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Home My WebLink About1985-8243 - general permit GENERAL PERIVIIT CITYPERMITNO. � 8243 CIT� OF ORONO Date � ,� P.O.BOX 66 CRYSTAL BAY,MINNESOTA 55323 (612)473-7357 Owner ` r� � e Address � � � 1!�� .. Contractor � Address � City License No. ' u � State License No. r�� /n �� REMARKS AND SPECIAL CONDITIONS `� �� PERMIT TYPE AND FEE: ❑ NEW ❑ ADD�TION ❑REPAIR Inside Plumbing (#fixtures_) Fee $ Water Well Fee $ Water Meter(Size—) Fee $ Mechanical Equipment Fee $ � � d Meter# Remote,# Moving/Lifting Buildings Fee $ Municipal Water Connection Fee $ Land Alteration (Excavation, Fee $ � Grading, Filling, etc.) ❑Copper Municipal Sewer Connection Fee $. Fire Fee $ ❑ PVC ❑Cast n Sprinkler System (Fire) Fee $ MWCC SAC Charge Fee $ Other:_�G.�.�..�{� . Fee $ � On Site Septic System Fee $ After-the-fact Investigation Fee $ ACKNOWLEDGEMENT TOTAL The undersigned hereby acknowledges receipt of this limited permit, including acceptance of all sDedal informatton, � terms, conditions or requirements wxitten above. The State Surcharge: Fee $ �� under�gned understaads and a�ees under penalty of law that this permit is strIcUy limited in scope to the wozk, activity or improvement apecified; that this Dern►it does not grant anv authoritv to do wark or activitiea requiring Total Amount Paid to City Fee $ � � separate permit approvals; and that thia germit does not grant authority to violate my provision of anq City ordinance or State law,rule or regulation.All work shell be done in strict compliance with all City ordinances,buildina codes aad/or health deDartment reQulations, and ehall be 'This permit is not valid until the proper fee is paid and subiect to iaspection, agvroval br reiection by the City. it is approved by an authorized City Official. Whenever so ordered, the underaigned agrees to correct any woxk found to be in vlolatlon of the conditions of this permit. Signature of Applicant Signature of City Official t7�+ f �� _� Code:White—File Copy Canary—Inspector's Copy Pink—Finance Copy Gold—AppHcant's Receipt r-�--._,.__--- �� M�R7;-�,� � � '��'� � DEC � g � „ ; ' , �'�;� �i iy;'�� CITY OF OROrlO ��^ ---�....._,�,,,,�a� APPLICATION FOR MECHArfICAL PERMIT .• r��"O�v�Q "�---�-..,...,..� GENERAL INFORMATION 1 . You may apply for mechanical permits by mail or in person at the City offices. Mailed-in permits are subj�ect to the postage and handling fees shown below. 2 . Permit cards will be sent by return m��il 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 building permit must be obtained. 4 . All work must be done in accordar.�ce with State Building Code requirements. 5 . Al1 work must be inspected (rough-in and final ). Call 473-7357. 24- hour notice required. 6 . House Heating Test Record must be subm_Ltted 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. 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 ******************** ***************************************************** JOB SITE ' ,<3L^Y� � � Owner ' s Name , � �� "� �, Telephone Number ' - p� (� Mailing Address ja- �.�-- Contractor ' s Name � . Y �,� �,..; +�- i� , T-�l.ephone Number � , � _, �� j Mailing Address 1 .� ,._ -S"= ti �.c.�<_ �, �-,., ��f /%��. ��t1� �F****�c********�k*�r�Ft�ciric***i�****�.F**�r�;*�F:t��F��tf *�:i�c***ic�ciciC:izxx�Yic�Y�c�'c**xicic*zic�c*�t MINIMUM FEE ( $25 . 00 per project) *************************************************************************** HEATING SYSTEMS $20. 00 each unit FUEL � nat. gas, lp gas, oil, elect. other (specify if combination burner) EQUIP. (if more than 1 unit per bldg. list each separately) NO. TYPE BTUH IMPUT BRAND NAME MODEL N0. �_ f .a. furnace 7�� ,�� .� ti�., �l 1�/f �c�� 5�=c�/ hw boiler ' , unit heater solar htg. equipment _ Solar Equipment $50 . 00 each system Total -�' � °C�t� *************************************************************************** AIR CONDITIONING $20. 00 each unit Central Air Separate Central Air System w/furnace Brand name Model No. Tons Total ************************************************************�************** *WOOD BURNING EQUIPMENT No charge Wood stove with flue No charge Wood combination or add-on unit $30 . 00 each unit Factory fireplace with flue Factor Fireplace (s ) freestanding built-in Wood Stove (s ) franklin, other Brand Name Model No. Mfgr ' s Min. , Clearances, side , rear , min. flue dia. Total *************************************************************************** VEN2iLA'1'lUN $S. uG eaC:i1 e�iiausi icxiis� {bath� kitC:7:.^.� attic, etc. ) No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside ) cfm No. Other Fans : Locations cfm Total *************************************************************************** FUEL STORAGE (must be approved by fire marshal ) $20. 00 Permanent $10. 00 Temporary Fuel oil, gallons underground inside outside LP Gas, gallons Other . *************************************************************************** SPRINRLER SYSTEMS Minimum $20 . 00 each system Number of Heads No. of Risers $2. 00 per head *************************************************************************** PERMIT FEE CALCULATION 1 . Total of above Installations or Minimum Fee ($25. 00 ) $ �'� . �z' 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 $,��, � 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 �',�C.�,,,,..,�Q. �,,f' Date /?--/'�- �Sr� * WOOD BURNING STOVES Please note that there is no longer a fee for wood burning stove permits. We do however still require a permit to be issued. If the permit application is mailed in we do require a $1.50 charge for postage and handling. HOUSE HEATING TEST RECORD I r ADDRESS � � -�`� � APT. FLOOR CITY SUBURBi�i.�1' OCCUPANT ��1� -�- ��' ( � OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY ,. � f".�,. ;'r;�, . Electrical Work'By Gas Line By - ' j '__ ' � ',� .--.:�', � TYPE OF HEAT GA FA�HW STEAM SPACE HTR. UNIT HTR. -- >. � � GAS D IGN COI�T�E��tSION �p� � ' MAKE � MAKE OF BURNER ��•1 Model ' Model ' � $erial � Max. BTU Rating � • ' _ :�"'"""'"`� INPUT � � MAKE OF FURNACE � i�' � ' Model �y� � CONTROLS � �j THERMOSTAT ��ff� Heat Plug � � Vent Size Valve /'��'� KIND OF LINER t� $IZE��NONE Limit �1�' Draft Hood Regulator Limit SeNing ��' �� Filters Size`G*x�� Number� Fan Setting Chimney Location I�ide t� Outside Pilot Type t�Cl�'�-�- c-�� Chimney Construction —f•%� L Pilot Make Pilot Model $moke Bomb Wiring Pilot Timing Draft _�- Test Tag � L.W. Cut Off Door Pressure Lighting Inst. �- f a g •- Prossure /� Percent CO2 Date Tested �� '� � Input CFH /�� Percent 02 Company Testing �� $tack Temp. �� Percent CO Name of Tester � = } -- - '�- Form 235