HomeMy WebLinkAbout1992-004889 - gas line inspect PFRMIT
CITY OF ORONO + � PERMIT TYPE: t��C:�lr���•s�.��:�f�L
1335 Brown Rd. South • P.O. Box 66 Permit Number: t?E?'��=��=`=
Crystal Bay, Minnesota 55323 Date Issued: ��r��"=��``i��'
(612) 473-7357
SITE ADDRESS:
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APPLICANU� MITEE SIGNATURE ISSUED BY SIGNATURE
CITY OF ORONO
APPLICATION FOR MECHANICAL PERMIT
GEIJERAL INFORN�TION
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 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 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.
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.
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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Please check one: New � r° Addition Repair Replace
/ / �
JOB SITE: � ��? � � �-.� � Z1P: -S'��� 3 �"� �
Owner' s Name: a Telephone Number: y 7� z � �--y�
Mailing Address: 3 �4i y -- i-= �-�, City: 'i ,-�-t:� Zip:
Contractor ' s Name: °�,,,,,,,,,� y�.�, .� i!�- Telephone Number: ��yc- � c z-
Mailing Address 2 j-�/ -,L., � �T � � � City: L'� z,c��.-�� /N�-� Zip:�r3 �
*********************� **�**********************************�*********************
MINIMUM FEE ( $30. 00 per project)
********************************************************************************
SYSTEM DESCRIPTION: $15. 00 each unit
Heating Systems: -'r��z� �w� � ��� �-z
Quantity:
Make: -
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs :
�FM:
********************************************************************************
Cooling Systems :
�uantity:
Make:
Model:
Tons:
H.Power:
********************************************************************************
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*WOOD BIIRNING EQIIIPMENT $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
LP Gas, gallons
Other Gas opening
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GAS LINE INSPECTION
High/Low Pressure $15. 00
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PERMIT FEE CALCQLATION
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 . 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 app lication are complete, true and correct.
C____ ����
Applicant' s Signature: -c-�.- Date: Z-
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DATE / TIME
CITY OF ORONO CALLED IN ��JY �C�'�' /�
INSPECTION NOTICE��� SCHEDULED j� - 30- �� a.�oJ �,
P�RMIT NO. I COMPLETED �� �J �Z I U � �
ADDRESS �� y�I S�ks f �-�-�'� J�,
OWNER� G�_�� CONTR. Q - ��_r++-�.��
TELEPHONE NO. �-��7 �-I � U 3-�' �—'
� DESCRIPTION � G-C� ��'��
� 01 FOOTING 11 MECHANICAL RI� 16 WELLTEST PUMP
Q 02 FRAMING 11 ME AL 18 EXCAV/GRADINGIFILLING
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Q
Z 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
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:
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W ❑WORK SATISFACTORY:PROCEED C PROJECT COMPLETE
� G CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
W
O ,�Z�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V�� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN 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.473-73�J7
OwnerlContractor o ite:
Inspector. �'�-
White Copyllnspector's File Canary CopylSite Notice