HomeMy WebLinkAbout1992-004881 - radiant htg PERMIT
CITY OF ORONO PERMIT TYPE:
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1335 Brown Rd. South - P.O. HAuf--;N rHi
0. Box 66 Permit Number:
Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357
SITE ADDRESS:
1RTH S R E
4 NO
DESCRIPTION:
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CONTRACTOR: OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNA TURiLf/,C,ot,/
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CITY OF ORONO
APPLICATION FOR MECHANICAL, PERMIT
GENERAL INFORMATION
1 . You may apply for mechanical permits by mail or in person at the City
offices. Mailed-in permits are subject to the postage and handling 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 X Addition Repair Replace
JOB SITE: 4695 North Shore Drive Zip: 55364
Owner ' s Name : Stephen Ward Telephone Number: 472-1879
Mailing Address : 4695 North Shore Drive City: Mound, Zip: 55364
Contractor' s Name: Owner Telephone Number: 471-0723
Mailing Address SAA City: Zip:
********************************************************************************
MINIMUM FEE ( $30 . 00 per project)
SYSTEM DESCRIPTION: . 00 each unit
Heating Systems : Note: Owner is connecting underfloor radiant heating linesto existing
Quantity: boiler utilizing a mixing valve.
Make:
Model:
Fuel :
Flue Size :
Input BTUs :
Output BTUs :
CFM:
Cooling Systems : Note: No Cooling installed.
Quantity:
Make:
Model :
Tons :
H.Power :
********************************************************************************
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*WOOD BURNING EQUIPMENT $15 . 00 each unit
Wood stove with flue
Wood combination or add-on unit
Factory fireplace with flue
Factor Fireplace (s ) freestanding Masonry
Wood Stove ( s ) franklin, other
Brand Name Model No.
Mfgr ' s Min. , Clearances, side rear min. flue dia.
Total
�_$15�. 00
VENTILATION XXXeach�proe �
No. Kitchen Exhaust ducted recirculating cfm
No. (ii Bath Exhaust (must be ducted outside ) 80 cfm
No. Other Fans : Locations cfm
Total
********************************************************************************
FUEL STORAGE (must be approved by fire marshal )
$30 . 00 Permanent/Temporary
Fuel oil, gallons underground inside outside
LP Gas, gallons
Other Gas opening
******************************************************** **********************
GAS LINE INSPECTION XXX
High/Low Pressure $15 . 00 X
PERMIT FEE CALCULATION �-
1 . Total of above Installations or Minimum Fee ($30.00 ) $
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 . 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 app ication are complete, true and correct.
Date:
Applicant' s Signatures:
DATE TIME
CITY OF ORONO CALLED IN – A 9—,f3
INSPECTION NOTICE SCHEDULED 3 -36
PERMIT NO. COMPLETED A
ADDRESS � �/t
OWNER CONTR. A=L_z
TELEPHONE NO. 7,2 - If 7�
3Z DESCRIPTION
01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 AL FINAL 18 EXCAV/GRADING/FILLING
CO03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREMIETLANDS
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 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
09 PLUMBING RI 15 SEPTIC INSTALL 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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LUWORK SATISFACTORY-PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contra on ite.
inspector.
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