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Home My WebLink About1987-9010 (Mechanical) GENERAL PERMIT CITY PERMIT No s o�o CITY OF ORONO P.O. BOX 66 Date � � �s"-�'� CRYSTAL BAY, MINNESOTA 55323 (612)473-7357 � / ,�� Owmer �U ►'G� o r� � ��.� Address 1 7 �� G�C%� �.c�✓' /''u.✓l� �� i Contractor �✓(� �� w � � � Address ..7��0 �Y��ry' '�'`�� City License No. � � 1 City � ��S , CC Y� f��/� ► REMARKS AND SPECIAL CONDITIONS l '�i� n�� b. co c.� l3 i� I - � /�� , �►� (�.�� ;� �.� PERMIT TYPE AND FEE: ❑ NEW ❑ ADDITION ❑ REPAIR �{REMODEL Inside Plumbing (#fixtures ) Fee $ Water Well Fee $ Water Meter(Size ) Fee $ Mechanical Equipment Fee $ J�d•�v Meter# Fireplace/Wood Stove Fee $ Remote# Moving/Lifting Buildings Fee $ Municipal Water Connection Fee $ Land Alteration (Excavation, ❑ Copper ❑ Grading, Filling, etc.) Fee $ Design Review Fee $ Municipal Sewer Connection Fee $ Fire Fee $ ❑ PVC ❑ Cast ❑ Sprinkler System (Fire) . Fee $ MWCC SAC Charge Fee $ � Other:��-�= --� f`-� Fee $ � ,5 �., On Site Spetic System Fee $ After-the-fact Investigation Fee $ ACKNOW LEDGEMENT TOTAL . ��l State Surcharge: Fee $ The undersigned herebc acknowledges receipt of this limited permit. �y'�!� including aceeptance of all special information, terms, conditions or 1'OL1� E�Il]OUrit P'dlCl t0 Clty Fe8 $ or� reyuirements writren above. The undersigned understands and agrees under penalty of law that this permit is strictly limiwd in scope to the work, � � authoritytodoworkoractivitiesreyuiringseparau permitapprovalsamd that this permit dces not grant authorih�[o viola[c any pro��sion of any City �,�d�na�«o�sr��e idH.��ie o�re��ia�;o�.Au�o�k snau bc do��n s�dc� This permit is not valid until the proper fee is paid and it is approved compliance with all City ordinances, building cocJes and/or health department regulations,and shall be subject to inspection,approval or by an aUt110f1zeC� Clty��1C111. rejection by[he City. Whenecer so ordered,the undersigned agrees to correct am w�ork found ro be in violation of the conditions of this permit. Signature of Applicant . . Signature of City icial ,�'� ��C'-(.,c—� .�f'/J�/ �-�, - '�.,, c2. .�'� �t�. Codc White File Copy Canary—Inspector's Copy Pink—Finance Copy Gold—Applicant's Receipt � ,�. ,� ' . �Z� t ci� oF oRONo �� MAY I 5 19�7 , ,',� APPLICATION FOR MECHANICAL PERMIT �� ; � 7 , �-...�.,_,_ ,, ,,,,, GENERAL INFORM�TION � � �' �`"�''`� t l. 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). cail 473-7357. 24- hour notice required. - 6. House Heating Test Record must be submitted before final. INSTROCTIONS Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE ROCESSED. If you have questions, �aii 473-7357. r:ALK-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 �_� j�`��(a� �� JOB SITE �{ � � ; � .�_ ��-,� � �� , Owner's Name '' �� -y Telephone Number C - :2 Mailing Addre�� cL-�,,,L..k� Contractor ' s Name "`"� �;c_. ; , Telephone .Num�e� �� - (�"74`7 Mailing Address 3.�(�,C� (� y�-fi� � ,� �.� _ , �,f, ��1( �s � 'a � 55�� *****************�***********�***************** *************************** MINIMUM FEE ( $30. 