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Home My WebLink About1986-8474 - general permit GENERAL PERMIT CITY PERMIT NO. 8474 , CITY OF ORONO Date P.O.BOX 66 CRYSTAL BAY,MINNESOTA 55323 (612)473-7357 r Owner t—U Q ryu—",j Address 610 Contractor T11C . Address City License No. W;� g�6 K State License No. REMARKS AND SPECIAL CONDITIONS PERMIT TYPE AND FEE: ❑ NEW ❑ ADDITION ❑REPAIR Inside Plumbing(#fixtures_) Fee $ Water Well Fee $ Water Meter(Size_.) Fee $ Mechanical Equipment Fee $ ' 00 Meter# Remote# Moving/Lifting Buildings Fee $ Municipal Water Connection Fee $ Land Alteration (Excavation, Fee $ E]Copper Grading, Filling, etc.) Municipal Sewer Connection Fee $ Fire Fee $ ❑ PVC ❑Cast n Sprinkler System (Fire) Fee $ MWCC SAC Charge Fee $ Other: / r lC ,V/ Fee $ On Site Septic System Fee $ After-the-fact Investigation Fee $ ACKNOWLEDGEMENT TOTAL The undersigned hereby acknowledges receipt of this limited permit, including acceptance of all special information, terms, conditions or requirements written above. The State Surcharge: Fee $ undersigned understands and agrees under penalty of law that this permit is strictly limited in scope to the work, activity or improvement specified; that this permit does not grant any authority to do work or activities requiring Total Amount Paid to City Fee $ separate permit approvals; and that this permit does not grant authority to violate any provision of any City ordinance or State law,rule or regulation.Ali work shall be done in strict compliance with all City ordinances,building codes and/or health department regulations, and shall be This permit is not valid until the proper fee is paid and subject to inspection, approval or rejection by the City. it is approved by an authorized City Official. Whenever so ordered, the undersigned agrees to correct any work found to be in violation of the conditions of this permit. Signature of Applicant Signat e of City O ficial Code:White—File Copy Canary—Inspector's Copy Pink—Finance Copy Gold—Applicant's Receipt ` CITY OF ORONO MAY 1 919A6 APPLICATION FOR MECHANICAL PERMIt GENERAL INFORMATION 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 BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. When any new construction or remodeling is involved, a separate building 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. 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. WALK-IN PERMITS apply at City Offices, 1335 South Brown Road (Cty. Rd 146) MAIL-IN PERMITS enclose fee - Mail to: P.O. Box 66, Crystal Bay, MN 55323 **********************************r***************************************** JOB SITE J, � .\4-;r,� ?�'•'a�q � �L�. Owner ' s Name -c r-' _ Telephone Number � Mailing Address Zi-f IL5 Q - e� 1V Contractor ' s Name cyto �;; ,��; L- tom Telephone Number "' Mailing Address - ' t�*0 MINIMUM FEE ( $25. 00 per project) *************************************************************************** HEATING SYSTEMS $20. 00 each unit FUEL nat. gas, 1p gas, oil, elect. other (specify if combination burner) EQUIP. (if more than 1 unit per bldg. list each separately) NO. TYPE BTUH IMPUT BRAND NAME MODEL NO. f .a. furnace hw boiler unit heater solar htg. equipment Solar Equipment $50. 00 each system Total , �U *************************************************************************** AIR d&gMTIOkNG ;�, �� $20. 00 each unit Central Air Separate Central Air System w/f U*Trwce Brand name.,,,,. _j Model No. Tons Total *************************************************************************** *WOOD BURNING EQUIPMENT $30. 00 each unit Wood stove with flue $30 . 00 each unit Wood combination or add-on unit $30. 00 each unit Factory fireplace with flue Factor Fireplace (s ) freestanding built-in Wood Stove (s ) franklin, other Brand Name Model No. Mfgr' s Min. , Clearances, side rear min. flue dia. Total *************************************************************************** VENTILATION $5 . 00 each exhaust fans, (bath, kitchen, attic, etc. ) No. Kitchen Exhaust ducted recirculating LDW C:� cfm No. �_ Bath Exhaust (must be ducted outside) cfm No. Other Fans : Locations cfm Total *************************************************************************** FUEL STORAGE (must be approved by fire marshal ) $20. 00 Permanent $10. 00 Temporary Fuel oil, gallons underground inside outside LP Gas, gallons Other *************************************************************************** SPRINKLER SYSTEMS Minimum $20. 00 each system Number of Heads No. of Risers $2. 00 per head *************************************************************************** GAS LINE INSPECTION High/Low Pressure $30. 00r3,��c`. *************************************************************************** PERMIT FEE CALCULATION 1. Total of above Installations or Minimum Fee ( $25. 00 ) $ L',* _Cjc 2. State Surcharge. Add the State Building Code Division Surcharge to each permit $ . 50 3. Postage and Handling on all mailed-in applications, $ 1. 50 4. TOTAL PERMIT FEE add lines 1-3 above $ ' 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 statements made on this application are complete, true and correct. A licant Date