HomeMy WebLinkAbout1999-011560 - gas line - grill � PERMIT
C�TY OF O ONO PERMIT TYPE:
� 2750 Kelley Parkw y- P.O. B�x 66 Permit Number: L:'-:```:"�`�-�£-:'�''
Crystal Bay, Minne ota 5532� �:_�:i. 'w.�:<<.:_
(612) 473-7357 , Date Issued: _ _
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APPLICA T/PERMITE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO � APPLICATION FOR MECHANICAL PERIVII'I'
Box 66 (2750 Kelley Parkway) � -
Crystal Bay, MN 55323 .
GENERAL INFORMATION
1. You may apply for mechanical pemuts by mail or in person at the City o�ces: Applications will be
reviewed and a permit will be issued within 2 working days.
2. Pernut cazds will be sent by retum mail after a review is completed. PERMITS ARE 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, ��
ventilation, humidification-dehumid�cation, and air conditioning installation including 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 remodeiing is invoived, a separate bLilding pennii must b� aLi�e�.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code '
requirements. G;�-�`�- �i"6��' �
6. All work must be inspected (rough-in and final). Call 4'�3-'�33�. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Compute the pemut 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:� :�6 `--' 3 ���� .S � ' Zip: _�S"""3 ��/ -;�.
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Owner's Name: �r s s ��.�_ Telephone Number: �� � r - d�'�'f�� �
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Mailing Address: �,4��y City: Zip:
Contractor's Name: �� ��� ,�„ Telephone Number: �� y - 3 5' y� 9
Mailing Address: City: Zip: fi
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SYSTEM DESCRIPTION 4120 83rd Avenue North
Brooklyn Park, MN 55443
HEATING SYSTEMS /'�S T�� �'''fi'`'�"`° ���' '"�T �S �Y� '�,
Q�.zantity: ��r
Nia:ce: ���� �
Model: �f iv
Fuel: /�G- °;
Flue Size: -
Input BTUs: a �r��' ":;:
Output BTUs:
CFM: �r
COOLING SYSTEMS
Quantity: a
Make: �
Model: �
Tons:
H. Power '
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WOOD BURNING E�OUIPMENT
Wood stove with flue -
Wood combination or add-on
Factory fireplace with flue
� 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 E�aust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel 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)
��>���� �-- x .0125 $ �.�� �:,
(contract price)
- 2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ ��
or $.50, whichever is greater (contract price) _-
3. Posta�e and Handli� (Only mail-in applications) $ �--
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � � ��
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the pemutted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor, or installation are fumished 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 correct. �
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Applicant's Signature•- Date: �1��''�
Approved By: Date:
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DATE t� TIME
CITY OF ORONO I��I CALLED IN • �3—p/ '3'3 O
INSPECTION NOT CE I� seHeou�e� — �'�
PERMIT NO. � -r � connP�ErE�
ADDRESS �v /�o T(-� S o £ i V
OWNER CONTR. ��-��w ����+��
TE�EPHONE NO. S(p O 33
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� DESCRIPTION
l� 01 FOOTING 1 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING ECHANI AL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION OOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. � 2 WATER H OK-UP 17 SITE INSPECTION
Q 05 FINAL I 4 SEWER H OK-UP 06 PROGRESS
� 07 DEMO-SITE i 7 SEPTIC INT. 21 COMPLAINT
� 07 DEMO-FINAL i 5 SEPTIC I STALL. 22 FOLLOW-UP
= 09 PLUMBING RI I 3 SEPTIC FI AL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL i 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO ME YOU:_Y�S_NO
� COMMENTS: i
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W� ❑WORK SATISFACTORY:PRO EED PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEE SUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR EtNSPECTI N TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITI NWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETU N ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL�NSPECTOR
❑ INSPECTIONREQUIRED.CA LTOARRAN,raEACCESS.
Call for the next ns io 24 hours in advan .473-7357
OwnerlContr r on si :
Inspector.
White Copyllns or's File Canary CopylSite Notice
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- DAGTE TIMME�
CITY OF ORONO CALLED IN � 8 J� 3 ��"1
INSPECTION NOTIC SCHEDULED � l3/`Yl �'.3DP�1
PERMIT NO. I���� COMPLETED
ADDRESS ��� �• ��"�-t-`� ��
OWNER �-��� CONTR. �-��� ��'tQ[�� _
TELEPHONE NO. �'d" -���cl
�- DESCRIPTION �f��-� - �R ►�n9-�1.Z�c'�'
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� 01 FOOTING 1 ' MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING G�IECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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��WORK SATISFACTORY:PROCEED .7��JECT COMPLETE
W �CORRECT WORK&PROCEED i � SSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALI FOR R�INSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �- pHOTO TAKEN
INSPECTOR WILL RETURN
i' CITATION ISSUED
❑STOP ORDER POSTED.CALL IN6PECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins ction 24 hours in advance.473-7357
Owner/Contr o on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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� DATE TIME
CITY OF ORO O CALLED IN 7��--- �
INSPECTION OTICE SCHEDULED _�,���-� ��3 a
PERMIT NO. � COMPLETED
ADDRESS �° � ��• �/�-
OWNER CONTR. �
TELEPHONE O. �
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� DESCRIPTION� - — �L�
W 01 FOOTING 1 I MECHANICAL RI 18 EX V/GRADING/FILLING
y02 FRAMING I ECHANICAL FINAL 19 LAKESHORE/WEfLANDS
O 03 INSULATION j WO R/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. I 1 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL I 1 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 2 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 1 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 2 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FIN ' 36 FOUNDATION/REMOVAL
� OWNERICONTRACT R TO MEET OU:_YES_NO
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W ❑WORKSATISFA RY:PROCE D ❑ PROJECTCOMPLETE
� ❑CORRECT WORK PROCEED ' ❑ ISSUE CERTIFICATE OF OCCUPANCY
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�RRECT WORK, ALL FOR R�INSPECTION TEMPORARY
� FORECOVERI G
PERMANENT
❑CORRECT UNSA CONDITIO WITHIN HOURS. � pHOTO TAKEN
INSPECTOR ILL RETUR ❑CITATION ISSUED
❑STOP ORDER ED.CALL i SPECTOR
�INSPECTION RE IRED.CALL O ARRANGE ACCESS.
Call for he next i s tion 24 hours in advance.473- 357
OwnerlContr r on site
�
Inspecto
Whi Copyllnspec r's File Canary CopylSite Notice