. I .N. . Cyt-117-23-31-0012
DESCRIPTION:
1 HEATING SYSTEM MAKE KENMOREMODEL Nt:ASC� 4
j
C1 'Y, DF �CAio
131334°„r e
t}1 &EJ>� 3 .X:
1 g? 00�0
16EAt .S0
13. 1T4i�/4
'4f:IGEN 1.50
LXLYc', : TL 32.0°
RECESP '-TIW4tk Yt tt .. ,,
REMARKS:
#218°44`C 1 R0i 11a
,i,:
711 3
FEE SUMMARY:
Base Fee $30 .tai MAIL IN
1..SCS
Surchar3c1-51-2 Total Fee :;2.00
'Subtotal
s...-.0 .50
TR TfR — Applicant• — WNE
COR N' 1'1 H .. G :3445: 535 OL.A I�i •
J I M
1812 E SHAKOPEE AVE 5t 0 ORON�+ ORCHARD RD S
:=HAKOFEE MN 55:37'3 WAY ATA MN 55:3'31
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C'YL
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATtlRE
CITY OF ORONO
APPLICATION FOR MECHANICAL PERMIT U oRcuo
LSCC "''
GENERAL INFORMATION `S
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. ,JULl�A1
2 . Permit cards will be sent by return mail the same day the applicat It 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-hour
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 (Ct_v. 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 AdditionRepair Replace
JOB SITE: UG oeoOic C, D /e/3. Zip: .5-3 '' q7
Owner' s Name : :J769 te7/06- Telephone Number: 32Yc j
Mailing Address : Q Nd 0,P,CHP-4CCity: Zip: 6-3 j
Contractor ' s Name: leMdr Fu/4iC , "14: _ Telephone Number: yds---�
Mailing Address /A/..o._ :c1, mop City: S//,4d'..tPfZip: ,53--_=42
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MINIMUM FEE ( $30. 00 per project)
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SYSTEM DESCRIPTION: $15. 00 each unit
Heating Systems :
Quantity: %
Make : ,171.5 xfNmoR
Model: NC,/50a `1'
Fuel:
Flue Size:
Input BTUs :
Output BTUs : _
CFM:
K*******************************************************************************
Cooling Systems:
2uantity:
ake:
Model :
Tons :
H.Power:
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! .
WOOD BURNING EQUIPMENT $15. 00 each unit
Wood stove with flue
Wood combination or add-on unit
Factory fireplace with flue
actor Fireplace (s ) freestanding built-in
ood Stove ( s ) franklin, other
rand Name Model No. . _... .. .. ..... .__._ _
fgr ' s Min. , Clearances, side , rear , min. flue dia.
Total
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ENTILATION $15 . 00 each project
o. Kitchen Exhaust ducted recirculating cfm
o. Bath Exhaust (must be ducted outside ) cfm
o. Other Fans: Locations cfm
Total
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UEL_ _STORACE (must be approved by fire ivarshal)
$15. 00 Permanent/Temporary
Fuel oil, gallons underground _ inside outside
LP Gas, gallons
Other Gas opening
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AS LINE INSPECTION
igh/Low Pressure $15 . 00
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PERMIT FEE CALCULATION
. Total of above Installations or Minimum ,Fee ($30..00) $ j U. 00
. State Surcharge. Add the State Building Code Division
Surcharge to each permit $ . 50
. Postage and Handling on all mailed-in applications, $ 1. 50
. TOTAL PERMIT FEE add lines 1-3 above $ _3.,?- o
he undersigned hereby applies to the City of issuance of a Mechanical Permit,
grees to do all work in strict accordance with the ordinances of the City and
he regulations of the Minnesota State Building Code, and certifies that all
tatements made on this application are complete, true and correct.
oplicant' s Signature: / / Date: _____I`