HomeMy WebLinkAbout1992-004208 - htg & 1 cooling PERMIT �
-, G�1TY OF ORONO PERMIT TYPE: ;�:,=:.t.;-;r�;�;�_.�,�
1 Br wn R . h • P. �'�:'��; '�{-�_•
335 o d Sout O. Box 66 ,j.. ._�,_,
Permit Number: _ .�..�
Crystal Bay, Minnesota 55323 Date Issued: ��::�;`i i;''��s�:°
(612) 473-7357
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r����-�� i i�F��. OWNER:
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APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE �✓
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CITY OF ORONO
APPLICATION FOR MECHANICAL PERMIT � _..,
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GENERAL .INFORMIITION S�-"
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l. You may apply for mechanical permits by mail or i person at the City
offices. Mailed-in permits are subject to the postage and handling fees
shown be 1 ow.
2 . Permit cards W�i i be sent by return mai 1 the same dayn��?� p 1�� tion is
received. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PER'MT�. ��K ��ST NOT
BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE.
3 . When any new construction or remodeling is involved, a separate building
permit must be obtained.
4 . All work must be done in accordance with State Building Code requirements.
5. AY1 work must be inspected (rough-in and final). caii 473-7357. 24-hour
notice required.
6. House Heating Test Record must be submitted before final.
INSTP�nrm�puc �c:^�;l�te a� � i}e^.:s �r. t!:�� appli^��i^r. ��:r,p�:t� th� �,�m�� �
� .. e2.
Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.
If you have questions, cal 1 473-7357.
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: 3/.�� ✓�,c��s '7�v,� .�v�r.� Zip:
Owner' s Name: ���,� �5'-�,���,� Telephone Number: �1� -s��,,—
Mailing Address ,q�o�4s City �Qv.�o Zip: �
Contractor' s Name:/�,•,���',v�;�c�,� ��,��-�C. Telephone Number: ,��` -�g go
Mailing Address/zsm,.s--�s'��� � City �,�.vo��� -y,o Zip:,�� -
********�*********************�********************************************� ****
MINIMUM FEE ( $30.00 per project)
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SYS.TEM _DESCRIPTION: $15. 00 each unit
Heating Systems :
Quantity: �7 ��/,c..qc��r�.v� �"v.c,��c�.s •r ,.��i� ��r/ /�ia� �.r>/�
Make: .�.v yo4=,�����--�i�.c. � /�.�����.-g.��x � ,.a��. �c—
Model: ����,���o,s�o �,G
Fuel: ,� F'
Flue Size: �.3
Input BTUs : �r� - .y �,,�,�
Output BTUs: ��o00 �,,�,�
CFM: r�3�5' �,o<rt
*********************************�t****�c**********�c*�r****************************
Cooling Systems :
Quantity: /
Make: S,�y,��r�,��,��<
Model: �,s,��,3�
Tons: �/,�.
H.Power:
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' .
*WOOD BIIRNING EQIIIPMENT $15. 00 each unit
Wood stove with flue
Wood combination or add-on unit
Factory fireplace 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
********************************************************************************
VENTILATION $15.00 each project
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
i't7'�c^,.�
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FUEL 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/Low Pressure $15. 00
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P$RMIT FEE CALCQLATION
1. Total of above Installations or Minimum Fee ($30.00) $ �� °=
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 $ G,2 .�o
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 application are complete, true and correct.
Applicant' s Signature:�' .,��� c�w--� Date: � -/C ��
f DATE TIME
CITY OF ORO O CALLED IN
INSPECTION OTICE SCHEDULED
PERMIT NO. COMPLET _�� 2�D
ADDRESS � s
OWNER CONTR.
TELEPHONE N .
� DESCRIPTION �✓l
� 01 FOOTING 11 ECHAN AL RI 1 ELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
Z 04 WALL BD. 12 WATEfl HOOK•UP 34 TREE flEMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAI 23 SEPTIC FINAL
� OWNERICONTRACTO TO MEET YOU:_YES_NO
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� �WORKSATISFACTOR :PROCEED ❑PROJECT COMPLETE
W ❑CORRECT WORK&P EED O ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CA FOR REINSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
❑CORRECTUNSAFEC NDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL ETURN
❑STOP ORDER POSTED CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTIONREQUIRE .CALLTOARRANGEyA�ESS.
Call for the ext inspection 24 hours in advance.473-7357
OwnerlContract s t :
Inspector:
White Copy nspector's FI Canary CopylSite Notfce