HomeMy WebLinkAbout1991-003877 - mechanical PERMIT
dITY OF ORONO PERMIT TYPE: M Hq ICAL
1335 Brown Rd. South • P.O. Box 66 Permit Number:
Crystal Bay, Minnesota 55323 Date Issued: 08/12/91
(612) 473-7357
SITE ADDRESS:
3:35 OLD CRYSTAL BAY RD S
.JB
P. I .N. : 04-117-23-24-0003
DESCRIPTION:
HEAT RUNS
1 DUCT WORK ONLY
2 VENTILATION CFM 70 :E BATH EXHAUST
Si
CITY OF OftOIVO
FINANCE OFFICE
1313300000
01 GEN 30.00
12200000
01 GEM .50
1351 7'00000
REMARKS: ,01 GrN 1.
CHECK . TL 32.
FEE SUMMARY: }EC IPT-TT#NKt' YOU
#220910 Ct)01 kO1 T16:57
O8/1L/91
Base Fee $30 .00 MAIL IN $1.5Q
Surcharge 1_.0 Total Fee $:32.00
Subtotal i30 .50
CONTRA�CTOpR: -- Applicant -- OWNER:
BURNSVILLE ELECTRIC/MECH 26886002 RYERSE MIMI
117 BELMONT RD 335 OLD CRYSTAL BAY RD S
APPLE VALLEY MN 55124 LONG LAKE MN 55:355
(612) 688-6002 473-6134
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•_I•i1_%Cf,�=I NI 1,..1 f'1i:I'�l:_C�'� ;\ s lt._�=i :-.FZiI1 W L I:#E1'; TO 1-,1Aa••.;�_ 1 "iG REAL._ :11f`;.i_ d'.:4`1t..-ly i ;_
r= r• r T r r: ,� r: r r :., .i._ _ r,z: r t — T _- : - r,. T-
_=r r_..jr ':C}; AND AJ,R- -:.. .i_1 •..' ;-,_i. IWI_IF�r.. IN STRICT ?-.i-it 'tt-Liii "�•C:. wi. in !-fLL S•1. ! i Or
ORONO ORDINANCES A+ i STATE OF 1. .\f :_::.:-_r- BUILDING
i I1 CODErtrIT M fI
_
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO
APPLICATION FOR MECHANICAL PERMIT
GENERAL INFORMATION
- 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.
• 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.
When any new construction or remodeling is involved, a separate building
permit must be obtained.
▪ All work must be done in accordance with State Building Code requirements.
• All work must be inspected (rough-in and final). Call 473-7357. 24-hour
notice required.
. House Heating Test Record must be submitted before final.
NSTRUCTIONS Complete all items on this application. Compute the permit fee.
ign and datethe certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.
f you have questions, call 473-7357.
"ALK-IN PERMITS apply at City Offices, 1335 South Brown Road (Cty. Rd 146)
AIL-IN PERMITS enclose fee - Mail to: P.O. Box 66 , Crystal Bay, MN 55323
****************************** ************************************************
lease check one: New Addition Repair Replace
OB SITE: 335 c5L0 C cp120, S, Zip:
caner ' s Name : CQ12.6r Cay Telephone Number: 473 -(o/3q
ailing Address: P,O Pj)/ I IaC) City: 10LeJ , Zip: 3��
ontractor ' s Name: u - IL, -cc_ YY)eJ�.r)rc+- Telephone Number: 1082 - 70oa
ailing Address `�"� -Q,1,.oti 2. City: q0V, Zip:55/D4
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INIMUM FEE ( $30 . 00 per project )
*******************************************************************************
YSTEM DESCRIPTION: $15. 00 each unit
eating Systems : E\t I S-}l hct` Si s+e rv\
uantity:
ake: __
odel:
uel:
lue Size:
nput BTUs :
utput BTUs :
FM:
*******************************************************************************
poling Systems : E X
uantity:
ake:
Ddel :
ins :
.Power:
:******************************************************************************
_Trls-fedf Vti"Rit . 'Leu �j01y / uru4
3$
$1
*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
BrandName Model No.
Mfgr' s Min. , Clearances, side , rear , min. flue dia.
Total
********************************************************************************
VENTILATION $15 . 00 each project
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside ) ')D 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
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iAS LINE INSPECTION
1igh/Low Pressure $15 . 00
-*******************************************************************************
PERMIT FEE CALCULATION
Total of above Installations or Minimum Fee ($30.00 ) $ '))t) , '✓
State Surcharce. Add the State Building Code Division
Surcharge to each permit $ . 50
Postacre and Handling on all mailed-in applications , $ 1. 50
_ . TOTAL PERMIT FEE add lines 1-3 above $ ))q OU
_'he 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
=he regulations of the Minnesota State Building Code, and certifies that all
-tatements made on this application are complete, true and correct.
applicant ' s Signature: G/.j �i`9'Y`� /'�'� Date: cif
7-,t1 - D T TIME
CITY OF RONO CALLED IN ♦ ' -Q • ,cy1'1
INSPECTION NOTICE s SCHEDULED • ' 3-iSt 31 5OOP')
PERMIT N.. • • ° -.. COMPLETED 4_ i — tqL7 '0
ADDRESS ,35 i .„,"‘4 ()53. C�
OWNER ►.� �
, •_ CONTR . ' .
TELEPHONE NO. 0 0 r �O GLS 02P------_-_=_- --
_. -- 0 , .//
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>--- DESCRIPTION
IQ 01 FOOTING 411112 ANICAL RI 16 WELL TEST PUMP
IL
Q 02 FRAMING 11 ME ' ' AL FINAL 18 EXCAV/GRADINGIFILLING
Q vi03 INSULATION 24/25 ••D BURNER/FIREPLACE 19 LAKESHORENVETLANDS
04 WALL BD. 12 WAT:-HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 M :•SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 S :-HOOK-UP 06 PROGRESS
IL
v 07 DEMO—FINAL 27 SEPTI MAINT. 21 COMPLAINT
09 PLUMBING RI 15 SEPTI, INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINIAL 23 SE- • FINAL
Z• OWNERICONTRAC`TOR TO MEET YOU:_ ES_NO
ra COMMENTS:
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2WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC
CORRECT WORK 8 ROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,C/�LL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE NDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WI RETURN
❑STOP ORDER POST .CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIR D.CALL TO ARRANGE ESS.
Call for the next inspection 24 hours in advance.473-7357
Owner!) or site:
Inspect
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