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Home My WebLink About1987-8991 - general permit . GENERAL PERMIT �ITY PERMIT N� s s s� CIT'Y OF ORONO P.O.BOX 66 �� 5/5/87 CRYSTAL BAY,MINNFSOTA 55323 (612)473-7357 Uwner pon Lamont Address 3570 North Shore Drive Contractor Superior Contractors, Inc. p�d� 6121 42nd Ave No City License No. 133 Clty Minneapolis,' �MN 55422 REMARKS AND SPECIAL CONDITIONS 1 A.C. PERMTT TYPE AND FEE: O NEW ❑ ADDITION � REPAIR ❑ REMODEL Inside Plumbing(#fixtures ) Fee $ Water Well �'ee $ Water Meter(Size ) Fee $ Mechanical Equipment Fee $ 3 0 _0 0 Meter# Fireplace/Wood Stove Fee $ Remote# Moving/lifting Buildings Fee $ Municipal Water Connection Fee $ Land Alteration(Excavadon, - ❑ Copper ❑ Grading,Filling,etc.) Fee $ Design Review Fee $ Municipal Sewer Connection Fee $ Fire Fce $ ❑ PVC O Cast ❑ MWCC SAC Charge Fce $ Sprinkler System(Fire) Fee $ Other. Mail-in Fce $ 1.50 On Site Spetic System Fee $ After-the-fact Investigation Fee $ ACKNOWLEDGEMF,N'T TOTAL State Surcharge: Fee $ .5 0 The undersigned hereby acknowledges receipt of this limited permit, 3 2.0� including aooeptance of all spacial infortnstion, tertns, conditions or Total Amount Paid to City FPR $ requirements written above. The undersigned undersmnds and agrees under penalty of law that this permit is strictly limited in scope to the work, activity or improvement specified;that this permit dces not grant any authority to do work or activities requiring separate permit approvals;and that this permit dces notgrant authority to violate any provision of any City ordinance or State la�v,rule or regulation.All work shall be done in strict 'j'hjg��jt 1S llOt VS�1(1 I111U��1C pfO�r f�1S pS1Cl aII(I lt LS appl'OV� . mmpliance with all City oidinances, building codes and/or health b an authorized Ci O�C131. depaAment regulations,and shall be subject to inspecdon,approval or y ty rejection by the City.Whenever so ordered,the undersigned agrees to wrrect any work found to be in vialauon of the condidons of this permit. Signature of Applicant Signat of City Off cial Mail — in �J Code: White—File Copy Cartary—Inspector's Copy Pipk—Finance Copy Gold—Applicant's Receipt CI ,� '= ', �'(� � APPLICATION � T �' -`----,�, L8G' � - ?,v;.;; GENERAL INFORMATION j� �� .. � :t �� ~ ; 1li o � � � � �� ; a ,___,.. ,=;` l. You may apply for mechanic ma '��:_,� r i�ri�p�.�. � � offices. Mailed-in permi subject e postage and handling fees shown below. 2 . Permit cards wi11 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 . A11 work must be inspected (rough-in and finaY). cali 473-7357. 24- hour notice required. 6. House Heating Test Record must be submitted before final. INSTRIICTIONS Complete aYl items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, �a11 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 *******************�r******************************************************* Please check one: New i% Addition Repair Remodel —�- JOB SITE ` - �' _� J � �' �-��, �;� �, � � � Owner ' s Name ��' 1�, 2 } �,1�- Telephone Number -f�/ •- ,�= -,��, Mailing Address �� - � ,�> � � �,� Contractor ' s Name . `.-.�: � � (�� ,�� . Telephone Number �> � � - ,.�=-y �/ Mailin Address ' �, , � _ �� ;_ -- L �. g k• -�t_.! i r��' ..�', .; � � y c1 ******************�************************************,�t******************* MINIMUM FEE $30. OO�per project) �� ;� ,_�� (� � ,, ,.,(�-( �.� �-;.r.�.,.�.�. *************�r *********************************************�*********** HEATING SYSTEMS $25.00 each unit FIIEL nat. gas, Yp gas, oil, elect. other (specify if combination burner) EQIIIP. (if more than 1 unit per b1dg. list each separately) NO. TYPE BTUH IMPUT BRAND NAME MODEL N0. f.a. f urnace hw boiler unit heater solar htg. equipment Solar Equipment $50.00 each system Total *************************************************************************** AIR CONDITIONING $25. 00 each unit ;j Central Air Separate Central Air System w/furnace , � Brand name / ,. '�..-- : 'Model No. ` ' 4'f;��fions -- ` ° Total �'.. ****************************************************�********************** *WOOD BURNING EQIIIPMENT $35. 00 each unit Wood stove with flue $30.00 each unit Wood combination or add-on unit $40. 00 each unit Factory fireplace with flue Factor Fireplace (s ) freestanding built-in Wood Stove (s ) franklin, other Brand Name Mode 1 No. Mfgr' s Min. , Clearances, side , rear , min. flue dia. Total *************************************************************************** VENTILATION $5. 00 each exhaust fans, (bath, kitchen, attic, etc. ) No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. Other Fans : Locations cfm Total *************************************************************************** F[TEL STORAGE (must be approved by fire marshal ) $20.00 Permanent $10. 00 Temporary Fuel oil, gallons underground inside outside LP Gas, gallons Other *************************************************************************** SPRINRLER SYSTF�iS Minimum $20.00 each system Number of Heads No. of Risers $2. 00 per head *********************************************************************�***** GAS LIN$ INSPECTION High/Low Pressure $30. 00 *�************************************************************************* PERIKIT FEE CALCOLATION 1. Total of above Installations or Minimum Fee ($25.00 ) $� ,'�, � , 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. TO`rAL 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 comple�e, true and correct. i. � �� Date Applicant � ��l�c--2_ � _- . r ' —DA7TEG TIME �tTY OF ORONO CALLED IN � - ` - a � - Uv " nl INSPECTION NOTICE SCHEDULED �� IO : 3��._m PERMIT NO. COMPLETED ��—�� I`- �� C. f ADDRESS ��9 Y� OWNER IYlon-I-- C�NTR_.�'ir,�a,gy;�. c'o� TELEPHONE NO. h/�7/- gS� ❑ FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION O FRAMING ❑ PLUMBING FINAL O EXCAV./GRADING/fILLING � ❑ INSULATION �MECHANICAL ❑ LAKESHORE/WETLANDS � ❑ WALI BD. ❑ WATER HOOKUP ❑ LICENSING ly� ❑ FINAL O METER SET/TURN ON O COMPLAINT � ❑ PROGRESS tJ SEWER HOOKUP ❑ FOLLOW-UP � O DEMOL. ❑ SEPTIC INSTALL. O SEPTIC FINAL Q ❑ FIRE PREV. O SEPTIC MAINT. � FIREPLACE/WOOD BURNER � ❑ WELL TEST PUMP O = COMMENTS: ��(Z- C-�iv/� . ti J W _ �� z �� J Z � �1 �1✓� � IWS � � � W a � J O �. � O � W � Q � Z W � W � � a W � W �WORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN Q ❑ CORRECT WORK 8 PROCEED CJ �7 CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING � CORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR WILL RETURN. ❑ STOP ORDER POSTED.CALL INSPECTOR. � INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. caii for the next inspection 24 hours in advance. Owner/Contr. on site Inspector � 413-7357 White/Inspector's File Canary/Site Notice