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From:COUNTRYSIDE HEATING & COOLING 763 479 2518 07l19/2016 10:14 #157 P.001/004 <br /> FOR Cl'I Y L'SE ONLY' <br /> � City of Orono � 'I � <br /> �O� P.O.Box 66 Date Receivec�:� ��!J Permit# ��r' �f <br /> � 2750 Kelley Park�vay � <br /> Cr}stal Bay,MN 55323 Approved By: � Amount$:� � <br /> i Phone(952)249-4600 Ear'(452)249-4616 <br /> � � <br /> 2 � <br /> F � <br /> `.,,�Fsx����' CITY OF ORONO—MECHANICAL PERMIT <br /> _`� (Afl Caaimercial permits must bc approved b}•the Buildin�Ofticial or lnspector and/or Fire Marshafl) <br /> GENERAL INFORMATION <br /> 1. You may apply for mechanical pennits by mai!or in person at the Ciry offices. Applications will <br /> be reviewed and a pennit will be issued within two warking days. <br /> 2. Permit cards wii be sent by retum mail after a review is completed. PERMITS ARE NOT <br /> VALID UNTIL YOU RECEIVF.A PERMIT. WORK MUST NOT BEGIN U1�TTIlJ THE <br /> PERMIT CARD IS POSTED ON THE JOB SITE. <br /> 3. Mechanical Desians—Complete calculations,details and specifications are required for each <br /> heating,ventilation,humidification-dehumsdification,and air conditioning installation including <br /> heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to <br /> rype,manufacturer and modei. bata shall be presented on form provided. <br /> 4. When any new construction or remo�ieiing is involved,a separate building pennit must be <br /> obtained. <br /> 5. All work must be done in accordance with the Unifonn Mechanical Code/State Building Code <br /> requirements. <br /> 6. All work must be inspected(rough-in and final). Call(952)249-4600. <br /> (24-48 hour notice required) <br /> 7. House Heating 7'est Record must be submitted before final. <br /> TYPE OF PERMIT <br /> (Check All That A 1 ) <br /> �Residential ❑Commercial(Approval Required) [Backflow Device:�AVB ❑PVB)l�, . <br /> ❑New Additional ❑Repairs ❑Replace ��� � �� <br /> � �[ � <br /> Job Site/Owner Information: �� <br /> ���� <br /> Site Address: t���_____� ,���('(,��'�'�� � � <br /> Owne�.aL�#_�v��l�J� � � >;;,�;; , �-: <br /> � Mailing Address: <br /> City:�V V��,��, Zip: <br /> Home Phone: Altemate Phone: <br /> Contractor Information: <br /> Contract : �'1� Contact Person: <br /> I <br /> Address: �� �Q�� State Bond#: <br /> City: � Zip���� Expiration Date: <br /> Phone,��'�t !ii • ��� Alternate Phone: <br /> ❑ Insurance—Current: <br /> 1 <br />