HomeMy WebLinkAbout1995-007378 - gas line inspect PERMIT
r� �ITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �_;�
Crystal Bay, Minnesota 55323 Permit Number: _
(612) 473-7357 Date Issued: �-_�` _�_ _._.
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: - , . .. . . _.... _ -- OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ��fj.
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMTT
Box 66 (2750 Kelley Parkway) `= 5 ''
Crystal Bay, MN 55 323 SEp
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a pemut will be issued within 2 working days.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID `��
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS �
POSTED ON THE JOB SITE.
3. Mechanical Designs - Complete calculations, details and specifications are required for each heating,
ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat gain
calculation, design temperatures, equipment ratings and identification as to type, manufacturer and model.
Data shall be presented on form provided. Ideatification of and specifications for water heating equipment
snaii aiso be provided.
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected (rough-in and fina]). Call 473-7357. 24-hour notice required.
7. 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.
Please check one: New __�__ Addition Repair Replace
Residential Co ercial
JOB SITE: � ZiP� ��3��°
Owner's Name: � � v� �• �t� �' Telephone Number: �7�- ��q�
Mailing Address: 7 � � ocL City: �n�-�-�� Zip:�r.'L' �
Contractor'sName• TelephoneNumber: - Pa �
Mailin Address: �v� City: ���� � Zip:���Z.�
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make: `''
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
r(�$�� � �62��1 �l�U �C(S�ii � � �a.�.Q.�
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WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
Total
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath ExhaLst (must be ducted nutside) cfm
No. Other Fans: Locations cfm
Total
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�nD(�°C' x .0125 $ 3 5. �'`�
(contract price)
2. State Surcharge. ** Add the State B�aildin�Code Division
Surcharge to each permit. �Q(.�G-= x .0005 $ • �J �
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �7�
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor, or installation are furnished by the owner,
tenant or any other party the reasonable market value of such items must be added to the estimated cost
or contract price for permit fee purposes. In the event [hat there is a dispute on the amount of the job cost,
the Ciry may request the submission of a signed copy of the actual contract.
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for 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 th, all statements made on this application are complete, true
and conect. �
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Applicant's Signature: '� ���� Date: �( �
Approved By: Date:
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DATE , TIME
CITY OF ORONO CALLED IN �� �jJ' �� �'�'''
INSPECTION NOTICE SCHEDULED �� �3 "9s ,�
PERMIT NO. ��� � OMPLETED
ADDRESS � 5�
OWNER CONTR. `
TELEPHONE NO. �cZ g " o� ���O
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24�WOOD BURNE REPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOILOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMB�NG FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W �1lORK SATISFACTORY:PROCEED ROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY
V BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONOITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfUflN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL►NSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i ion 2a hours in advance.475-7357
OwnerlContra or site.
Inspector. �
White Copyllnspector's File Canary Copy/Site Notice