HomeMy WebLinkAbout1991-003747 - mechanical PERIiiII7:-
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" � 7rown Rd. South • P.O. Box 66 Permit Number: �i�._C.�!r-ct�i�:�iL
'_ ;sral Bay, Minnesota 55323 `-'i-�'=�`�'�
(612; 473-7357 Date Issued:
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CITY OF ORONO �'� °N D
A P P L I C A T I O N F O R M E C H A N I C A L P E R M I T ��;;1�����[�
GENERAT. I NFORMI�TI ON
l. You may apply for mechanical permits by mail or in person ��---the City
offices. Mailed-in permits are subject to the postage and h nd ,�g fees
shown below. ,�UN � � ����
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 invol ved, a separate building
permit must be obtained.
4. All work must be done in accordance with State Building Code requirements.
5. AII work must be inspected (rough-in and final). CaI 1 473-7357. 24-hour
notice required.
6. House Heating Test Record must be submitted before final.
TI3STRUCT��LI�FS Ccmpl�te all iter,s on this app�ication. Compute the �ermit iee.
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 Addition Repair Replace
�
JOB SITE: (� 1`-�1�ND/aL.� G/'-��N Zip: 5 � 3 yl
Owner' s Name: o�J,v � BR/±'.�i� oL���+^� Teleohone Number: '75 -o�3�
Mailing Address: f�����-� G�e�ti City: wA�'��Ti� Zip: Ss3 �
Contractor' s Name: �i.r�.�� ��,��T���� � /�/� Telephone Number: 5 y"a �i/� 6
Mailing Address 93c.�� ��Yu���7H /.tv .c/.. City: ���DE�' �A���y Zip: S-s'�i�-?
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MINIMUM FEE ( $30.00 per project)
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SYSTEM DESCRIPTION: $15. 00 each unit
Heating Systems :
Quantity:
Make:
Model: T �
Fuel:
Flue Size:
Input BTUs:
Output BTUs :
CFM:
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Cooling Systems:
Quantity: 1
Make. Gf'��R���
Model. 3� �ji<o�,;�;
Tons. 2 To^�s
e
H.Power:
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*WOOD BIIRNING 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
Brand Name Mode 1 No.
Mfgr' s Min. , Clearances, side , rear , min. flue dia.
Total
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VENTILATION $15. 00 each project
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
iJo. Otner Fans: Locations cfm
Total
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FII$L 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/Lew PrAss:�re $15 . 00
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PERMIT FEE CALCULATION
1. Total of above Installations or Minimum Fee ($30.00) $ ��%�(i�
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 Zicati�n �re cos�plete, tL•ae and correct.
�
Applicant' s Signature: ���, O �. ����� Date:� �_� =� �
� DATE TIME
CITY OF ORONO CALLED IN �-�-�/
INSPECTION NOTICE SCHEDULED LLQ— � �
PERMIT NO. �' 'J �? COMPLETED � �
ADDRESS �� ✓
OWNER ���''�`� CONTR.���� +�>"t�J
TELEPHONE NO. "7 7��d a�� �
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
y 02 FRAMING �1"T1RE� ANICAL FINAL � 18 EXCAV/GRADING/FILLING
O 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK•UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �WORK SATISFACTORY:PROCEEO ❑ PROJECT COMPLETE
W O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL�NSPECTOR `J CITATtON ISSUED
�INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73r'J7
OwnerlContrac n s e:
Inspector.
White Copyllnspecfor's le Canary CopylSite Notice