HomeMy WebLinkAbout1992-004588 (Plumbing) PERMIT
CITY OF ORONO � j PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: ���-���iW�����
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Crystal Bay, Minnesota 55323 Date Issued: i�;;�•y;�,�.��i
(612) 473-7357
SITE ADDRESS:
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DESCRIPTION:
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REMARKS: �
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE C�/d�
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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
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JOB SITE rj�Q (.3/q.R��'-� �1/�•
Owner ' s Name Telephone Number
Mailing Address .Li�-
Contractor ' s Name �-h�ta� v Telephone Number �,�3 -j(p�3
Mai]_ing Address f� C�-a�,�.e-.#' P��� , �..-0�.s�, �AkQ
************************d*�*********** ****** ******************************
MINIMUr1 FEE ( $25 . 00 per project)
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HEATING SYSTEMS $20 . 00 each unit
FUEL �s nat. gas , lp 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 N0.
�_ f .a. furnace /'�a �'��ntCr� �j�-S�.(Ou^/CoS
hw boiler
unit heater
solar htg.
equipment
Solar Equipment $50 . 00 each system Total �dc (/�
***************************************************************************
AIR CONDITIONING $20 . 00 each unit
� Central Air Separate Central Air System
w/furnace
Brand name �/�(Z(�(�j'L, Model No. .�.k-Q4/Z� Tons ���` ��'
Tota 1 . C/�
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WOOD BURNING EQUIPMENT No charge Wood stove with flue
No charge 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 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 p�Q e�
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FUEL STORAGE (must be approved by fire marshal ) $20 . 00 Permanent
$10 . 00 Temporary
Fuel oil, gallons underground inside outside
LP Gas , gallons
Other
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SPRINRLER SYSTEMS Minimum $20 . 00 each system
Number of Heads No. of Risers $2 . 00 per head
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PERMIT FEE CALCULATION
1 . Total of above Installations or Minimum Fee ( $25. 00 ) $ D�UZ�
2 . State Surcharge. Add the State Building Code Division
Surcharge to each permit $ . 50
3 . Postaqe and Handlin 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.
Applicant � ���,� Date � �-� ��.
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DATE TIME
CITY OF ORONO CALLED IN J ! '--' " - /'•= �" .'�i�
INSPECTION NOTICE SCHEDULED i i -;�%"Y:% t��; ,r
PERMIT NO. / COMPLETED � f �
ADDRESS " � `�` � ?'� � ` ; ' ��
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OWNER � ;'�� ���'��_'ti� CONTR. �- � �"� 'I.,f��; �
TELEPHONE NO. � � � "
� DESCRIPTION
lu 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
� 02 FRAMING ,9'1 MECHANICAL FINAL � 18 EXCAV/GRADINGIFILLING
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031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
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W 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 10 PLUMBING FINAL 23 SEPTIC FINAL
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Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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d ORK SATISFACTORY:PROCEED �I'.PROJECT COMPLETE
� [; CORRECT WORK&PROCEED `; ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
C�CORRECTUNSAFECONDITIONWITHIN HOURS. r_, pHOTOTAKEN
INSPECTOR WILL RETURN
� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContra o ite:
Inspector. -
White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
� CI7Y oF oRONo ✓cA��eo�r, ' -5-93
INSPECTIONNOTICE 39� SCHEDULED �-8� �
PERMIT NO. '�'�� connP�ETeo h, ��
ADDRESS S`{0 ��/�N¢�f�
OWNER CONTR. �F�
TELEPHO E NO. y�✓�— ��'��
� DESCRIPTION
� OIFOOTING 11MECHANICALRI 16WELLTESTPUMP
Q 02FRAMING i1MECHANICALFINAL 18E%CAVIGRADINGiFiLLING
H 031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
� 04 WALL BD. 12 WATER HOOK�UP 34 TREE REMOVAL
2
Q OSFINA 19METERSET/TURNON 17SITEINSPECTION
� 07 DEMO-SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-FINAL 27 SEPTIC MAINT. 21 COMPIAINT
Q
W 09 PLUM8ING fll 15 SEPTIC INSTALL. 22 FOLLOW-UP
= tOPWMBINGFINAL 23SEPTICFINAL
J
Q OWNERICONTRACTORTOMEEfYOU:_YES_NO
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WORKSATISFACTORV:PROCEED PROJECTCOMPLETE
W ❑COFRECTWORKBPROCEED �11SSUECERTIFICATEOFOCCUPANCY
O ❑CORRECT WORK CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN_HOURS- �pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOPORDERPOSTED.CALLINSPECTOfl '��CITATIONISSUED