HomeMy WebLinkAbout1992-004533 - fireplace (masonry) ' PERMIT
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`' C�TY �F ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 �E�'�HAN I C�AL
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Crystal Bay, Minnesota 55323 Date Issued: t:}:=;/ty_;/'�i
(612) 473-7357
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: — AF=�1 i c ant. — OWNER:
D��i fDY MEC:HAN I GAL I NC: :_'.q.,�71 c�F 1 E�iGEL'��htA E��;s�CE
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APPLICANT PERMITE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO � {
APPLICATION FOR MECHANICAL PERMIT
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,,, GENII2AL INFORMATION �`�
l. 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. WORR 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. AI1 work must be done in accordance with State Building Code requirements.
5. AII work must be inspected (rough-in and final). CaI I 473-7357. 24-hour ��
notice required.
6. House Heating Test Record must be submitted before final. ��
�
INSTRDCTIONS 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. °A•
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WALR-IN PERMITS apply at City Offices, 1335 South Brown Road (Cty. Rd 146) fr�;
MAIL-IN PERMITS enclose fee - Mail to: P.O. Box 66, Crystal Bay, MN 55323 �
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Please check one: New A dition Repair Replace �
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JOB SITE: (J CQ�I�� ��� Z1P= ;�i�
Owner' s Name • Telephone Number: �°
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�` Mailing Address : t3�c9 �City: ' � Zip: ;�
Contractor' s Name: Telep one Number: �f�7-/G�O/ ��
Mailing Address �� Zi Scs! ��
�` CU e� City: s_ �' l�cx.c���-rv P=
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MINIMUM FEE ( $30. 00 per project) ��
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i . SYSTEM DESCRIPTION: $15. 00 each unit ��
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� Heating Systems: �
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�° Quantity:
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; Make: �
i Model:
Fuel: �
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Flue Size: `.;�
Input BTUs: ,�
Output BTUs: ;�
CFM:
******************************************************************************** ;;�
Cooling Systems : ;*
Quantity: Et�
Nake: .�
, Model:
Tons:
H.Power:
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*WOOD BIIRNING SQIIIPI�NT $15.00 each unit
Wood stove with flue
Wood combination o add-on unit
Factory fireFlac 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. Ritchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
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FUEL 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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PBRMIT FEE CAI.CIILATION
1. Total of above Installations or Minimum Fee ($30.00 ) $
2. State Surcharge. Add the State Building Code Division $ .50
Surcharge to each permit
' 3. Postaqe and Handling on aIl mailed-in applications, S 1.50
4. TOTAL PERMIT FEE add lines 1-3 above S
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
statements made on this application are complete, true and correct.
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A licant' s Si ature: ��'� � � Date: /
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