HomeMy WebLinkAbout1998-011075 - gas line inspect PERMIT
CIT'�� �°� ORONO
PERMIT TYPE: __
275C arkway- P.O. Box 66 -- .,•:� —
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Permit Number: :,�`.� ; , ::� �
�'rys � �innesota 55323
(612 �;7 Date Issued: , ;.: ;: . :. , �,:.
SITE AC�SS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: _ �:::,; ;,_.�,,-��. _ OWNER:
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APPLICANT!PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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WOOD BURNING EOUIPMENT �
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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
FLTEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: ' gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
)�_ C � �' 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. Posta�e and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted
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 STATE SURCHARGE is .0005 of the contract price under �1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accordance with the ordinances of ti�e City and the regulations of the Minnesota
State Building Code, and certifies thaf all statements made on this application are complete, true
and conect. � �
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Applicant's Signature;.- � � , ,i' ,��-- --__._____ Date: /�-/��'�.
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Approved By: Date:
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CITY OF ORONO APPLICATION FOR MECHANICAI;FERNIIT �
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 �'
C',Fr?ERAL 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 retum 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 DesiQns - 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, manufacturer 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 pernut 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
� Residential Commercial
JOB SITE: "%, 2�L� -�r���C �� ' Zip: 5`>>`_;�;,
Owner's Name: �-�,,, � �.; L„j�; S Telephone Number: �/�� -� `t 4- �3
Mailing Address: � City: Zip:
Contractor's Name: � �:�'-Iz c�-�.� S � c ��: � Telepho�ne Number: �:� �� - :� �--�
Mailing Address• ��l.>..� I���-��� �, . City: �, _�v `� Zip: ;�-3-7 �{-
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power �
DATE TIME
CITY OF ORONO / CALLED IN !�-/`f-`�f �/G
INSPECTION NOTICE j/Q-�� SCHEDULED /�-/5�`(c'S �?_ C z3
PERMIT NO. 1� COMPLETED � �� �
ADDRESS ���5 � � � ���'E-�'�- � �
OWNER �f ����� ��-'�'�� CONTR. �"r�L��c '
TELEPHONE NO. � Z � �- � :�. �c
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� DESCRIPTION �' - _.-C.i �� ; '�(9.-c
� 01 FOOTING 11 MECHANICAL RI � 8 EXCAV/GRADIN ILLING
Q 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING FI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W/j�'WORK SATISFACTORY:PROCEED ROJECT COMPLETE
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W ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. _ pHOTO TAKEN
INSPECTOR WILL RETURN
- CITATION ISSUED
❑STOPORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor on
Inspector.
White Copyllnspector's File Canary CopylSite Notice