HomeMy WebLinkAbout1996-008263 - tank removal � PERMIT
� CITY OF ORONO PERMIT TYPE:
'%50 Kelley Parkway- P.O. Box 66 �r��;;:�-;�;,�;�.�;�;;,
Crystal Bay, Minnesota 55323 Permit Number: _ _ _ _ _
Date Issued: '-i`�' '.`���':y;
(612) 473-7357 t:f,;.'i 1(.f'�tF,
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT PERMITEE SIGNATURE � ISSUED BY:SIGNATURE ;�'� �'� �
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CITY OF ORONO APPLICATION FOR MECHA1vICAL PERMIT
Box 66 (2 i 50 Kelley Parkway)
Crystal Bay, MN 55323
GENGRAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within 2 working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Designs - Complete calculations, details and specifications are required for each heating,
ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat gain
calculation, design temperatures, equipment ratings and identification as to type, manufac[urer and model.
Data shall be presented on form provided. Identification of and specifications for water heating equipment
shall also be provided.
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected (rough-in and final). Call 473-7357. 24-hour notice required.
7. 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.
Please check one: New Addition Repair Replace
•a( Residential Commercial
JOB si1 E:_s s �1 , ��N � R:;z € n d z;p:
Owner's N.:rae: �� � �y �/ A � S TelephoneNumber: �� ,� -� � �� �
Mailing Address�Y,�e, City: 'Lip:
Contractor'sName: r,> � �a ,,, %s i r�.0 K ; �� TelephoneNumber: S ��S� � i 1 c/
MailingAddress: �J o rS.,,-,�c• � 2 �!_�_ City:d2� ` �Zip: 5.S'`.�r� 2
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs: _ _
Output BTUs: __
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
WOOD BURNING EQUIPnZENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL 5TOFtAGE (MUST �3E APPROVED BY FIRE MARSHAL)
Installation p� Removal
� Fuel oil: /a e o gallons n underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25%o of Contract Price* or Minimum Fee ($35.00)
r� � ��. x .0125 $
contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
or $.50, whichever is greater (contract price)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT PEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor, or installation are furnished by the owner,
tenant or any other party the reasonable market value of such items must be added to the estimated cost
or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost,
the City may request the submission of a signed copy of the actual contract.
** The S'fATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. Eor valuations over $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby appl i�,s to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accurc'.ance 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's Signature: ;
Date: � / S�/�,�
Approved By: Date:
v
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED I4 q =C90
PERMIT N0. `'��- ' c nnP TED '� �
ADDRESS �7� �h�
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION �Q✓�� �'�,DvGLL
� 01 FOOTING 11 MECHANICAL RI 18IXCAV/GRADINO/FIWNO
� 02 FRAMING 13 ECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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= 05 FINAL 14 SEWER HOOK-UO 06 PROGHESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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W 07 DEM�FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBING Fil 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 70 PLUMBINQ FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� C=CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WOAK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CAIL INSPECTOR
G CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next in pection 24 hours in advance.473-7357
OwnerlContra o sit :
Inspector.
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