HomeMy WebLinkAbout1992-004820 - gas line -fireplace __ ___ _ _ _
PERMIT
' � 7CfTY OF ORONO PERMIT TYPE: t:F�:��r�I�:;�!
1335 Brown Rd. South • P.O. Box 66 Permit Number: �_;E_;,�;�_:�::��
Crystal Bay, Minnesota 55323 Date Issued: # �?�=�f`_��=
(612) 473-7357
SITE ADDRESS:
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CONTRACTOR: — A����� i��f+t� — OWNER:
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APPLICANT%PERMITEE SIGNATURE ISSUED 9Y:SIGNATURE ��l�.-��J
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CITY OF ORONO �+' c�
APPLICATION FOR MECHANICAL PERMIT � �
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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. A1 1 work must be inspected (rough-in and final). Cal 1 473-7357. 24-hour
notice required.
6. House Heating Test Record must be submitted before final.
INSTRIICTIONS 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.
a WALK-IN PERMITS apply at City Offices, 1335 South Brown Road (Cty. Rd 146)
� MAIL-IN PERMITS enciose fee - Mail to: P.O. Box 66 , Crystal Bay, MN 55323
: ********************************************************************************
Piease check one: New 1� Addition Repair Replace
JOB SITE: �. � '�-%1 (�c; s r ��� �`". Zip: S� ���
Owner' s Name: G�,r� e Teleph/one/�Number: --
i�lali3ilg ci�C1i�5S: � L C' Y�, �ii.y: .�, C ►'� L-(C!�'�, i�i"' �.. ��Lj p
Contractor' s Name: ., �i ` _ �Te2 hone Number: • � OD�'�
Mailing Address ' �� � � �t. �City: vQ,�,f �' -2�- Zip: � _ p�
************************* ***************************** ********************* *a
MINIMUM FEE ( $30. 00 per project)
� ********************************************************************************
- SYSTEM DESCRIPTION: $15. 00 each unit
Heating Systems:
Quantity:
Make:
Model.
Fuel:
Flue Size:
Input BTUs:
Output BTUs :
CFM:
********************************************************************************
Cooling Systems:
Quantity:
Make: -��
Modei:
Tons:
H.Power:
********************************************************************************
1 . ,.
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*WOOD BORNING EQIIIPMENT $15. 00 each unit
Wood stove with flue
Wood combination or add-on unit
Factory fire�lace 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
iv�. +� n �-- � ` .,,-L�,a �.��g; ao) —_ c-fm
(��y(,.� y�1111C111:71. \a114^J�. � �u�.+..�-.+
No. Other Fans: Locations cfm
Total
********************************************************************************
FIIEL 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 /f� �� � �y ��� �'-'
High/Low Pressure -(-c: � 1'"��/��=�— $15. 00
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PSRMIT FEE CALCOLATION � �, �i �l
l. 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 applications, S 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
s+atements made or_ th?s ap�licatz.on are complete, true and correct.
' ature: �G ,!� Date: / � �'�
A�plicant s Sign
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED
PERMIT NO. � co PLETED� � �l�
�
ADDRESS ^��J V c `�
OWNER ONTR.
TELEPHONE NO.
� DESCRIPTION S ( (t� °l_. �✓�S
l� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
Q
y 031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Q
� 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINA� 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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� �'WORK SATISFACTORY:PROCEED PROJECT COMPLETE
� �i CORRECT WORK R PROCEED f= ISSUE CERTIFICATE OF OCCUPANCY
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� f7 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. �_ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contracto it�
Inspector. , -
White Copyllnspector's File Canary CopylSite Notice