HomeMy WebLinkAbout1991-003676 - mechanical _ _ _�
PERMIT
C�e�T�`�F ORONO PERMIT TYPE: �(��:n►�t�it:�iL
1335 Brown Rd. South • P.O. Box 66 Permit Number: �:f{f:�a=7F�
Crystal Bay, Minnesota 55323 Date Issued: �y�����%'a�
(612) 473-7357
SITE ADDRESS:
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APPLICANTlPERMITEE SIGNATURE SSUED BY:SIGNATURE
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CITY OF ORONO �� Q ��
APPLICATION FOR MECHANICAL PERMIT ��[�O� '���
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GENERAL INFORMATION '"
1. You may apply for mechanical permits by mail or in son at the City
offices. Mailed-in permits are subject to the postage �� han�I� fees
shown be I ow. ��
2. Permit cards will be sent by return mail the same day the application is 5
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 t�
permit must be obtained. '�<
4. AI1 work must be done in accordance with State Building Code requirements. �;;
5. All work must be inspected (rough-in and final). Cai I 473-7357. 24-hour �
notice required. ;�
6. House Heating Test Record must be submitted before final. ��
�
,
INSTRIICTIONS Complete al 1 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 enc].ose fee - Mail to: P.O. Box 66 , Crystal Bay, MN 55323 �
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Please check one: New Addition Repair ✓Replace
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JOB SITE: F��� I (Jl� Zip: � `_��y� �
Owner' s Name: � � � Telephone Number: Lj7S " c� "'
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iiaiiiiay nuu=^cSj: � �i}V� /'� r ! ) ZilP: �� `-
Contractor' s Name:. 1 .? T Iephone Number: . -� , G� �
Mailing Address �' � � � ' � .?s, i; City: ���'S'�� �i'�i(/�. Zip: �,Sy�77 ��
********************** *********************************�*********************** ;;�
MINIMUM FEE ( $30. 00 per project) �
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SYSTEM .DESCRIPTION: $15. 00 each unit :�
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Heating Systems : y�
Quantity: �'
Make: �''
?�!L'del: „�%r%�� t -
Fuel: `�
Flue Size: "'
Input BTUs :
Output BTUs �j��.�
CFM: —'/�9G�C�
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Cooling Systems:
Quantity: ,
Make: '
;�
Model:
Tons: �
_ �
H.Power:
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*WOOD BIIRNING EQIIIPM6NT $15.00 each unit
Wood stove with flue
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
***********************************�********************************************
VENTILATION $15.00 each project
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhausic {must bc ducted outside) Gfm
No. Other Fans: Locations cfm
Total
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FII$L STORAGE (must be approved by fire marshal)
" $30. 00 Permanent/Temporary
Fuel oil, gallons underground inside outside
LP Gas, gallons
Other Gas opening
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GAS LINE INSPECTION
High/Low Pressure $15. 00
j+******,�***�x**�r***************************************************************
PERMZT FEE CALCULATION
1. Total of above Installations or Minimum Fee ($30.00) $ `�a; `'''
2. State Surcharge. Add the State Building Code Division
Surcharge to each permit $ .50
3. Postaqe and Handling on all mailed-in applications, S 1. 50
4. TOTAL PERMIT FEE add lines 1-3 above $ ��',/�l� _
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 and
the regulations of the Minnesota State Building Code, and certifies that all
statz�r�ents ma3e oz thi� arp licatier� are comp lete, t�ue and correct.
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� � ' "�// Date: ��a " //
Agplicant' s Signature:" � �' �� �
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DATE TIME
CITY OF ORONO CALLED IN ` �q
INSPECTION NO ICEy� SCHEDULED �� � /% �' —
PERMIT NO. �� � COMPLETED � N
ADDRESS � �S ��oh�c.. �� � �
OWNER CONTR. ��%�C�� � '
TELEPHONE NO. � 7'����-3
� DESCRIPTION
� 01 FOOTING 11 M Od 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
O03 INSULATION . EPLACE 19 LAKESHORE/WEfLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETlfURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
`� 07 DEMO—FINAI. 27 SEPTIC MAINT. 21 COMPLAINT
i09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOWUP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
c�„ COMMENTS:
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d �WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
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� O CORRECT WORK&PHOCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT t,
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WIIL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for N�e next lnspection 24 hours in advance.473-7357
OwneHContractor site:
Inspector.
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