00 per project) *******************************************************************�******* HEATING SYSTEMS $25.00 each unit FIIEL nat. gas, I.p gas, oil, elect. ther (specify if combination burner) EQOIP. (if more than 1 unit per bldg. list each separately) NO. TYPE BTUH IMPUT BRAND NAME MODEL NO. �_ f.a. furnace �C,��` �-�--� � C��G hw boiler unit heater �_ � l�� , N�� c_,�t _ ��; x �`� �w�c_u "5G ' --� solar htg. equipment Solar Equipment $50.00 each system Total � `�L ��1� *************************************************************************** - � ��\ � �- . ti AIR CONDITIONING $25. 00 each unit Central Air Separate Central Air System w/furnace Brand name Model No. Tons Total ***************�********�***********************************�***�********** $WOOD BURNING EQUIPI�NT $35. 00 each unit Wood stove with flue $30. 00 each unit Wood combination or add-on unit $40. 00 each unit Factory fireplace with flue Factor Fireplace (s ) freestanding built-in Wood Stove (s ) franklin, other Brand Name Mode 1 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 cfm No. Bath Exhaust (must be ducted outside) cfm No. Other Fans : Locations cfm Total *��****�*******��*�***�*************�******�**�****�******��*��**,�**�****�* F�TEL STORAGE (must be approved by fire marshal) $20.00 Permanent $10. 00 Temporary Fuel oil, gallons underground inside outside LP Gas, gallons Other �**�******�*************�**��****�**�****************�r*************�**��**� SPRINRLER SYSTEMS Minimum $20. 00 each system Number of Heads No. of Risers $2.00 per head ***�******��*�**********************�*********�***��****�****�r*��********* GAS LIIdE IIdSPECTIOAI ; High/Low Pressure $30. 00 , ****�*�**,r*�*�*��**�*******'******�****�****�**�**********�*�****�********�:* PERPqIT FEE CALCDY,ATION 1. Total of above Installations or Minimum Fee ( $30.00 ) $ �j0•0� 2. State Surcharge. Add the State Building Code Division Surcharge to each permit $ . 50 3. Postage and Handling on a11 mailed-in applications, $ 1. 50 4. TOTAL PERMIT FEE add 3.ines 1-3 above $ S � , c-`-� 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 a11 statements made on this application are complete, true and correct. � APPlicant �L' % l�� "�� Date �� _ � � x � ` . t • 4 1 _. :: . . . �� 1 . . .. ._.... .... ..:- ... � � � - I � . . . . � . .... . I.. _. . 3 _ . �l . .. . i1 .. .. . . .. . . .. 1 , _ �/ /� o�.r,E� 7 TIME CITY OF ORONO CALLED IN � �T p -� INSPECTION NOTIC�� t � sCHE�u�Eo �� "" ��' �'�� PERMITNO. ��/ COMPLETED — ��- � ' �� ADDRESS i� � f �r OWNER CONTR. TELEPHONE NO. j�`�- ��-7l� � ❑ FOOTING O PLUMBING RI O SITE INSPECTION ❑ FRAMING ❑ UMBING FINAI� ❑ EXCAV./GRAOING/FILLING � � INSULATiON �ECHANICAL (J�tS/CI�j� LAKESHORE/WETLANDS �� WALL BD. ❑ WATER HOOKUP n ,❑�}`C,�,F.�SING �INAL O METER SET/TURN Ot�"1 Ir l"..I'F�B'CIIMPLAINT 'PROGRESS O SEWER HOOKUP ❑ FOLLOW-UP � ❑ DEMO�. ❑ SEPTIC INSTALL. O SEPTIC FINAL O ❑ FIRE PREV. O SEPTIC MAINT. ❑ FIREPLACE/WOOD BURNER � � WELL TEST PUMP ❑ ? COMMENTS: -~+ �,.f�U��-S [A� Q W Z � F� N A ( ��si 0 � � W � � J O � � O � W � Q � Z W � W � j d W � W WORK SATISFACTORY:PROCEED O PHOTO TAKEN � ❑ CORRECT WORK 8 PROCEED ❑ CORRECT WORK.CALL FOR REINSPECTION BEPORE COVERING � CORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR WILL RETURN. � STOP ORDER POSTED.CALI INSPECTOR. ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. call for the next inspection 24 hours in advance. Owner/Contr. on site I nspector � 473-7357 White linspector's File Canary/Site Notice