HomeMy WebLinkAbout1992-004433- masonry ��.
PERMIT
� CI'�Y OF ORONO PERMIT TYPE: ���:HANIC:aL •
1335 Brown Rd. South • P.O. Box 66 Permit Number: t�i;q.q.:�:�t
Crystal Bay, Minnesota 55323 Date lssued: i��.j:��/'ii
(612) 473-7357
SITE ADDRESS:
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REMARKS: "`'`�''
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FEE SUMMARY:
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CONTRACTOR: — �F•F�1 i c�nt. — OWNER:
M I hllVF'���TA F T REPLAGE .�471.��4�� L CCAMF_Ft Hi�li�1E�
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APPLICANT,-PERM EE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO �.`� �p��� ,
APPLICATION FOR MECHANICAL PERMIT �, >'�� ��„M
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GENERAL INFORMATION
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1. 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. �
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 �i
BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE .JOB .SITE. Y�
3. When any new construction or remodeling is involved, a separate building a�
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.
INSTRIICTIONS Com e e a ms on hi i f ��
pl t I1 ite t s appl cation. Compute the permit ee.
Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. +�
If you have questions, caI 1 473-7357. �
WALK-IN PERMITS apply at City Offices, 1335 South Brown Road (Cty. Rd 146) '�
MAIL-IN PERMITS enclose fee - MaiZ to: P.O. Box 66, Crystal Bay, MN 55323 '�
*ic****�k�Y***�k*�Ir********�k*****�k*�k**�F�Y*********�t****�k**�k*iF*yF****�F*********�F******** +�
Please check one: � New Addition Repair Replace �
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JOB SITE: ,�v/Z .54�,4,c G�i..,;�5 /�N Zip: i
Owner' s Name: C'�eCr Telephone Number: �
Mailing Address: � City: Zip:��� �
Contractor' s Name: /�l� FrKP,✓��-�L�� Telephone Number: Y7i �
Mailing Address �3.�,� z�.�r� City: �`-j�/�[.� /"�;,,.i Zip: �-;3 s� � `u}
******************************************************************************** ��
MINIMUM FEE ( $30. 00 per project) ��
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SYSTEM .DESCRIPTION: $15. 00 each unit �
F,�
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Heating Systems: }t,,��
Quantity: �'
!riake: ' � �
Model: ��'
Euel. ' ' ��
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Flue Size: ! 3 � t�l
Input BTUs: ��
�utput BTUs: T��
�FM:
�c**************�kic�c*it*�t*******�c****�Ir�k�F*************�F�k*****ik**iF******1t******�t***�F* `:';l
�ooling Systems:
�uantity: >;
Kake: �
Kodel: {'�
rons: `��
3.Power: ':w�
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*WOOD BIIRNING EQIIIPMENT $15.00 each unit � ` z
Wood stove with f lue ��� , ���
Wood combination or add-on unit �:: �'`
" Factory fireplace with flue `�
�°� Factor Fireplace (s) freestanding � Masonry
�' Wood Stove (s ) franklin, other
��` BrandName Model No.
� Mfgr's Min. , Clearances, side , rear , min. flue dia.
� Total
****************************************************************************�*** �_
' VENTII�ATION $15.00 each project
��: No. Kitchen Exhaust ducted recirculating cfm ,
� No. Bath Exhaust (must be ducted outside) cfm
,:
��F No. Other Fans: Locations cfm
�'' Tota1
� ******************************************************************************** :
` FIIEL STORAGE (must be approved by fire marshal) r;
�' ' $30. 00 Permanent/Temporary
���; Fuel oil, gallons underground inside outside
LP Gas, gallons `f
� Other Gas opening
�"� *********************************************************************,t********** e"'
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�= GAS LINE INSPECTION
�� High/Low Pressure $Z5. 00
� ********************************************************************************
��``' PERMIT FEE CALCULATION
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�#� 1 . Total of above Installations or Minimum Fee ($30.00) $ , ;; �:
��; 2 . State Surcharge. Add the State Building Code Division `�'�' i
�'°` Surcharge to each permit $ . 50
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��- 3. Postage and Handling on all mailed-in applications, S 1. 50 -
"�": 4 . TOTAL PERMIT FEE add lines 1-3 above $
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�� 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 :=3
'; statements made on this application are complete, true and correct.
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Applicant' s Signature: ` Date: G � �'
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DATE T O�
CITY OF ORONO CALLED IN G� '
INSPECTION NOTI ,� SCHEDULED ��
PERMIT NO. COMPLETED J �
ADDRESS
OWNER CONTR. r�- -��
TELEPHONE N0. 5`�' 7 ! ��'��
� DESCRIPTION � �2��''� —
� 01 FOOTING 11 MECHANI�RI i6 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24�J WOOD BURNE IREPLAC 19 LAKESHORFJWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECONERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContr on i :
Inspector.
White Copyllnspector's Ffle Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN ���
INSPECTION NOLT/ICE SCHEDULED � lL�' ��-`'
P�RMIT NO. '�`�.� -� COMPLETED � ;�
ADDRESS ��l 2 ���1> � ����-�
OWNER CONTR. `��_ • � %
TELEPHONE NO. ��� - �'I'3Co�
� DESCRIPTION �i2i��_�-���.
� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
� 03 INSULATION 24125 WOOD BURNE FIREPLAC 19 LAKESHOREM/ETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TFEE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS• "'`
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,-,, pHOTO TAKEN
INSPECTOR WILL RETURN
I CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next i spection 24 hours in advance.473-7357
OwnerlContra n i :
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN � -a s-9 z
INSPECTION NOTIC -) SCHEDULED � - � �' ���
PERMIT NO. y�� COMPLETED � z�
ADDRESS _�-G�� �c-t-�-f✓�-u'-�-r-�C-
OWNER .�C' !'-7«.>z�-�� CONTR./�J?/l�' �,[hA�a-���-�-�-s-=�"�
TELEPHONE NO. �7� ' �� y� .
� DESCRIPTION ���'1«-'�'
l� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
�
03 INSULATION 24/25 WOOD BURNER IREPLAC� 19 LAKESHOREM/ETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PFOGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
4Qi 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 10 PLUMBING FINAL 23 SEPTIC FINAL
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Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r- pHOTOTAKEN
INSPECTOR WILL RETURN �
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor on sit�
Inspector.
White Copyllnspector's File Canary CopylSite Notice