HomeMy WebLinkAbout1997-008751 - gas log to fp jV_ PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 N I .
Crystal Bay, Minnesota 55323 Permit Number: _
(612) 473-7357 Date Issued: fst j 1 ;/Sj7
SITE ADDRESS:
1099 TAMARACK DR
DESCRIPTION:
1 GAS CINE 1N -EC:T
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: — A,,'p l i c atn t. — OWNER:
1422E. NCIRDEN DR _ 1013-3 TAMARACK DR _
.i _ R' MIN C C %A !.f I-1 p' i-1 � I.,�, C C �F:
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THE UNDERSIGNED HERMY I RE4C�ESTS PERMISSION ,TD AXE HEKAL k&EMENTS
SPEC I.F I EQ Aim AGREES TO DOC,C. Fik I N STA 11' CI .tail= $J.I T CITY
L C� Dt Ct ORD i` LANCES 'AND STATE , F. 14INNESOTA ILLI C, COW'..K. ,IFS I�#T
AP LICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within 2 working days.
2. Permit cards will be sent by return 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 Designs - 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.
Instructions Complete all 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.
Please check one: _ New Addition Repair Replace
Residential Commercial
JOB SITE: r Zip: 5 5�
Owner's Name: C, v Telephone Number: 3 62
Mailing Address: City: ��, Lac Zip: 5�35G
Contractor's Name: A-P 54ZWJ Telep a Number:
Mailing Address: 2 City: Zip: 53
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
/w X e
9
WOOD BuRNN6EQUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding 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 Minimum Fee ($35.00) o�
o2J
Uv- x .0125 $
(contract price)
2. State Surcharge. ** Add the State Build' g Cole Division , x>
Surcharge to each permit. ZJ= x .0005 $
or $.50, whichever is greater (contract price)
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ !�7- '`'
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permit ed
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to he
customer for the work done. If any material, equipment, labor, or installation are furnished by the ow r,
tenant or any other party the reasonable market value of such items must be added to the estimated cost
or contract price for permit 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 - whichevei, 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 11 statements made on this application are complete, true
and correct.
Applicant's Signature: Date:
Approved By: Date:
I/
DATE TIME
CITY OF ORONO CALLED IN :;2- ).3-q-1
C.iLl m
INSPECTION NOTICE SCHEDULED a- Aj 36C-
PERMIT
3 OLPERMIT NO. COMPLETED
ADDRESS 164!5z,G%
OWNER Z�bna. 110 c-, CONTR.-Iqa
TELEPHONE NO.
DESCRIPTION
�T1&;L,,e_
01 FOOTING 11MrCHANICAL RI 18 EXCAV/GRADING/FILLING
h 02 FRAMING �24/25
HANICAL FINAL 19 LAKESHORE/WEfLANDS
03 INSULATION OO PLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
05.FiNAL 14 SEWER HOOK-UO 06 PROGRESS
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07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
W 07 DEMO--FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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RK SATISFACTORY.PROCEED PROJECT COMPLETE
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2RRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
0 WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n 24 hours in advance.473'7357
Owner/Contractor n
Inspector.
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