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HomeMy WebLinkAbout1995-007403 - gas fp/vent only P��IVIIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 - � �:�:;�.�:.�:F;�. Crystal Bay, Minnesota 55323 Permit Number: :'�;�f,.;�:: (612) 473-7357 Date Issued: _ SITE ADDRESS: j :'��'�_' ����y{-ii f T ia1�_��..t!1 i,`;�1 =i; .._-__;� �, _ .. .,_ , : ..... - - - : , ;. ._.' "� DESCRIPTION: �.. .� . .'�:��. '�{� i=. ._. - _ . _. .__. �.._�-a'.��;: 'i":J��_ �•?:-i�l ..'!it�-1�._ t•.":�-i�;� !'i;-fii�•.i_ S"!�1`l l 3`� ;,3+__� i �'�t_it_I�i, �;.:)'•'.�i_1(����� 1 itiii�€1 I �'�' . C_7i_#['1 .. i F"`<" i�%irei:t 1.r1! ! L:^ L'!\1JItV . f Z F�I'YiRLL Vl�f.LLrL jj ��J1.Ji�t%1.'�{.%\Vs �f r �, ii.i. vi�i �,1.'tjit i:�'�is;t:i=•l:i � 1tLLL�'Vt�VV V1j LLf��t a�Vj L�1!l�iLL�\ !L jL�eJbt !:L:-C?:�!.._�+�l.J:��A' Yt�} fe�.��Lie � r�rrnt�1� r Vu �y � REMARKS: �.-;�:�.�.�- ,:,:�;;� ;;�.� �:,�. r�t:'te�i8r iv�v..r r,.f FEE SUMMARY: t};'il_:s;a�1�i��ii;� . :_�t.;:_� ��:;•;._. !=�?::� �'?�, . i's(�; ;;;_s,�r�-,�;:,_::�� ____--- :z ��'r_�-'r�._;1 i==r.... _— — i��:=, :,..,,_. CON _RACTOR• — ����� ?.��:�f�L� w OWNER: ' '..��!.+'i_. _. . . .r _. �L. _. _ _ :. . i i� .:`-F ?�k4�tE� ?'_� .., .?'i�_i ~ ...�!E'���!';3f': i�_�f..i 1.� . -��.'`�i j'�{'_ S ,^.��.L ��F-tfii�•. �?S�� _. ... , __._ _ .......it^� '�'��'f �.: .'" _ . . _..._. . �y����..._�'��i -ai #- . . �- . .., � � . . � =:E. ����€C,��.��I��h��.Cs l�E�3�E�`�` F��.�;�.�� _�.� r �-r#��.�,..I:�.�� T i � '` �,���.. i���ri. : 4" . �q � '��`��•�.t'��� ���� ��.����` '��� ���' �� �.,.. �i i�`, ` ��� `_��I�'�t �r ;, ; ; {,��"a"`�.� : �� ( � ��; . '; � . _�,,�� . _ �.�_.. �r. .. -. ...h..._.`.����`.:� . _ � ' _+�= t r��::���i f��'�i I�#��h!�_ _.. ;:.;�'a �:=T-�x� ��a� �?3 t��'�'�:��`�'� ���_ }3 � � , � � ���� L `I r�`��K!__ '� / J y ��(1�''�/ , � r�C1 APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE x 4 � � � CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 s� GI,NL'RAL INFORMATION '� 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be � reviewed and a permit will be issued within 2 working days. 2. Pcrmit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALfD UNTIL YOU RLCEIVL A PERMIT. WORK MUST NOT I3�GIN UNTIL TIIE PERMIT CARD IS POSTED ON THE JOI3 SITE. 3. Mechanical Dcsi�ns - Complete calculations, dctails and specifications are required for each hcating, ventilation, humidification-dehutnidification, and air conditioning installation including hcat loss/heat gain calculation, design temperatures, equipment ratings and identification as to type, manufacturer and model. Data shall be presented on fonn provided. Identification of and speciPications for water heating equipment shall also be providcd. 4. When arry ncw construction or remodcling is involved, a separate building permit must be obtained. 5. All work mus[ be done in accordance with the Unifonn Mechanical Code/State Builcling Codc rcc�uirements. 6. All work must Ue inspected (rough-in and final). Call 473-7357. 24-hour notice required. 7. I Iouse Heating Test Record must be submitted before final. [nsh•uctions Complete all items on this application. Compute tlie permit fee. Sign and datc the certificalion. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you l�ave questions, call 473-7357. Plcase check one: New Addition Repair Replace Residential Commercial JOB SITE: �? .S �-��G'7 �-t-'�'� Zip: Owner'sName: ' ' /'� TelephoneNumber: Mailing Address:��� �'/��c��u��c�� /?v City: Zip: Contractor'sName: o�v�✓ _ e �'s�'C'S TelephoneNumber: ��j�- ���� Mailiug Address:����_7� �Q7' v✓�� S� City:S,���f��� Zip: .