Loading...
HomeMy WebLinkAbout1992-004201 - gas piping � PERMIT� ' CITY OF ORONO PERMIT TYPE: -- � � t�ir�,.F-«i!��;�:i�i�_ 1335 Brown Rd. South • P.O. Box 66 Permit Number: t����1•�`�_�1 Crystal Bay, Minnesota 55323 Date Issued: ii�:;C_�:_:/'i� (612) 473-7357 SITE ADDRESS: •�t ir,�� i��Ti�-I r^�v E t�1 i:� �t i •–�-� t �– ("}i Jt x-, �'� . a . �4 . L/—�. 1 i�".t__�__+�'_ _ .... DESCRIPTION: °;,�°:. ��'_ -°����% 1 t�A'=. L I i�lc i iV`=;I='�C:T � „� ; �����„ �, x �lM,� 1� i"wp r 4�"'�,�'`�. k � y`�`�. ���, y�l 4 N� w,�� ' ��x� : ��� � 4 .a _ � ; �.� :3{��� ��k� r � ar,y - ,� a`��`i .n�N�r�'��' �X�,�^ '��� . ^r. � �� � �' � Y'„��,�� i�--W l ,�y�. M�, �� d$ ; %n i y a n i k ,�ka ry� d a� �.u�.�. �"� - � ��d��� � "� � r��� � *s� � � + � � � �v �_ �'� �����"�iFr p���� �� � � v�' � :�a�N!m�� �' ✓-� �y�r� � �# �7� �V'�}= �� � � A+"r�`��,�'ti°"��'l"���„s��� w,��r ����• � + � � � � � � � e� �d � �� � �y ��w �, ,� � ;���'�'1�h�f , ��� �� ��' "�����ar �"„ i Ai�����r�����'�' ���_�� � °� � � ��� ��/�� � � t, ��� "�3 r G q r�'�+wWz„i �," � �o-,� :� u� Vv�,�, w w���`� �w � a, ,.� ,s�'�" =��t�� r`'7T f3C ftiilf'il�If� � �w' .,'.�,� ���a. . V11� W L!! LlIT :''� ". ��A�t�14�l�� f/���f�� � ! 1lTnnLrL V! ! lt�r4 � '�i 1 L i!f J�!{'� � iJJ�l�1��tjV{t i� REMARKS: `" �" ` #; ;-s�;;�-st}�r'►�it� 1 tLLL v �j L,i VLI�i •JV� �� � �1�i li�}! !N� � 1JJi 1 Vv�\•V FEE SUMMARY: ` ""` ` (� r•yrr�• j ' t ii:T 4 "i4i iy. 1.•/ L4� 1 �a-s1tV G'y1_�_,:.: , ;.t_..;•; �1 ,��;.{r�T_t�n���' anit i y„�•�,j� r�tneri �uv {�:s.• �%�r}..l'it i�? !11 Ff �r- �.�,t! , L 3[_i {`Ii-i�l._ L�� �....._�_._._�L��."'�k'A"�r1 f1�V1 e 1� �rt. ��G'l`3t' ��t_ - r!�jl�if�}'.� ..x9� .—-. (^ � • �� �i .iy�y V /Yrl/ t �.s����l.�s������ _...__..._�_�__�S�sta ��..�.{.•L"��. i— '�'a�'' '_ ' :_�I,,IL.t��=��.•=i 1 �•_�3.t , ;�f CONTRACTOR: _ �,�,�,,; ; ��,;;�. _ OWNER: �3 t�' ���E� t� i�:€�{ :;°:.��.�°=��_�;t=,; 'th I t�I T'{ L_t JTNE�;Atd �:bi�7�t:H �. -a T � - '=�',�h.�.3 C�ji���i��i y i=E'�ik =_; z=tlt-.til r.��� f'���. �`v =...I �_I_1�f��_ ��f-71��i�•. i'��`� �:;�L�.�;_3=• E_li'�1 Iji��� ���� Cii.��?�. -�:-s "t,i�-�i ,__ , ''i�__,,,`"h-�t r,r I . . � � .. � -------- �, --� -r�. :: ; ,. .. .. �: � -1�.tt� �)s F�f. �. t`t�.. .+C.. �.��.._*� � : i:'ti i�: � „_ # F-ir t'��.,.. :v.. .L� i .�..E`�i. � €_I`�1 .. ! F��Sf. t..!i'�i/f,: ... . . . I } . . r»� �e �_, ..'...� ' -� i .! 3 f-: �. � j_}� :.., .. r E :9�--i_ _ _ �i 'i �i ». � �. { s z ia e-.-� ' t '�7 i� _ E . .I kt .t `,F a _i 1 . ";. �� .. � _ _ _.... . .--- -. ._.. ._:.., . _ . ;,•: . �€:`� f�t:s i„ic r�. tt-tS`i+..•....:� P•ii�;_i `.-,ui�t; l !;;` ._!t' i'i, ? .�._...'.=t...# ! t'���L.�_ _�...3..�.�! ... . . � .� -. r�.;�...�� .�:!' ::' „ !':•. .' .. . - . .