HomeMy WebLinkAbout1999-011247 - gas line inspect PERMIT
.' -CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 r�E .N °_ C:A
Crystal Bay, Minnesota 55323 Permit Number: -
s11-`a;
(612) 473-7357 Date Issued:
SITE ADDRESS:
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DESCRIPTION:
3 t r := 1 h; I F_ [' T pts I1 `T�JRAL GAS MAi GAS _t i`{ O
REMARKS:
FEE SUMMARY:
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CONTRACTOR: Applicant — OWNER:
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1 ci y F. h>si-it°CEN DR 22,4-01- i 6-i;,iROUGHBRE I._A
249-1111
THE UNDERSIGNED NE `EEtYi1J .:T . PERMISSION TO MAKE i H Rt fi: EP`iEfiT$
SPECIFIED AND AGREES TO ADO ALL 6�►:�RK' IN STRICT COMPLIANCE W ITN Ir ,'C t T �)E
is�I�i+��N r ORDINANCES AND STATE OF MINNESOTA BUILDING- CODE REQ �IREM NT$,.
APPLICANUPERMITEESlGNATURE ISSUED BY:SIGNATURE
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 249-4600. 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 249-4600.
Please check one: New re X Addition Repair Replace
—77 Residential Commercial
JOB SITE: X U) TG» av A brd tN Zip: S-55-56
Owner's Name: Jo +� —k L D Telephone Number: ;E�
Mailing Address: City: Zip:
Contractor's Name: s,S 1 Telephone Number: Id-
Mailing Address: /-12p (-I()/' OIL-, flR City: Zip: 55'a7
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel: 1\/ (r—
Flue Size:
Input BTUs:
Output BTUs: 32000
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
� a
WOOD BURNING EQUIPMENT
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 14 9 Se-5 c- Model No. E' 3d2 0 a
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)
x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
or $.50, whichever is greater (contract price)
3. Posta-Re and Handling (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 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 - 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.
Applicant's Signature: r`` r> Date:
Approved By: Date:
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICEZ�I� SCHEDULED �/�/�
PERMIT NO. COMPLETED
ADDRESS
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION GwLo��
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
W 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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WWORKSATISFACTORY:PROCEED El PROJECT COMPLETE
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W 11CORRECT WORK&PROCEED 1:1ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. F PHOTOTAKEN
INSPECTOR WILL RETURN
11STOP ORDER POSTED.CALL INSPECTOR 1-1 CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins tion 24 hours in advance.473-7357
Owner/Contractor on s'
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice