HomeMy WebLinkAbout1992-004147 - mech .
� PERMIT
�ITY" OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 �'�r�-���������-���-
Cr stal Ba , Minnesota 55323 Permit Number: .. .. a .-
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(612) 473-7357 t'';'��'�'`=is`
SITE ADDRESS:
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PP J 'ANT, ITEE SI ATURE ISSUED BY SIGNATURE �
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CITY OF ORONO
APPLICATION FOR MECHANICAL PERMIT
GENEIZAT. INFORMATI ON
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 be 1 ow.
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 N0�'
BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE.
3 . When any new construction or remodeling is involved, a separate buildina
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. s
6. House Heating Test Record must be submitted before final.
INSTRDCTIONS Complete all items on this application. Compute the permit fee. '
Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSEII. �
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
******************************************************************************** <
Piease check one: �New Addition Repair Replace
JOB SITE r�' ��� �J �� � ��L.� Zip �� '- « �.�
Owner' s Name: � p(�'1�?' Telephone~ Number: ���-(��4"38'
Mailing Address �' - �-��`��.s�L t� : City , y� � � /''';: ,-, Zip ss-s ��%
Contractor' s Name: �<��f_�c,., �ephone Number: �, �;� -<-,��;� �,
Mailing Address ��,�. �� City �.�-��-,t��(.,.- Zip �;�� �<1�,s,
******************************************************************************�r�
MINIMUM FEE ( $30. 00 per project)
******************************************************************************�*
SYSTEM DESCRIPTION: $15. 00 each unit
Heating Systems: �
Quantity:
Make: ��'�r' �1id(�' --
Model: i�' �
Fuel: '
Flue Size: '� ^
Input BTUs . ��fi�
Output BTUs �fJ "�".'.�
.,.„
CFM: n :�
******************************************************************************** x
Cooling Systems :
Quantity: _
Make:
Model:
Tons: '
. ;
H.Power:
******************************************************************************�-* �
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*WOOD BIIRNING EQIIIPI�NT $15. 00 each unit
Wood stove with flue
Wood combination or add-on unit
Factory fireFlace 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
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FIIEL STORAGE (must be approved by fire marshal)
' $30. 00 Permanent/Temporary
Fuel oil, gallons underground inside outside "i
LP Gas, gallons
Other Gas opening
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�INE INSPECTION
Hi Low Pressure $15. 00 ✓
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PERMIT FEE CALCIILATION
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 . Postaqe and Handling on all mailed-in agplications, $ 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 an
the regulations of the Minnesota State B ' ' ng Code, and certifies that al
statements made on this app ' ca ' n are c mplete� true and correct.
� \
Applicant' s Signature: Date: � � �-
�
DATE TIME
CITY OF ORONO CALLED IN � �'1�-
INSPECTION NOTICE. � SCHEDULED i��'� /G�.'nc)
PERMIT NO. 'S�/`�7 f �6COMPLETED � w
ADDRESS � �
OWNER '�� �"�� CONTR. � �..r.�Lc�
TELEPHONE NO. �7�� %SS�
� DESCRIPTION /�'� -� -��a��C.��c� �=.«�z�--���'
� �.
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
� 031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
O
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q FINA �� ' 13 METER SETlTURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNERICONTRACTOR TO MEET YOU:�/YES_NO
� COMMENTS: a��--=-� F'��•�K- �.��rn��
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� �CNORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. _ pHOTOTAKEN
INSPECTOR WILL RETURN i- CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContra�or o site:
Inspector.
White Copyllnspec or's File Canary CopylSite Notice