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Home My WebLink About1987-9033 - mechanical GENERAL PERMIT CITY PERwr N? 9033 CITY OF ORONO P.O.BOX 66 Date CRYSTAL BAY,MINNESOTA 55323 (612)473-7357 CI �/ � ) /,, Owner �1 -- 7�T Address S- /`-'®-,She:)re, bi- Contractor G Address& V k C��' " I? City License No. City qOldne-n 1266 1 REMARKS AND SPECIAL CONDITIONS Q ZAArfoLtC1, 9�nDa i PERMIT TYPE AND FEE VNEW ❑ ADDITION ❑ REPAIR ❑ REMODEL Inside Plumbing(#fixtures ) Fee $ Water Well Fee $ i Water Meter(Size ) Fee $ Mechanical Equipment Fee. $ o 0 Meter# Fireplace/Wood Stove Fee $ Remote# Moving/Lifting Buildings Fee $ Municipal Water Connection Fee $ Land Alteration(Excavation, ❑ Copper ❑ Grading,Filling,etc.) Fee $ I Municipal Sewer Connection Fee $ Design Review Fee $ Fire Fee $ ❑ PVC ❑ Cast ❑ Sprinkler System(Fire) Fee $ MWCC SAC Charge Fee $ Other.�1� �,.Q,� Fee $ On Site Spetic System Fee $ After-the-fact Investigation Fee $ 7' ACKNOWLEDGEMENT TOTAL, State Surcharge: Fee $ t O The undersigned hereby acknowledges receipt of this limited permit, d including acceptance of all special information, terms, conditions or Total Amount Paid to City Fee $ requirements written above. The undersigned understands and agrees under penalty of law that this permit is strictly limited in scope to the work, activity or improvement specified:that this permit does not grant any authority to do work or activities requiring separate permit approvals,and (® that this permit does not grant authority to violate any provision of any City ordinance or State law,rule or regulation.All work shall be done in strict This permit is not valid until the proper fee is paid and it is approved compliance with all City ordinances, building codes and/or health b an authorized Ci Official. department regulations,and shall be subject to inspection,approval or y City rejection by the City.Whenever so ordered,the undersigned agrees to correct any work found to be in violation of the conditions of this permit. Signature of Applicant - Signature of City Official 41 2 a6 Coder White—File Copy Canary—Inspector's Copy Pink—Finance Copy Gold—Applicant's Receipt L f OF ORONO v APPLICA N FOR M�q**I PERIMI � 2 GENERAL INFORMATION MAY Z WT u 1. You may apply for mechavical _- s by mail in person at the tity offices. Mailed-in permits are subject to the postage anteing fees shown below. 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. All 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 Please check one: New Addition Repair Remodel JOB SITE t+t LIJ Nra►Li�l'.g c n1.c "-r- Owner ' s Name a Telephone Number y -7 a, Mailing Addressc )� Contractor ' s Name,, Telephone Number Mailing AddressJo MINIMUM FEE ( $30 . 00 per project) HEATING SYSTEMS $25. 00 each unit a FUEL ` nat. gas, 1p gas, oil, elect. other (specify if combination burner) EQUIP. (if more than 1 unit per bldg. list each separately) NO. TYPE BTUH IMPUT BRAND NAME MODEL NO. --r- f.a. furnace hw boiler unit heater solar htg. equipment Solar Equipment $50. 00 each system Total 5. 0?, AIR CONDITIONING $25. 00 each unit Central Air Separate Central Air System w/furnace Brand name Model No. N ?, Tons Total 9"r", *WOOD BURNING EQUIPMENT $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 BrandName Model 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 FUEL STORAGE (must be approved by fire marshal ) $20. 00 Permanent $10. 00 Temporary Fuel oil, gallons underground inside outside LP Gas, gallons Other SPRINKLER SYSTEMS Minimum $20. 00 each system Number of Heads No. of Risers $2 . 00 per head *************************************************************************** GAS LINE INSPECTION High/Low Pressure $30. 00 *************************************************************************** PERMIT FEE CALCULATION 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. 5-0- 4. TOTAL 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 complete, true and correct. c- c" -i— Applicant Date � ' DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE 1 SCHEDULED PERMIT NO. COMPLETED ADDRESS Al- OWNER CONTR. TELEPHONE NO. 517 /F-?R- ❑ FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION ❑ FRAMING ❑ PLUMBING FINAL ❑ EXCAV./GRADING/FILLING ❑ INSULATIONMECHANICAL ❑ LAKESHORE/WETLANDS ❑ WALL BD. -'❑'WATER HOOKUP ❑ LICENSING W ❑ FINAL ❑ METER SET/TURN ON ❑ COMPLAINT ❑ PROGRESS ❑ SEWER HOOKUP ❑ FOLLOW-UP ITO ❑ DEMOL. ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL Q ❑ FIRE PREV. ❑ SEPTIC MAINT. ❑ FIREPLACE/WOOD BURNER Z ❑ WELL TEST PUMP ❑ = COMMENTS: -j LzyW i F_ 4- ( [ D 0 Ln cc W C J O cc O U_ W cc Q Z W W J d W LIC � LLJ WORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN Q ❑ CORRECT WORK&PROCEED U ❑ 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. call for the next inspection 24 hours in advance. Owner/Contr. on site Inspector 473-7357 White/Inspector's File Canary/Site Notice