HomeMy WebLinkAbout1992-004638 - tank removal PERMIT
CITY OF ORONO r� • � PERMIT TYPE: MEC:H�tt�il�:t�L
1335 Brown Rd. South • P.O. Box 66 �y��4�����
Permit Number: f y,�/i F,/_��,
Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE C�Q�J)
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CITY OF ORONO
APPI�ICATION FOR MECHANICAL PERMIT
GENER�L INFORNIATION
1. YoL may apply for mechanical permits by mail or in person at the Citv <
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. 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 (Cty. Rd 146)
MAIL-IN PERMITS enclose fee - Mail to: P.O. Box 66, Crystal Bay, MN 55323
******************************************************************************** :.
Please check one: New Addition Repair Replace �.. /�cvnc� �-
JOB SITE: � 1C> Sl1c��� ���z �y, (�✓�v�� Zip:
Owner' s Name : e�., - � " ��;C �' 'U,�c, Telephone Number: y73�f 75 =z-
Mailing Address: 1 U � �,�LiCi������- v City: L'������> Zip:
Contractor' s Name: /�1;'S � ��y�Y3��, � �,-� Tel hone Number:�=�/- >�a:�
Mailing Address q�iU�/ �d �'bjc�:e �2i. City � �v����� Zip SSyY/ `
************************************************** ****�*********************** '';,
MINIMUM FEE ( $30. 00 per project)
***#***�F**�t�r**�t******ir�c************�c***ir**ir�k****ic***********************ir******i� .
SYSTEM DESCRIPTZON: $15. 00 each unit
;;:
xeating Systems:
Quantity:
Make:
Model: '�'
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
******************************************************************************** `
Cooling Systems:
Quantity:
Make:
Model:
Tons:
H.Power:
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� *WOOD BIIRNING EQIIIP1�iT $Z5.00 each unit
% Wood stove with flue
�, Wood combination or add-on unit
Factory fireFlace with flue
t` Factor Fireplace (s) freestanding Masonry
� Wood Stove (s ) franklin, other
# BrandName Model No. _
��` Mfgr's Min. , Clearances, side , rear , min. flue dia. _
Total
� ***�***************************************************************************
�;` VENTILATION $15. 00 each project
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� No. Ritchen Exhaust ducted recirculating cfm
�'` No. Bath Exhau�t (must be ducted outside) cfm
No. Other Fansa Locations cfm
Total
**********�******************************************************************�:*
FII$L STORAGE (must be approved by fire marshal)
' $30. 00 Permanent/Temporary
_� Fuel oil,J,UCO gallons underground inside outside
LP Gas, gallons
Other QP ;�,.,�;��_ F��.I Ta��k Gas opening
******************************************************************************:�
GAS LINE INSPECTION
High/Low Pressure $15. 00
: *******************************************************************************
P$RMIT FEE CALCULATION
l. Total of above Installations or Mini.mum Fee ($30.00) $
2 . State Surcharge. Add the State Building Code Division
Surcharge to each permit $ . 50
3. Postage and Handling on all mailed-in agplications, S 1. 50
4 . TOTAL PERMIT FEE add lines 1-3 above $
- 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.
Applicant' s Signature: 7/Icr�v� ��'�l Date:�=/G'%�Z..
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DATE TIME
CITY OF ORONO CALLED IN �''���� ��
INSPECTION NOTIC SCHEDULED 9-�� � �C%
PERMIT NO. �f� �� COMPLETED � �
ADDRESS �G' /� � l,�'t�-�'-�'='"`,c-
OWNER /�'���:.��,�C,[> CONTR. �S ��7=a�`u<c-��+
TELEPHONE NO. -���� - 7 ��3
� DESCRIPTION ��-��-��� /��-��zo--��-L` .
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DE —SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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d WORKSATISFACTORY:PROCEED i- PROJECTCOMPLETE
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� CORRECT WORK R PROCEED C! ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,�, pHOTO TAKEN
INSPECTOR W�LL REfURN
❑STOP ORDER POSTED.CAL�INSPECTOR - CITATION ISSUED
� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContract r qr)site:
Inspector. .U
White Copyllnspector File Canary CopylSite Notice