HomeMy WebLinkAbout1994-005943 - gas line inspect PERMIT
�ti�Y` OF ORONO PERMIT TYPE: �,;�,..; ,,,>..—
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2750 Kelley Parkway • P.O. Box 815 Permit Number: �:;i_��=��.;;
Orono, Minnesota 55356-0815 Date Issued: i��:�;:i::�:�'��:i
(612) 473-7357
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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C{QNTRACTOR: �7^ — '�`'s=�� ��[� �� ` OWNER: ,�(
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� APPL T/PERMITEE SIG TURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATTON FOR MECHAlYICAL PIIZMTr
Box 66 (2750 Kelley Parkway) �
Crystal Bay, MN 55323
GENERAL INFORMATION
1, You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued wichin 2 working days. �
2, Permit cards will be sent by return mail after a review is completed. PERMITS A.RE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT' BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical DesiQns - Complete calculations, details and specifications are required for each heating,
ventilaiion,humidification-dehum.idification, and air conditioning installation including heat loss/heat gai.n
calculation, design temperatures, equipment rati.ngs and identification as to type, manufacturer and modei.
Data shall be presented on form provided. Identification of and specifications for water heating equipment
shall also be provided.
4. When any new constsuction or remodeling is involved, a separate building permit must be obtained.
g. All work must be done in accordance with the Uniform Mechanical CodelState Building Code
requirements.
6, All work musi be inspected (rough-in and fmal). Call 473-7357. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Compute the permit fee. Sien and date the certification.
INCOMPLET'E APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: New �Addition Repair Replace
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Residential Commerc'al
JOB STTE: � ' ��' - ,G-f �P'
Owner'sName: � S - TelephoneNumber•
Mailing Address: ^,�p City: *'�-�:�i�'v Zip:��-�� - _
Contractor'sName: ►�� �� " ����` TelephoneNumber: � -
MailingAddress: -� �-,� � � � City: ,,�' .� Zip: ,�.-=' :��
SYST'EM DESCRIPTION
HEATING SYSTEMS
Quandty:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFNI:
COOLING SYSTEMS
Q�riry� ,
Make:
Model:
Tons:
H. Power
�// � //�- � % /��
� � �
_ ' • �
WOOD BURNING EQUIPMENT _ . _ `- -
Wood stove with flue �
Wood combination or add-on
Factory fireplace with flue � �
. Factory Fireplace (s) Freestanding Masonry -
wooa sto�e (s) Frankiin, other .
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia. �
Total
VENTILATION
�No. Kitchen Exhaust ducted recirculating ��
No. Bath Exhaust (must be ducted outside) ��
No, Other Fans: Locations �� �
Total
FUEL STORAGE (MUST BE APPROVED BY FIlZE MARSHAI-)
Installation Removal
Fuel oil: gallons underground inside outside
L,p Gas: gallons
Other Gas opening
. PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.001X 0125 $
j�c-'
(contraci price)
2. State Surchar�e. ** Add the State Building Code DiXisio�5 $
Surcharge to each permit.
(contract price)
or $.50, whichever is greater � 1.50
3. Posta�e and Handlin� (Only mail-in applications) �
4. TOTAL PERMIT FEE (Add lines 1-3 above)
* CONTRACI'PRICE or JOB COST means the actual or estimated dollar amount charged for the perm.itted
work including materials, labor, profit, and other fiaed costs. It is the amount to be charged to the
- customer for the work done. If any material, equipment, labor,or installation are furnished by the owner,
� tenant or any o[her parry 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 job cost,
the City may request the submission of a signed coPY of the actual contra��-
** The STATE SURCHARGE is .0005 of the contract price under $1,OQ0,000 or $.50 - whichever is
greater. For valuations over $1,000,00� call the De'Partment of Inspectional $ervices for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accordance with the ordinanem n mad on this applic.�atio are omP��t�e
State Building Code, and certifies that all
and correct -- _ � � � � '
- -_ _�___ � .- � Date: - �'.� `
_ Applicant's Signature:
` Date:
. APProved By:-.._:: ✓ �
DATF_ TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC��� 3 SCHEDULED 7:�� l=Af�
PERMIT NO. -''�� COMPLETED
ADDRESS f� � r�
OWNER CONTR. h
TELEPHONE NO._ �7 eZ � RS CI
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� DESCRIPTION S (�°�
� 01FOOTING �uIECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
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Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑ CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r- pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContrac ite:
Inspector.
White Copyllnspector's 'le Canary CopylSite Notice