`. . .n . 3 � 11't l.i:i�"' Cli iixi: F i:T"t'!7 i�.i j:- t-/i'//�/�(J //3, APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE�Xf - �. _ s' r� . ��,� '�`.'g �a: a�.n .. - T F"-�.n. s�. �` . 4 ;t ,,� y R ,�;`�',�j � �� i �.r::3� � F k � ��s ��:r w � . - - '`..� a, .+f' ` a ^' F � �"� �� ��« �;y �� � r . .. v a � � .; . n. .^�� � i''._ FF 9-� {�,_ _ . � . � � . ' . . ..a 5 ��� '�'G�. ' CITY OF ORONO rv v� ��`� °���� APPLICATION FOR MECHANICAL PERMIT - '-- a;<:;: :• � �':�, " ��„ ,,„ =ENERAL INFORMATION � .. 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 below. '.. Permit cards will be sent by return mail the same da�i�/�,�e a�p��ication is received. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WO�K,,.,.MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. . When any new construction or remodeling is involved, a separate building permit must be obtained. � �. Ail work must be done in accordance with State Building Code requirements. � �. A1 1 work must be inspected (rough-in and final). Call 473-7357. 24-hour � notice required. 5. House Heating Test Record must be submitted before final. � :=� iNSTRDCTIONS Complete all items on this application. Compu�ce the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. �' It you have questions, call 473-7357. ;�3 S ''�' ��j WALK-IN PERMITS apply at City Offices, 1335 South Brown Road (Cty. Rd 146) �� `+iAIL-IN PERMITS enclose fee - MaiZ to: P.O. Box 66, Crystal Bay, MN 55323 *�, ***********************************************************************�******** ''i ?Iease check one: New k Addition Repair Replace ,'.� 7_,� � � JOB SITE: (?� ', ; ,. � ZiP: �`� ��� �., Gwner' s Name: , �� � � , Telephone Number: � ��!ai�;�� z��.�rass: '���'nC,�,��� � CitY ������ � ��p � � � Contractor' s Name. � �;� }- � � � � '':%�%�, � nti Telepho�e Number :'-- ���- �:,;�� � ,� ;�tailin Address 3�� ;�' � / �;_,��6'1� � -�.� � �' t ' � ' " � ; g Y� �� ���.�'� �� 1�, �✓t-�� Zip: ';_S���Cc.� . ****************************************** *****************�***************** � MINIMUM FEE ( $30. 00 per project) � ******************************************************************************** :� SYSTEM _DESCRIPTION: $15 . 00 each unit � � ,�_:� � Heating Systems : ' # Quantity: Make: .;� Model: ::� Fuel: � c Flue Size: Input BTUs: Output BTUs : � CFM: ******************************************************************************** Cooling Systems: Quantity. ;;�: Make: '�ode1. i� `Pons: $' ;., H.Power: �' �******************************************************************************* .. _. �. ; �. r ��p"*°� �.�.