HomeMy WebLinkAbout1996-007800 - plumbing . � PERMIT
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CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 ���.t lEyj�;j��;�
Permit Number: t}��,�;1�tt:r
Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357 C�:=�I�'�_3r�=%F.
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REMARKS:
FEE SUMMARY:
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APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHAIVICAL PERMTr
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
i. You may apply for mechanical permits by mail or in person at the City o�ces. Applications wiil be
reviewed and a permit will be issued within 2 working days.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Designs - Complete calculations, details and specifications are required for each heating,
ventilation, humidification-dehumidification, and air conditioning installation inciuding heat loss/heat gain
calculation, design temperatures, equipment ratings and identification as to type, manufacturer and model.
Data shall be presented on form provided. Identification of and specifications for water heating equipment
shall also be provided.
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected (rough-in and final). 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. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: New Addition Repair � Replace
� Residential Commercial
JOB SI'I'E: ���� �_ �'l0� �/�r✓� Zip:
Owner's Na€ne: �,�,�.v 2+��^ �-( • Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: ��b<--�-- t- So�- � TelephoneNumber: ��7��-?'? �, �,
Mailing Address:�,�I`� r J!x G� l�' ity: �'`K-D�� Zip: ��I 2�?,
SYSTEM DESCRIPTION I�, �, `
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�L�C�l� Y t[`��1 �C.l�-- 1 v`'�''�I� �(� •
HEATING SYSTEMS �W p ���{ --r j � '�� -�"`��STt��
Quantity:
�
Make: ��-�.�2.-
Model:
Fuel:
Flue Size:
Input BTUs: _
Output BTUs:
CFM:
COOLING SYSTEMS � ��L,"t2�
Quantity:
Make:
Model:
Tons: �
H. Power
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WOOD BURNIN LTIPMENT
ood stove with flue
Wood combination or add-on
Factory fireplace with flue
s�— Factory Fireplace (s) Freestanding Masonry
�'� Wood Stove (s) Franklin, other
� Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
VENTILATION ;'
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm cfm
No Other Fans: Locations
FUEL TORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
uel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) .� �-
��?�o .. �,� x .0125 $ 1 C ��
(contract price)
2. State Surchar�e. ** Add the State Building Code Division - � S�
Surcharge to each permit. �,��o - � � x .0005 $ ��
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only mail-in applications) $
, .—T-�=
4. TOTAL PERMIT FEE (Add lines 1-3 above) � i � 5 � �
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be chazged to the
customer for the work done. If any material, equipment, labor, or installation are furnished by the owner,
tenant or any other party the reasonable market value of such items must be added to the estimated cost
or contract price for pemut 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 contract.
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Department of Inspectional Services 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 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 conect.
�_ Date: � " � ��
Applicant's Signature: 'J � .
Approved By:
Date: � �� (
r
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DATE TIME
CITY OF ORONO CALLED IN ��
INSPECTION NOTI � SCHEDULED �!- � 7 �-
PERMITNO. ����' COMPLETED �"r, u
ADDRESS ,�a��i� S� � �zz'2k. 1��.:
OWNER ni'Zic.�.,�-�r.-� CONTR..� �l���.-C��z.�
Cii C{.a....,L{:i-Y.
TELEPHONE NO. �3 �i' > >� �
� DESCRIPTION
� Ot FOOTIN(3 11 MECHANICAL RI 18IXCAV/GRADINO/FIWNQ
y 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETIANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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= 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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�Q 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING fil 23 SEPTiC FINAL 35 HARD COVER REMOVAL
10 PLUM ICL 36 FOUNDATION REMOVAL
� O /CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORK SATISFACTORY:PROCEED
W� PROJECT COMP�ETE
W L CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR
!�CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspe tion 24 hours in advance.47�73�J7
OwnerlContractor ' e:
Inspector. � �-
White Copy/inspector's File Canary CopylSite Notice