HomeMy WebLinkAbout1989-002215 - mechanical PERMIT �
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 �{'�'`='�'��'�t` `
Permit Number: �;���:;��,�°�,
Crystal Bay, Minnesota 55323 Date Issued: ,,5:=;;�;�i;'_;
(612) 473-7357_
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APPLICANT'PERMITEE SIGNATURE I UED BY:SIGNATUR
INSPECTION RECORD
CITY OF ORONO PERMIT TYPE: �•��::i���f;itdi{=:�:3._
1335 Brown Rd. South • P.O. Box 66 Permit Number: �jt 7��'�'�� I
Crystal Bay, Minnesota 55323 ;:i;:;�f 7r,_`_�
(612) 473-7357 Date Issued:
SITE ADDRESS: APPLICANT:
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PERMIT SUBTYPE: TYPE OF WORK:
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�z� oF ORONO ,�r � c� � a a�
APPLICATION FOR MEC�iANICAL PERMIT l ; �` �, i
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GENERAL INFORMATION �
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 be 1 ow.
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 building
permit must be obtained.
4. All work must be done in accordance 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 submitted 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
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Please check one: �New Addition Repair Replace
JOB SITE: �jcJc�--�,�� � �L\n�,�� ��,j � Zip:
Owner' s Name: �'���jc.�'v�� C-G'��� Telephone Number: y Z�>��p�l
Mailing Address: �'�1oc: ���' �` `" 'Zvi l� , City:���,:c�...l��� �r'��(s Zip: ���24�"_
Contractor` s Name: , Telephone Number: y��-�ti�x,� �
Mailing Address t,�,;s�T Zip:
************************************ � �******************************
MINIMUM FEE ( $30. 00 per project) MAP�E GnOy�E, �!!{� hJ�E�
********************************************************************************
SYSTEM DESCRIPTION: $15.00 each unit
Heating Systems: �
Quantity:
Make: _ �c�'Z,t'�
Model: �y
Fuel. �;.CT
Flue Size: 5'�'�
Input BTUs : �U,GY-jG
Output BTUs :
CFM:
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Cooling Systems :
Quantity: (
Make: ���
Model: ���(
Tons: �
H.Power:
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*WOOD BURNING EQIIIPMENT $15.00 each unit
Wood stove with flue
Wood combination or add-on unit
Factory fireFlace 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
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VENTILATION $15.00 each project
No. Kitchen Exhaust ducted recirculating cfm
No. ''2� Bath Exhaust (must be ducted outside) cfm
No. �_ Other Fans: Locations ��'`L��;�L cfm
Total
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FOEL 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 _�
*******�**�***��**�*************************************************************
PERMIT FEE CALCDLATION
l. Total of above Installations or Mini.mum 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 $ (',�� ;��� ¢- (�yC'� .SO
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
S�dE:�IllE:11�5 ir�ade OIl tt11� appli�:a�ic7ii Zic ��Ii'�pl���� tr'l2� and c�rrect.
Ci�
Applicant' s Signature: ' Date: �" �C� �
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DA TIME
CITY OF ORONO CALLED IN �
INSPECTION N TI E SCHEDULED
PERMIT NO. COMPLETED � -�._�_ j �. � > -
ADDRESS � �IC_
OWN ER CONTR.
TELEPHONENO. ����S��I,
C FOOTING ❑ PLUMBING RI ❑ FIRE PREV.
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� C FRAMING �UMBING FINAL ❑ FIRE SUPRESSION SYS.
