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09/17/2016 08:54 9529222434 SAYLER HVAC PAGE 02/04 <br /> �' <br /> FOR CITY C1SE OIVLX <br /> City of Orano 2 Cflr— '� <br /> ���� P.O.Bo�66 Date Received: 3/4'�� permit�i .Z Z 2 <br /> O 275Q Kelley Padcwey -�j ,� <br /> r Crvstal�ay,MN 55323 Appro�zd A�•: I L'!� Amount S: 2!S• � <br /> � P11one(952)249-460p Far(952)249�616 <br /> �y�`�KesHo��'G� CITY Qk'ORONO-�ECHANIC.A,I�P�RMIT <br /> (A11 CotttmerCial pertniu rnust i�apprvved by the Bu11di»g 4fficial or Inspacto�an�(1�r Fire Mnrghall) <br /> GENERAL iiNFORMATION <br /> I. You may apply for nnechanieal permits by�nail or in person at the City o�fices. Applicacions will <br /> be reviewed and a permit will be issued within two working days. <br /> 2. Perniit cards will bc sent by retutxu mail after a review is complcted. F�ERMITS ARE NOT <br /> VAL11J UNT1L YOU RECGivE A PERMIr. wORK MUST NOT BEG1N uNT��,rx� <br /> .��NtIT CARD�PpSTED ON TFEE,IOB SITE <br /> 3. �echanical Designs—Complcte calculations,details and specifications are reqaired fo�'each <br /> heating,ventilaEion,humidification-dehumidification,a�d air c�nditioning installalion includin� <br /> . heat loss/heat gain calculatioa�,design temperatures,equipmcnt ratin�s and identification as to <br /> type,manufacturet�aod modet. Data sllall be presented on forrr�provided. <br /> 4. When any tlew construction or remodeling is involved,a separate bui�ding permit must be <br /> obtained. <br /> 5. All wOrk must be done ir�aeeordance with the Uniform Mechanical Code/State Bu"siding Codc <br /> requirements. <br /> 6. All work must be inspected(rough-in and final). CaII(952)249-46(30, <br /> (14-481�our notiee required) <br /> 7- F#ouse Heating Test Record must be submicted before fina#. <br /> TYPE OF PE�VIIT <br /> C�eck A lI That A � <br /> �.Residential ❑Com�ercial(Approval ftequired) [t3ackflow Device:�AV[3 �PVB] <br /> ❑New ❑Additional ❑Repa�t�s �Fteplace <br /> 1ob Site/Owner tnforrnation: <br /> Site Address: �� ��rC�1 I�v <br /> Owner: Mailing Address: <br /> CitY� Zip: <br /> Home Phone: Alternate Phone: <br /> Contracto�'aaformation: <br /> Contractor: Sfl I�j� 1��`rW(�� ���COtltact Pe�'S01]: w` <br /> Address: 6�0 W�5� ��c�S�� State Bond#: rv�g odyd�-� <br /> City: S�� „ Zip:�ZS.Expiration Date: , <br /> Phone; ro�2-�C3�6-St'�5'� Alternate f'hor�e: <br /> ❑ inSu�a�ce-Current: <br /> 1 <br />