HomeMy WebLinkAbout1990-003128 - mechanical CITY OF ORONO PERMIT TYPE: ;�E�:H�i��ll�.:�iL
1335 Brown Rd. South • P.O. Box 66 Permit Number: `-'''�='��`-`
Crystal Bay, Minnesota 55323 Date Issued: `-'"��'`-'���{�
(612) 473-7357
SITE ADDRESS:
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• APPLICANT'PERMITEF SIGNATURE ISSUED BY SIGNATURF
CITY OF ORONO
APPLICATION FOR MECHANICAL PERMIT
G 1�NERA T. I NF O RMAT I ON
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 buiiding
permit must be obtained.
4. AI1 work must be done in accordance with State Building Code requirements.
5. AI1 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.
INSTROCTIONS Complete alI 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
********************************************************************************
Please check one: �_New Addition Repair Replace
JOB SITE: /,i",35"_' �, /✓i.c-c-4 ,L i�///� Zip: ���-�� `�
Owner' s Name : �'I��ryiti,�s�`� � /1 c ` ��IS Telephone Number: ��75- i/�s"
Mailing Address ; s•�- -���:��.._�_,,�."� .,�t City:/�'/�. � ���� ��i; ,,, - Zip: ; s .;�-;�
Contractor' s Name ��`� i /, ,>�„�s�- ,y � � ��x �/� Telep one Number: ;'/y / ��i/
Mailing Address .� ,�- �E ��l y� �— City::%r� /� �l�f �;� �k�/.Y. Zip: _, => ;�-y
*****************************•********************* *********�a�*****************
MINIMUM FEE ( $30. 00 per project)
********************************************************************************
SYSTEM DESCRIPTION: $15. 00 each unit
Heating Systems :
Quantity: :-,�,e�,�°��<��
Make: �-�-,.Tiy:�f�.�. <-. -
Model. �� c i's �%� iz i.v.
,`
Fuel. /,i�>% �- Gf>s.
Flue Size. .� ,,�� � �� ��.G� _.T .�
Input BTUs . ;._ �-� �•
Output BTUs : �i�- � � �-
CFM: /,•�' �'
********************************************************************************
Cooling Systems:
Quantity: �, �,��
�lake:
Kodel:
?'ons:
i.Power:
:*******************************************************************************
*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
�ood Stove (s ) franklin, other
Brand Name Mode 1 No.
Kfgr' s Min. , Clearances, side , rear , min. flue dia.
Total
�*******************************************************************************
iTENTILATION $15. 00 each project
Vo. Kitchen Exhaust � ducted _� recirculating cfm
Vo. , ; Bath Exhaust (must be ducted outside) cfm
vo. Other Fans: Locations cfm
Total
�r*******************************************************************************
�IIEL 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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.=AS LINE INSPECTION
3igh/Low Pressure $15 . 00
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P$RMIT FEE CALCULATION
L. Total of above Installations or Minimum Fee ($30.00) $
? . State Surcharge. Add the State Building Code Division
Surcharge to each permit $ . 50
3 . Postage and Handling on all mailed-in applications, $ 1. 50
� . TOTAL PERMIT FEE add lines 1-3 above $ _
Che undersigned hereby applies to the City of issuance of a Mechanical Permit,
igrees to do all work in strict accordance with the ordinances of the City and
:he regulations of the Minnesota State Building Code, and certifies that all
�tatements made on this application are complete, true and correct.
� ` / � I %,��- Date: '_"- �c:. yn_
��plicant s Sisnatur� ti� E:'� �
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DATE TIME
CITYOFORONO CALLEDIN �".��-p`�
INSPECTION NOT CE SCHEDULED � ��q� �� /� ��
PERMIT NO. /�� � COMPLETED N
ADDRESS `. �3 � *j-�'��� Q���
OWNER Y�L.�-t-- � CONTR..bI��zC�,�.�'�'�-/�Q-
TELEPHONE NO. � ? �~l �l�
j; ❑ FOOTING C�MECHANICAL RI � ❑SITE WELL
~ ❑ FRAMING ❑ MECHANICAL FINAL ❑WELLTEST PUMP
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� ❑ INSULATION ❑ FIREPLACEMlOOD BURNER ❑ EXCAVIGRADINGIFILLING
�
O ❑WALL BD. ❑WATER HOOK-UP O LAKESHORENVETLANDS
Z ❑ FINAL ❑ METER SETlTURN ON ❑TREE REMOVAL
Q C DEMO—SITE Cl SEWER HOOK-UP �SITE INSPECTION
_
� ❑ DEMO—FINAL ❑SEPTIC MAINT. ❑ PROGRESS
J
Q ❑ PLUMBING RI ❑SEPTIC INSTALL. �COMPLAINT
_ ❑ PLUMBING FINAL ❑ SEPTIC FINAL ❑ FOLLOW-UP
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GW m WORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN
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�❑ CORRECT WORK&PROCEED ❑ CITATION ISSUED
O C CORRECT WORK,CALL FOR REINSPECTION ❑ PROJECT COMPLETE
V BEFORE COVERING ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT UNSAFE CONDITION WITHIN HOURS. TEMPORARY
INSPECTOR WILL RETURN
PERMANENT
�STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContr or n site:
Inspector.
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