HomeMy WebLinkAbout1991-003984 - mechanical P� �����
CITY OF OROP� � �ERMIT TYPE: t�iFs'::I-��t�lli::�iL
1335 Brown Rd. South • P.C�. 3�.�r -�:� Permit Number: {'`f�1'��=°�+
Crystal Bay, Minnesota 55323 Date Issued: ���`�s`�'f�a�
(612) 473-7357
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �Q�[�r—�
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CITY OF ORONO �
APPLICATION FOR MECHANICAL PERMIT
GENERAL 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 be 1 ow.
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. AI1 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.
INSTRIICTIONS Complete all items on this application. Compute the permit fee. '"
Siqn and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSEU.
If you have questions, call 473-7357.
WALK-IN PERMITS apply at City Offices, 1335 South Brown Road (Cty. Rd 146) f.'
MAIL-IN PERMITS enclose fee - Mail to: P.O. Box 66, Crystal Bay, MN 55323
******************************************************************************** _:
Please check one: New Addition Repair Replace
JOB SITE: � -3 3 3 �� Zip: h3
Owner' s Name: •.,,.. o,Q.,,. Telephone Number:
Mailing Address: City: Zip:
Contractor' s Name: �`�-r2�� Telephone Number:
Mailing Address � a 5 S 7',,,, , City: �Y Zip:�~s � 7�
************************************************ *** *************************** ;,;
MINIMUM FEE ( $30. 00 per project) ';
******************************************************************************** ,:.
SYSTEM DESCRIPTION: $15. 00 each unit
Heating Systems :
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs :
Output BTUs:
,
CFM:
******************************************************************************** i,
Cooling Systems:
Quantity:
Make:
Model:
Tons: ,
H.Power:
******************************************************************************�*
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� � * $15.00 each unit � �
WOOD BIIRNING EQIIIPMENT ;
� Wood stove with f lue ,,�,
� Wood combination or add-on unit �
Factory fireFlace with flue
� Factor Fireplace (s) freestanding Masonry . �
Wood Stove (s ) franklin, other
�` Brand Name Mode 1 No. �_
Mfgr' s Min. , Clearances, side , rear , min. flue dia.
Total
Es *******************************************************************************
{` VENTILATION $15.00 each project
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
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FIIEL STORAGE (must be approved by fire marshal )
; ; " $30. 00 Permanent/Temporary
� ;� Fuel oil, gallons underground inside outside
� LP Gas, gallons
� Gas opening
Other
**************************** **�,r**********************************************
LINE INSPECTION '� `"�""" ��' Jp�-� �� ����
High ow Pressure i �-� ^�"�" `���'i�`��$15. 00
* ************************ ********** ******* *****************************
PERMIT FEE CALCIILATION
l. Total of above Installations or Minimum Fee ($30.00) $
2 . State Surcharge. Add the State Building Code Division
Surcharge to each permit $ . 50
3. Postaqe and Handling on all mailed-in applications, $ 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 app lication are complete, true and correct.
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Applicant' s Signature: �� Date: � U`� � ^ l��
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DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED f I
PERMIT NO. 3 9� COMPLEfED /d 3l-a�
ADDRESS��333 �
OWNER e ` CONTR. /� y`��
TELEPHONE NO. �02� �02�o�D 3
� DESCRIPTION ` '—.tLin,c.� ��tia.�
� 01 FOOTING 1 MECHANICAL 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANI L 18 EXCAVIGRADING/FILLING
y 03 INSULATION 24l25'WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
2 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q OS FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK•UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOILOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERlCONTRACTOR TO MEET YOU:_YES_NO
��„ COMMENTS:
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d VYORK SATISFACTORIF PROCEED ❑ PROJECT COMPLETE
W
� CbRRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PEqMANENT
O CORRECT UNSAFE CONDITION WITHIN HOUflS. �pHOTO TAKEN
INSPECTOR WiLL RETURN
O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
�INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspect�n 24 hours in advance.473-7357
OwnedCattra site:
Inspector:
VYhite CopyA Flls Canary Cop�I/Sib Na�d
�
,TING TEST RECORD
ADDRESS ` . APT. FLOOR CITY SUBURBN�v��r�
OCCUPANT lZ.�k�s ��a+-� V�`I v OwNER
�` HEAT LOSS DATE HTG. INST. �� ' y — �� ,
SOLD BY_ ��"�h;� a s �s INSTALIED BY � � '�'��� Q-� �e
El�et�icol Work Bp Gos Lin� By
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. �.OTHER
GAS DESIGN CONVERSION
MAKE m�d�h�- MAKE OF BURNER
Modtl �A l O IA _ Model —.
�rioi oo t l a � l 0 9 o P.iax. $T� Ra?i..�
INPUT 7 �. ��� MAKE OF FURNACE
Mod�l
CONTROLS ,�
THERMOS7AT Tgl Heat Plug V�nt Siz� S
Valve Z�b�-/-�' a��-� KIND OF LINjE�R�PV����6`s�-�os SIZE�Z ��NONE
Limit KI`u o'^ Drnh Hood _ �?St1s_��'n R•yularo►
6
Li�:t SwNinp ����� � Filters Siza Kumbsr
Fan S�Hin� ��O-'r�-/ a-SS �s �- Chimnty Loeation Insids�0utsid.
Pilot Type__ �e�n ��— Chimney Conshudion mt�a.�6�5 S e( •SS l�
Pilot Moke �o"� 1�L' r� a'i't-d-
Pilot Model Smoks Bomb Wiring —
Pilot Timing S y S�-�-• D►oft Test Tap
L.W. Cut 0# �ow Prossure Liphtiny inst.
Prssswe �•S��P�rc�nt C0��—L o Date Test�d I v — �— 9 I
lrpiut C:FH � � o P�resnt OZ Compony Testing ► h a c 6
S1oek Temp. � �0 Perctnt CO � �� Namt of T�st�r �g(g g�g
Fwm 335