HomeMy WebLinkAbout1997-009089 - masonry � �
* PERMIT
, �TY F ORONO PERMIT TYPE: -
2750 Kell y Parkway- P.O. Box 66 ��`•�-��`�=���u=i��'��=
Crystal B y, Minnesota 55323 Permit Number: i:�i i°�i,�i_s=�
(612) 473 7357 Date Issued: _ _ __�;_����
SITE ADDRE S:
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REMARKS:
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� APPLICANT/PERMITEE SIGNATUFiE ISSUED BY:SIGNATURE
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ITY OF ORONO APPLICATION FOR MECHA1vICAL PERNIIT
ox 66 (2750 Kelley Parkway)
rystal Bay, MN 55323
ENERAL INF'ORMATION
You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within 2 working days.
Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical DesiQns - Complete calculations, details and specifications are required for each heating,
ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat gain
calculation, design temperatures, equipment ratings and identification as to type, manufacturer and model.
Data shall be presented on form provided. Identification of and specifications for water heating equipment
shall also be provided.
4 When any new construction or remodeling is involved, a separate building permit must be obtained. �
5 All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected (rough-in and final). Call 473-7357. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
I tructions Complete all items on this application. Compute the permit fee. Sign and date the certification.
I COMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Pl ase check one: ��New Addition Repair Replace
I/ esidential � Commercial
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J B SITE: �� c:L S S�' Zip:
O er's Name: � Telephone Number:
'ling Address: City: Zip:
C ntractor's Name: � �- � :�h�.'�(���w�.�-� Telephone Number: �,'�2-1�3��3
M 'ling Address: �n�l(�cc9��--ov � ( v b �City; ��� �,t�� Zip: �� �j"3��6
S STEM DESCRIPTION
H ATING SYSTEMS
uantity:
ake:
odel:
F el:
F ue Size: �`�,� l2�
I ut BTUs:
O tput BTUs:
C M:
C LING SYSTEMS
Q antity:
M ke:
M del:
T ns:
H. Power �
f
. � �
WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue , /
Factory Fireplace (s) Freestanding v Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
� VENTILATION �
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
;}�
No. Other Fans: Locations cfm
��
� FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening �
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or M'n'mum Fee 35.00
� �� n� x .0125 $
(contract price)
2. State Surchar� ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
or $.50, whichever is greater (contract price)
;�
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor, or installation are furnished by the owner, �
tenant or any other party the reasonable market value of such items must be added to the estimated cost �
;:�
or contract price for pernut fee purposes. In the event that there is a dispute on the amount of the job cost,
the City may request the submission of a signed copy of the actual contract.
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accordance with the ordinances of the City and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct.
A licant's Si nature: � � � Date: ('�" �'2--
rr �
Approved By: Date:
DATEC_ T�
CITY OF OR NO CALLED IN ��-` �`�
INSPECTIO NOTICE� SCHEDULED '/3�9 7
%� 1�
�ERMIT N� COM�LETED �_ ry
ADDRESS
OWNER �� CONTR.�i1���a �1C�o��._
TELEPHON NO. � 7 a- `f3�3
� DESCRIPTI N
� 01 FOOTINO 1 MECHANICALRI 18D(CAV/f3RADINO/FIWNO
�Q 02 FRAMINO 13 MECHAN 19 LAI�SHORE/WETLANDS
Q 03 INSULATIO 24/25 WOOD BURNER/FlREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= p$FlNqL 14 SEWER HOOK-UP 06 PROGRESS
�` 07 DEMO—S 27 SEPTIC MAINT. 21 COMPLAINT
J
�Q 07 DEMO—FI L 15 SEPTIC INSTALL 22 FOLLOW-UP
2 09 PLUMBINO 1 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
v 10 PLUMBINO INAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CO CTOR TO MEET YOU:_YES_NO
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d WORK SA ISFACTORY:PROCEED
W� = PROJECT COMPLETE
W ❑CORREC WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
OO ❑CORREC WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE ERING PERMANENT
❑CORREC UNSAFE CONDITION WITHIN HOURS. L PHOTO TAKEN
iNS CTOR WILL RETURN
O STOP OR ER POSTED.CALL INSPECTOR
�CITATION ISSUED
❑ INSPECT N REQUIRED.CALL TO ARRANGE ACCESS.
all for the n xt inspection 24 hours in advance.473-7357
Owned tra o ite:
Inspect .
White Copylinspector's Fil Canary Copy/Site Notice