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HomeMy WebLinkAbout1999-012115 (Gas line) r . ',. PERMIT CITY OF ORONO PERMIT TYPE: - . . -. .. 2750 Kelley Parkway - P.O. Box 66 -'u�_�F•:; ��== ;�;�_ Crystal Bay, Minnesota 55323 Permit Number: _ `.`_:`� �.�� (612) 249-4600 Date Issued: - _ SITE ADDRESS: ..._. µ:s: ���;_�',`'�`�,F�`} .:.- . --:�;�.; . . `_ . �`K . . s i�:--' : —__ —�:1.—=�i:�it�- _i` DESCRIPTION: �,:F..:' _ ' �. ��1-1��� ??�',�i: �i,;.=�i'`_! i'ii-�i�.� _... .... a��-��u:....��4tW`v REMARKS: FEE SUMMARY: '�4��r�-�:�..�_��'i��',�i��w �.� : _ .. . _ �.1��' f=�='��= . _ _ . t:��_' ='±i�i�_"if�; 4='=4-:_ ___._____ .-'� , •-:- ..,,n,� y ,-,� _ _ ��+�5� E�:��.E ^R•.._ . :. , , �t':..''} . ...... . .. . . _ �. y, �,_ � =' - `.... .— _ �—_.------_._._:..�__ _ .. ...... _....si-: _ ':�..=- !, �� `.r . ... .. CONTRACTOR: - ; - � - -� - � OWNER: ,i'_f4_f1 1 Y ! ..�4 i� i�{_ �'-�i_ .�i`Ji_ _ . � , ._ . ... .. . ._,_ _ _,_ �._._. . _ - - , . . �. _'��_� . . .�_it,`'.: ' _. . . . .. . . ....3�,- ,_ . ��—r r_�,'•:_s'i_ :- _ . �`'— _ ._� . .. _ . _, _ , _ __ t .. ; �..,P- :,,i:`.. ir. �:"s,t � c;,,,7 C�t� ` `� t` ` ' .»_ � « a"... �'#_ _ _ .� .. . . � _ 3 ;o.�'. ? !". . w`.. . _ i ,� , 3` }'� I , . ; . ..._ , . ...., ti . ...._ __ _ . _ _ � y— }( J> �.... ..,..5_ ..Si".i f�: � E ! .x^s#:, l 3 � 3�- !:t i '�t-i 6',.�s��si'�i� 1 xy�.�..�L_n....� f"'�tk*f��.:....!'4�.��L'�.. 4 �._{ I.ri..f i'��'.._ �ri.�. . . 4�d -»' . ��. ...�,.� i �' .._t.:':.� :r _. .; : ..,.�.._ � i .. . W i i:��':}'jr..�a_ ; ...: _ � .� S. .��::_ . ..3-t-.,M {_},,..._ i ti_� _3.�',..i � �,.�—.Si.:,, . r3I'.a�.' `_.#i-. � `. �_��" '?3. .. ._�I„ ? �r 'C: _ �•'_. �S 9��.: �.�_._._ :�' , - - . r�� x L � __�����' .�� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE I. 4n.::;^n �r .�.,.'�, �—,^ z-��. :�.e r i ,` � � ,� �. I . ► i `y,�4{ p� • t�r � y��' w � �� �� '�� r � � },y CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT ��' Box 66 (2750 Kelley Parkway) � Crystal Bay, MN 55323 z� t� GENERAL INFORMATION ;�� 1. You may apply for mechanical pemuts by mail or in person at the City o�ces. Applications will be � �� reviewed and a permit will be issued within 2 working days. �� 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID � UNTIL YOU RECEIVE A PERI�4IT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS �� - POSTED ON THE JOB SITE. ° ` �`�„�� 3. Mechanical Desi�ns - Complete calculations, details and specifications are required for each heating, ��; Ty�F"�,,; ventilation,humidification-dehumidification, and air conditioning installation including heat loss/heat gain � � ,t�� calculation, design temperatures, equipment ratings and identification as to type, manufacturer and model. � • � � Data shall be presented on form provided. Identification of and specifications for water heating equipment ��'x ,��f'� shal? a!so b� provide�. ':`�� � t: 4. When an new construction or remodelin is involved, a se arate buildin ermit must be obtained. � s�� Y g P g P �.= 7� ,' S. All work must be done in accordance with the Uniform Mechanical Code/State Building Code '`„ ` ..��� requirements. x � � ` 6. All work must be inspected (rough-in and final). 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 pemut fee. Sign and date the certification. • y�� ��< INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357. A�:Fl . / � Please check one: v New Addition Repair Replace �Residential Commercial `� ��`� JOB SITE• Zip: »�� x� Owner's Name: E 1��2 �3 � Telephone Number: � � Mailing Address: a?/pU �/�� ,C�n 1,vA�1 City: p�'�/�v Zip: F'< Contractor'sName:.�pp.p,.� �'}1�ChcL�u..Q� TelephoneNumber: �O�/ -�'7/��/ � �: MailingAddress: ��,� ��y�7-,4v� City:��7 . �C�u�C Zip: 5S/i 7 ,� SYSTEM DESCRIPTION =� � ,, � HEATING SYSTEMS �j,t, �(�,� � `�'��� A" ��.�. Quantity: � �,; Make: -:.�: Model: £ ` ��� Fuel: ` � � ' Flue Size: ���t � �,.,.�; � ; Input BTUs: ' ,:� � Output BTUs: , , � .�`�`�° �� � �� CFM: � ,��' �t, COOLING SYSTEMS n3j��� � ` � Quantiry: ���� Make: � ,'���-Q ModeL• `� ��� Tons: ti�� H. Power �� ���� , , � . _ � ,� .. _ .. . , _ _,. . _.. , .. ... . . . . � � . � � ���� .._� . �� � ,. �:-4 � .,�� .4 .�.�x� _ , ...�.�, � � : • � 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, sideY , rear , min. flue dia. � Total `` VENTILATION No. Kitchen Exhaust ducted recirculating cfm No. Bath E�aust (must be ducted outside) cfm Tvo. Other Fans: Locations cfm Total FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation Removal Fuel oil: gallons underground inside outside LP Gas: gallons 5 . Other Gas opening PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) 1/CZ� . � ?� x 1.2s $ ��� �C�� (contract price) 2. State Surchar�e. ** Add the State Building Code Division Surcharge to each permit. // �O � CZ' x .0005 $ , 5 � (contract price) 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �,3'J. � S' * CO?�1TRACT PRICE er JOB CnST means th�artual or estimated dollar amount charged far the permitted work including materials, labor, profit, and other fxed co��s. Ii is the amo:mt to be charged tc �e " 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 that there is a dispute on the amount of the job cost, the City 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 that all statements made on this application are complete, true and correct. Applicant's Signature: ' Date: �/ � ` g� Approved By: Date: , � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED f—�• � PERMIT NO. �'�2� �� COMPLETEO l� �/ ADDRESS '�I �� "TlC/(� C.�- - Cr�1 OWNER CONTR. ' ��� � TELEPHONE NO. ��� - `�I_X�' � � DESCRIPTION ��S �/�t-F tL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECT�ON Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a J D "' � o ; ,� � �. ° �� " � ou y � Q � z W � W � � d � ❑WORK SATISFACTORY:PROCEED C PROJECT COMPLETE W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. " pHOTO TAKEN INSPECTOR WILL RETURN C CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �NSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance.473-73�J7 Owner/Contractor on site: Inspector.���Q�-�P �-�-G� White Copyllnspector's File Canary CopylSite Notice