�e-i"' ��� ��+ '� �.e�."ig��,�.vx�; �� � r*� - H '� i�L S � r � � ��. t :+ � �_ a� y-. ? u�� � �; x��"`y;� ; 9 �;�y a� - uti �^� `t''�i�,u'"y„. �"a � ��,q. . ,. ' '' r , g �� ... {,�.' � � : a � � v ;<. r ' � � 'i+. ;�- � .� �x� k�i t �: � • '� r �,��+ ' � -� ,7 } � �,� "' d '. �b� -"��y��: � # s, � �.` ; ., ^�,? �+`3.c tLrt t d' x,d ' t �' � ✓ r�^?L � �-x � �r��` � �, z -''�� e ��" � �. '� <� � � �� =. � �; � .. .>t, . .� , . .._ .�_. , � � . .,. t. � � ,._.. ._ .....�,�•;,�,. _...�..,.,:i�..a��r�4"s... .,���� �"� ��.:=+..�_,i�"�k'�, s'�,.__r1 r.. y :.�t�..�..� k� ,�' ���,_^±s' voe�.� � r { � .`�,.'Lii-p.-�,:+e .'�.�� _ . w.y�acma. �.� A � . . . . . . . . � "�: t� a 9�' � � �_ � t ' _ ' . .. . 'f�� e L *WOOD BIIRNING EQIIIPMENT $15. 00 each unit ; �f� Wood stove with flue Wood combination or add-on unit �� Factory fireFlace with flue n 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 No. Kitchen Exhaust ducted recirculating cfm " � No. Bath Exhaust (must be ducted outside) cfm ., ��� No. Other Fans : Locations cfm � Total � ******************************************************************************** � ��: FUEL STORAGE (must be approved by fire marshal) T=' " $30 . 00 Permanent/Temporary �; Fuel oil, gallons underground inside outside �� LP Gas, gallons Other Gas opening �******************************************************************************* GAS LINE INSPECTION ���yZ� High/Low Pressure �� /� " *�� �-,-`, `x��fi , (����, 0 ..�:..t����:*b**�*�:�*,�*** t �F��� ��� *���*** - �** * ********************************** ` PERM�T FEE CAI�CIYI TION 1 . Total of above Installations or Minimum Fee ($30.00) $ ?�T C�; 2 . State Surcharge. Add the State Building Code Division Surcharge to each permit W._ . _.._.,..�.._ . 50 ' �� 3 . Postaqe and Handling on all mailed-in applicati„q1'iS,,,,.��....__.� .. 1. 50 4 . TOTAL PERMIT FEE add lines 1-3 above � � �� ' $ =���� _ ihe 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 and t�.� Yor„ i a�; �ns of_ the Minnes�t-a State Buildinq Code, and certifies that al l � 7 �.��- _ statements made on this application are complete, true and correct. A licant' s Signature: � �, �=� Date: j- ��i � � �"��� FP � .� � x -� _ � ,*, w�n r , ; . r . . � � r �'.: a�,�''�y,.e?: t' � . . � . � �r: . _ `�+za. � . . �. , . . . . :. . . . -,ds . . . . _... ', . . � -� , . . .. . w- �. ' �. 3, t � �r,� _ . � �w �<,� � � E a. � - ... � . � . . '. . � . r } d , hi � � i � i 4 ' �� �� � > . � � � . � . .a �,.. . .. . . , .,. } • . , ,i . # �k�� ,(� i � ` #A � �':: 9 - S; � 'C i:' 4y F� ) � t . p. S '' r � , ����:� + >.��{`. v 4 � - � . s�x� �'�� � i. . "' < .i�-' - `��. _' . . _ �.�' .. �•.. _ _ . . ,. . . . ,"_�_„�:,�, � . ..3` .._,..�..... a. ._...�._. .. _ . ,.. _,. __ � „ ..,.., .. .. . - . . �...� . . u _a.a�e.::.r .e.. W.