� C INSULATION MECHANICAL RI ❑ EXCAVIGRADINGIFILLING
� �WAI.L BD. ❑ MECHANICAL FINAL G LAKESHOREIWETLANDS
� C FINAL C FIREPLACE/WOOD BURNER ❑TREE REMOVAL
Q G DEMO—SITE ❑WATER HOOK•UP ❑ KENNEL LICENSE
� C DEMO—FINAL C METER SETITURN ON ❑SITE INSPECTION
v ❑ SEWER HOOK-UP ❑ PROGRESS
4Qi � SEPTIC MAINT. ❑COMPLAINT
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v ❑ SEPTIC INSTAL�. ❑ FOLLOW-UP
� ❑ SEPTIC FINAL
O G SITE WELL
� ❑WELLTESTPUMP
� COMMENTS:
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� �-WORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN
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Q' C' CORRECT WORK&PROCEED ❑CITATION ISSUED
p ❑ CORRECT WORK,CALL FOR REINSPECTION C ISSUE CERTIFICATE OF OCCUPANCY
V BEFORE COVERING TEMPORARY
C CORRECT UNSAFE CONDITION WITHIN HOURS. PERMANENT
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR
i' INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnedContractor on site:
Inspector. � �: _ --
White Copyllnspector's File Canary Copy/Site Notice
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HOUSE HEATING TEST RECORD
ADDRESS � ����� \� �— APT. FLOOR CITY SUBURB
OCCUPANT � ���' C�nS � � OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Electrical Work By Gas Line By
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UN17 HTR. OTHER
GAS DESI N CONVERSION
MAKE � ��"'` MAKE OF BURNER
Model �JG �� Model
Serial Max. BTU Rotiny
INPUT ����,� MAKE OF FURNACE
Model
` �ONTROLS ��I
THERMOSTAT \ Heat Plug Vent Size
Valve KIND OF LINER SIZE NONE
Limit '�'�^� Droft Hood _ Regularor
Limit Sstting ���-+�� J�� Filters $i:e � Number �
Fan Setting ` � �' Chimney Location Insids � Outsi�2
Pilot Type `-�� � Chimney Construction S� � �
Pilot Make
Pilot Model Smoke Bomb Mliring
Pilot Timing Draft Test Tag
L.W. Cut Off Door Pressure Lighting Inst.
� �� `���-`�
Prossure��'� Percent CO2 � Date Tested �
�'ff�tH�. �r� .,'.�_
Input CFH ��v- Percent OZ Company Testing J J
$tack Temp. �-���� Percent CO � Name oF Tester �`C�– '' "
Form �3s MAPLE GF�JV�., �:f��� `:':;';y:.:�
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE/ SCHEDULED
PfRMIT NO. COMPLETED ��-9� �
ADDRESS L �
OWNER CONTR.
TELEPHONE NO.
� ❑ FOOTING _. ❑ PLUMBING RI ❑ FIRE PREV.
� ❑ FRAMING �.. '� � PLUMBING FINAL ❑FIRE SUPRESSION SYS.
� ❑INSULATION �qECHANICAL RI ���O EXCAV/GRADINGIFILLING
y ❑WALL BD. �O MECHANICAL FINAL�,�(�7 LAKESHORFJWE�LANDS
� ❑FINAL ❑ FIREPLACENVOOD BURNER ❑TREE REMOVAL
Q ❑ DEMO—SiTE O WATER HOOK-UP ❑ KENNEL LICENSE
� ❑DEMO—FINAL ❑ METER SETITURN Od ❑SITE INSPECTION
v ❑SEWER HOOK-UP ❑PROGRESS
_ ❑SEPTIC MAINT. ❑COMPLAINT
J ❑SEPTIC INSTALL ❑ FOLLOWUP
� ❑SEPTIC FINAL
y ❑SITE WELL
� ❑WELLTESTPUMP
� COMMENTS:
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W RKSATISFACTORY:PROCEED ❑ PHOTOTAKEN
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CORRECT WORK 8 PROCEED ❑CITATION ISSUED
�p ❑CORRECT WORK,CALL FOR REINSPECTION O ISSUE CERTIFICATE OF OCCUPANCY
V BEFORE COVERING TEMPOHARY
❑CORRECTUNSAFECONDITION WITHIN HOURS. PERMANENT
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor
Inspector.
White yllnspector's File Canary Copy/Site Notke