HomeMy WebLinkAbout1996-007756 - gas line inspect � _
P�RMIT
, �,��"Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 �����;-:;;�=:iv�C.:;=i;._
Crystal Bay, Minnesota 55323 Permit Number:
Date Issued: '-�`'`�`=``"'
(612) 473-7357 �_�:=:j 4�;':f'�;�.
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLI ANT'PERMITEE SIGNATURE ISSUED E3Y SIGNATURE
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CITY OF ORONO APPLIC:�'I'TON FOR MECH��IIC�I. PERIIIT
Bos 66 (27�0 Kelley Par�"u'ay)
Crystal Bay, ��LN ��323
GE�TER.�L L��FOR�I�TION e�� by mail or in person at the Ciry o�ces. Applications will be
1. You may aoply for mechanicai P
revie`ved and a permic will be issued �vithin 2 �L'orking days.
� perm.i[ cards will be sent by return mail after a review is completed. PERI1�fITS ARE NOT Vr�.LID
tiNTIL YOU RECEIVE A PER��fIT. �VORK ytUST �10T BEGIN UNTIL THE PER:�IIT C.�RD IS
POSTED ON THE JOB SITE.
3, titechanical Desi�ns - Complete calculations, details and specifications are required for each heatin�,
ventilation, humidification-dehumidification, and air conditioni.ng installation includin�heat loss�heat�ain
calculation, design temperacures, ov dede Identiica onlof and spec fi at ons forwaer h atinQequ pment
Daca shall be presea[ed on form p
shall also be provided.
.�. �Vhen any ne�.v construccionn raccordan e� withvtheeUniform a�Iebhlani�al Code/St�atet Build'�eCode
�. .�11 wor�. must be done
requirements. Call 473-73�7. 24-hour notice required.
6. �11 work must be inspected (rough-in and final)•
�, House Heacing Test Record must be submitted before final.
Inst�ns Complece ali items on this applica�ion. Compute the permit fee. Sign and date the certification.
INCOMPLETE �PPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please cneck one: New
�Addi[ion Repair Replace
Residential Coinmercial �
��,;�,� ., zip: �5�- �
JOB SIZ'E: s 3 �6 --��J
�_ _ Telephone Number:
Owner's Nair�e: ,�l, f City: C;;, Zip: ��-��-�
<�.�c:�
Niailin�Address: ��; � ����� �F��"- i2�' � TelephoneNumber: `��������2-
Contractor's Name: v = �'-` � "n �"� - Zip•
1�Iailin�Address:
It i'1'l� A� .v� s 1 1 r- /�.l�� Cl�: c '
SYSTEti1 DESCRIPTION
HEATING SYSTEMS
Quantiry:
Make:
iVlodel:
Fuel:
Flue Size:
Invut BTUs:
Outpuc BTtis: —
CFtii:
COOL.IIv`G SYSTEVIS
Quantity: —
Make:
i�lodeL•
Tons:
H, power
. �
`VOOD BUR.YL�TG EQLIIP`�fE��
�ood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
�ood Stove (s) Franklin, other
Brand Name Model No.
Nlfar's �fin., Clearances, side , rear , min. flue dia.
VENTIL�TION
No. Kitchen Exhaust ducted recirculatin� cfm
No. Bath Exhaust (must be ducted outside) ��
No. Other Fans: Locations cfm
FU�L STOR�GE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fue1 oil: gallons underground inside outside
LP Gas: gallons
� Other �;.�� L�'�t �'h� �r���� �'6"��.5 Gas opening
PERMIT FEE CALCULATION
1. 1.25�a of Contract Price�` or Minimum Fee (�35.00)
��(�, ��� _ x .0125 $
(contract price)
2. State Surcharae. ** Add the State Buildin� Code Division
Surcharge to each permit. x .0005 $
or 5.50, whichever is greater (contract pnce)
3. PostaQe and Handlina (Only mail-i.n 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 permitted
work includin� macerials, labor, profit, and other fixed costs. It is che amount to be charged to the
cuscomer for the work done. If any material, equipment, labor, or installation are furnished by the owner,
tenant or any ocher 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 joo cost,
the Ciry may request the submission of a signed copy of the acmal con[ract.
** �:e STATE SURCHARGE is .000� oi the concract price under 51,000,000 or 5.50 - whichever is
�reacer. For valuations over SI,�00,000 call the Departmenc of Inspectional Services for the price.
The undersianed hereby applies to the City for issuance of a Mechanical Permit, agrees to do
all work in su�ict accordance 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_ � �
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Applicant's Signature: Date: �'-l�
Approved By: Date:
DATE TIME
CITY OF ORONO CALLED IN - -'
INSPECTION NOTICE SCHEDULED � � �
PERMIT N0.��� COMPLETED L� �/,
ADDRESS D �
OWNER� � Q C-��� CONTR. /
TELEPHONE NO._�� - a �S�-�
� DESCRIPTION � _�.��1i/
� 01 FOOTINO 1 MECHANICAL RI 18 IXCAV/GRADINd/FILLINO
� 02 FRAMIN� 13 MECHANICAL FINAL 19 LAI�SHOREMIETLANDS
� 0.3 INSULATION 24/25 WOOD BURNER/FIflEPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
� OS FINAL 14 SEWER HOOK-UO 06 PROGRESS
Z
F` 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
Q 07 DEM�FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER FiEMOVAL
�+ 10 PLUMBiNG FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORKSATiSFACTORY:PROCEED - PROJECTCOMPLETE
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� CORRECT WOFK&PROCEED L ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,� pH0T0 TAKEN
�NSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73rJ7
OwnedContractor it :
Inspector. �� � ��
White Copyllnspector's File Canary CopyfSite Notice