� 7�Y� ;s�— SYSTEM D�SCRIPTION �^ � HEATING SYSTEMS C, �-� r`��� �� � . Quantity: / �%,��'�`�(J nl �%/{��. Make: 1j�� �' �C1 C�L C� Model: SD00 �p✓ Fuel: /U'��` �'�-S Flue Size: Input BTUs: C1 C� — Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power � � ��� ' w ' ' • a WOOD BURNING EQUIPMENT Wooci stove with flue Wood combination or add-on I�actory fireplace with flue Factory Fireplace (s) Freestanding Masonry Wood Stove (s) rranklin, other Brand Name Model No. Mfgr's Min., Clearances, side , rear , min. flue dia. V�NTILATION No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm `� No. Other Fans: Locations cfm � M I'U�L STORAG� (MUST BE APPROVED BY FIRE MARSHAL) � Installation Removal Fuel oil: gallons underground inside outside LP Gas: gallons Other Gas opening P�RMIT r�E CALCULATION 1. 1.25% of Contract Price* or Minimum ree 35.00 ��O�C� OL� x .0125 $ � (c/ ontract price) 2. State Surchar�e. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ or $.50, whichever is greater (contract price) 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 4. 'I'O"I'�1L PI?RMIT FE� (Add lines 1-3 above) $ * CONTRACT PRICE or JOB COST mcans the actual or estimated dollar amount charged for the Permittcd work including matcrials, labor, profit, and other fixed costs. It is the amount to be chargcd to the • customcr for the work done. If any tnaterial, equipment, labor, or installation are furnished by the owncr, �� tenant or any other party thc reasonable market value of such items must be added to the estimated cost � or contract price for permit fec purposes. In the event that there is a disp�te on the amount of thc job cost, �� thc City may request the submission of a signed copy of the actual contract. ;� ',, ** 'I'hc STnT� SURCIIARGE is .0005 of tlic contract pricc undcr $1,000,000 or $.50 - whichcvcr is greater. For valuations over $I,000,000 call the Departincnt of Inspectional Scrvices 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: ��� — —�1� 5 Approved By: Date: � � ° ' � � r i a �, �:�.�,,:,'��`�.�;.���.�...c���r.° a �� '�� �' . .,�.,f� _ _. .�_ �.. �� ���u..�r__ � r:n.e...�_.�...�L .�" 3�a�.n...�,i:__ .� .x. � y.�r.:�. -.....,.w.,.s« ..,'ai DATE TIME CITY OF ORONO CALLED IN i0�d-q� INSPECTION NOTICE SCHEDULED /U �� � ��' PERMIT NO. ���� COMPLETED �� �_ ADDRESS �7�`� �-�� OWNER���r�'7 G��'�v� CONTR. C���'-�u.�a si��u-- TELEPHONE NO. h �� �� ���� � DESCRIPTION �/���� � 01 FOOTING 11 MECHA AL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/ IREPLACE ' 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � j d W WORKSATISFACTOFIY:PROCEED C PROJECTCOMPLETE � ❑ CORRECT WORK 8 PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. -- pHOTOTAKEN INSPECTOR WILL RETURN �' CITATION ISSUED C STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ction 24 hours in advance.473-73�J7 OwnerlContrac or site: inspector. � White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN /�''-�" �f INSPECTION NOTICE J SCHEDULED �= " =� �-�� PERMIT NO. �� �Cr � COMPLETED � ��� ADDRESS I � �L' �l� ''- �: � .. OWNER ��y-��c- ' t-� CONTR. ti��i'a .��.,., �� TELEPHONE N0. � � ��-� � ��� �� � DESCRIPTION _ , . ,�%,�., �'��_ ,,_ ��:-c �_ . ll� 01 FOO_j1 , 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING �L .:-- y� 02 FRAMING; 13 MECHANICAL FINAL 19 LAKESHOREIWETLANDS O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP T 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 O a � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED �; PROJECT COMPLETE � C CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUtRED.CALL T ARRANGE ACCESS. Call for th t s ction 24 hours in advance.473-7357 OwnerlContract it : Inspector. � White Copyllnspector's File Canary CopylSite Notice