HomeMy WebLinkAbout1991 - 003626 - mechanical 0 PERMIT
CITY OF ORONO PERMIT TYPE: MEC:HANIC:AL
1335 Brown Rd. South • P.O. Box 66 Permit Number: 00: 625
Crystal Bay, Minnesota 55323 Date Issued: 04/09/91
(612) 473-7357
SITE ADDRESS:
2065 WEBE:ER HILLS RD
LSV
P. I . N. : 03-117-23-34-0026
DESCRIPTION:
1 HEATING SYSTEMS FUEL NATURAL GAS MAKE LENNOX
MODEL G20Q3/4E-100 INPUT 100,000
REMARKS:
FEE SUMMARY:
Base Fee $3[_3. 00 MAIL IN 11-5.0
y
Surcharge � Total Fee $32 .00
Subtotal $30 .50
CONTRACTOR: -- Applicant. -- OWNER:
KLEVE HTG & AC 39414211 ELL IOT MARY JO
13075 PIONEER TRAIL 2065 WEE:E:ER HILLS RD
EDEN PRAIRIE MN 55344 ORONO MN 55:391
(61 2) 941-4211 (612)449-4142
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APPLICANT/PERMITEE SIGNATURE ✓ ISSUED BY:SIGNATURE Cr-\
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CITY OF ORONO Koactsrm0
APPLICATION FOR MECHANICAL PERMI � �
GENERAL INFORMATION
1. You may apply for mechanical permits by mail orrFi peccss 'at the Cit'
offices. Mailed-in permits are subject to the postage and handling fee:
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 NO'.
BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE.
3 . When any new construction or remodeling is involved, a separate buildinc
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
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Please check one: New Addition Repair x Replace
JOB SITE: cO(9' W Was �� Zip: ,55S G
Owner' s Name: Gf �Wcy\- Telephone Number: L L q-L((L/,,
Mailing Address: &o c L b e - 14-Asd. City: p,yp-gyp Zi
P: 553i1 _
Contractor' s Name: J/eve_ i-k(nmqTelephone Number: Q-(I-L{.a.\\
Mailing Address 13015 1p Trcn.%.Q City: tQ Prn irt`e Zip: 55347
*****************************************************************************w
MINIMUM FEE ( $30. 00 per project)
******************************************************************************,
SYSTEM DESCRIPTION: $15. 00 each unit
Heating Systems:
Quantity: DN5
Make: l_ ,LQX
Model: a-3/Li
Fuel: 1\)Kr4-"tkict^i.S - c
Flue Size: _
Input BTUs: lei dOU _
Output BTUs : _
CFM:
********************************************************************************
Cooling Systems:
Quantity:
Make:
Model:
Tons:
H.Power:
********************************************************************************
Trl
*WOOD BURNING EQUIPMENT $15.00 each unit
Wood stove with flue
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
********************************************************************************
VENTILATION $15.00 each project
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
********************************************************************************
FUEL STORAGE (must be approved by fire marshal)
. $30. 00 Permanent/Temporary
Fuel oil, gallons underground inside outside
LP Gas, gallons
Other Gas opening
********************************************************************************
GAS LINE INSPECTION
High/Low Pressure $15.00 )(k rezynneJ-
****************************************************f****** ******************
PERMIT FEE CALCULATION $ 3600
1. Total of above Installations or Minimum Fee ($30.00)
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 $ 3Za0
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.
Applicant' s Signature0 i, /a,-0-e1 Date: H - 5-Cit
i,___:SLJ--
TIME
CITY OF ORONO CALLED INDATE
INSPECTION NOJII E SCHEDULED / 4'/3 O
PERMIT NO. --� A-eaCOMPLETED G1 ri
ADDRESS AO sp �Q� '
OWNER P-2.- Q 1� C 9-� CONTR. .. - Ali_
TELEPHONE NO. 0 9 41/ - if a//
• DESCRIPTION
Lu 01 FOOTING 11 MECHANIC RI 16 WELL TEST PUMP
Q 02 FRAMING (1 MECHANICAL FINt 18 EXCAV/GRADING/FILLING
h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z04 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 06 PROGRESS
✓ 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
LI• COMMENTS:
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74/C:
ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
ORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
O BEFORE COVERING
PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
0 STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for thent inspection 24 hours in advance.473-7357
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