HomeMy WebLinkAbout1992 - 004247 - mechanical P -MIT
CITY OF ORONO PERMIT TYPE: i•iEC HAN I C:AL
1335 Brown Rd. South • P.O. Box 66 Permit Number: 004247
Crystal Bay, Minnesota 55323 Date Issued: 04/03/92
(612) 473-7357
SITE ADDRESS:
.600 WEST LAFAYETTE RD
LSV
P . I .N. : 1-117— —21-000'2
DESCRIPTION:
2 FURNACE & AC:
2 HEATING SYSTEMS FUEL NATURAL GAS MAKE JAN I TROL
MODEL CTS I OO
2 AIR CONDITIONING MAKE ,IAN I TROL MODEL CESO
TONS 272
1. GAS LINE INSPECT
REMARKS:
FEE SUMMARY:
VALUAT I ON $5
Base Fee $75 .00
Surcharge LLaQ?
Total Fee $75. 50 CITY! I V! DRONO
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CONTRACTOR: — Applicant — OWNER:
SILVERNAIL MARK 35228475 MATHEWS ANN
3645 PERRY AVE N 600 WEST LAFAYETTE RD
ROE:E:I NSDALE MN 55422 ORONO MN 55356
(612) 522-8475 (612)471-0317
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APPLICANT/PERMIT= SIGNATURE ISSUED BY:SIGNATURE C.(�) )
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CITY OF ORONO
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
********************************************************************************
Please check one: New Addition Repair ( Replace
0+
JOB SITE. ;% ( /4,\I Pk l� % LSC Zip:
Owner's Name: y�, ( 1 E S Telephone Number: 4-1 ( - CF:-5/1
Mailing Address: Skmr �. City: Zip:
Contractor' s Name: (► AC �ILU�P Al Te.lephone Number: C-22_ k47 S
Mailing Address 3L f City: P- (,� , Zip: ?2
********************************4************************* *********************
MINIMUM FEE ( $30. 00 per project)
********************************************************************************
SYSTEM _DESCRIPTION: $15. 00 each unit
Heating Systems:
Quantity: _
Make: ►� ��.,
Model: ••
Fuel:
Flue Size:
Input BTUs: Y• s
Output BTUs: 1 11
CFM: JraNOWAt
****************. ****** ********************************************************
Cooling Systems:
Quantity: o i_
Make: /end:
Model: r3 p
Tons: /oL
H.Power:
********************************************************************************
•
*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
********************************************************************************
PERMIT FEE CALCULATION
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 $
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 a plication are complet- true and coraect.
Applicant' s Signature:
� ''
Date: 6 _
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC ' I SCHEDULED .5.2Z
PERMIT NO. (f i 'f 7 COMPLETED
ADDRESS Z , 0 0 (-'1, 4-tie, TLS / rNJ -f—
OWNER CONTR.
TELEPHONE NO.
3 DESCRIPTION
Lu 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING &MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
04 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
10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES NO
Q COMMENTS:
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INSPECTOR WILL RETURN ❑CITATION ISSUED
0 STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor on site:
Inspector. ( Inie'
White Copylinspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICEd t. -7 SCHEDULED V //=30
PERMIT NO. / MPLET D ,�I
ADDRESS o9tOO G-ay Ni Pd. 6),
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
Lu LU 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL ) 18 EXCAV/GRADING/FILLING
h 03 INSULATION 24/25WOOD RNER1-(REPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q (9INAL 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
-d 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
CI COMMENTS:
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0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. E PHOTO TAKEN
INSPECTOR WILL RETURN
CISTOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-'7357
OwnerIContractoy h i e:
Inspector. 'q��
White Copy/Inspector's Ile Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI SCHEDULED ‘-',4 /d=so
PERMIT NO. MPLETED A.
ADDRESS (2 ,e) hqe/77J-
OWN 7- 4../ER /CONTR.
TELEPHONE NO.
DESCRIPTION
Lu 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
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Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
Ci
04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q IINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
41 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
El CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Co. pr, n site:
Inspector. ., ..
White Copyllnspecto's File Canary Copy/Site Notice