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� <br /> From:COUNTRYSIDE HEATING & COOLING 763� 479 2518 02/28/2013 15 :59 #693 P.001J003 <br /> ,��C�7'Y USE ONLY � _ // <br /> ����A�_ City of Orono ,/� �/'"' r� D/� (1 <br /> f� `r P.O-Box 66 Date Receiv�'� '�� Penni[# � �� T <br /> ��,,,r ��� � 2750 Kdicy Parkway ry <br /> \3 �'�'�.;r;:: �;, Crystal Bay,MN SS323 Approved By� Amount 5=�3, / <br /> � .��fr�.`o/ Phonc(952)249-4600 Fax(952)249-4616 <br /> � \�aw�� <br /> , CITY OF ORONO—MECHANICAL PERMIT <br /> , (All Commercial pcnnits n�us�be approved by the Building O�cial or lnspector and�or Fue Marshall) <br /> GENERAL INFORMATION <br /> � 1. You may apply for mechanica]permits by mail or in person at the City offices. Applications will <br /> bp reviewed and a permit wi[l be issued within two working days. <br /> �'� Z. P�rmit cards wili be sent by return mail after a review is completed. PERMITS ARE NOT <br /> �ALID UNTIL XOU RECEIVE A PERMIT. WORK MUST NOT BEGIN U�TTIL THE <br /> i PIERMIT CARD 1S POSTED 03�T THE JOB SITE. <br /> 3. 14[cchanical Dcsigns—Complete calculations,details and specifications are required for each <br /> I ating,ventilation,humidification-dehumidification,and air conditioning installation including <br /> �at loss/heat gain calculation,design temperatures,equipment ratings and identification as to <br /> �� t pe,manufacturer and model. Data shall be presented on form provrded. <br /> 4. �Jhen any new construction or remodeling is involved,a separate building permit must be <br /> _ qbtained. <br /> 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code <br /> requirements. <br /> 6. All work must be inspecYed(rough-in and fina]). Call(952)249-4600. <br /> (�4-48 hour notice required) <br /> 7. House Heating Test Record must be submitted before finaL <br /> iTYPE OF PERMIT <br /> � (Check All That A 1 <br /> ' �Residentia( ❑Commercial(Approval Required) <br /> �New �]Additional ❑Repairs ❑Replace <br /> Job Site/Owner Information_ <br /> Site Address: 3 L/�.3 ���`� �C��2- <br /> Q/�� v _ <br /> Owner: �G�Z�t'iI�S D� Mailing Address: 3�l�l 3 Q-t' l�-�CICe <br /> City: �/(2�l�l O Zlp; SS��� <br /> Home Phone: Alternate Phone� <br /> Contractor Information_ <br /> / � ^ / _ <br /> Contractor.i.,�011il'! s�o ' ��� Contact Person: ,�6'/hGf,C1� (/r,/� <br /> i Address: � �� f�l�c� � o�� State Bond#: �G��5� � 3 <br /> I �Q <br /> City: (��/�l`�Z�/�`i Zip�_S�Expiration Date: � 3 D o�.0 �y <br /> i �� <br /> Phone: 6 3„`7�C1_ �(DCJ�J Altemate Phane: <br /> � lnsurance—Current: (/h����'�i�'� (3��u-P <br /> 1 <br /> t' : <br /> _ , ;' . <br /> r ' <br /> � ,,. il/'i . . , ., � �. � . • . � <br /> ��.... . . . _ ... � � . . . . . � . <br /> � � r�' , . , W .�. <br />