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O1/14/2013 MON 10� 52 FAX 763 473 8565 Sa Ire Plumbinq 6 Heating �002/004
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<br /> � YOR CI7'Y[JSE O:�LY
<br /> Q'—�� C:1�'Of�1'Ot10 �
<br /> �O¢p�O� P.O.13ax GG llalc Recci��c<i:� / _ Pcnnit# `���"�
<br /> �� �,�, 1 27�0 l:cllcy Parkway C''
<br /> + C�ysu,l C3��,MN 5�323 Appn�vu9 13y: fvuoiu�l$:��J
<br /> � �����r�+}�� Plinnc(952)249-4600 l�ax( 52)249-4C1(i ���
<br /> CITY OF ORQNO–MECHANTCAL PIsRMiT
<br /> ( 11 Commerciu]pennits musl lx:a��provc�ci by the I3uilding Ofliciak or Ins�x:ctor Euid/or�ir�Marshall)
<br /> � GENE NFORMATION-R���T.W �--
<br /> 1. �'ou may apply for inechanica] ermits by mail or in person at fhe Gity offices. Appiicatio��s will
<br /> be reviewed and a permit wili be�,zssued withi,i cwo working days.
<br /> 2. Permit cards will be sent by return mail after a review is completed. PI:KM:ITS ARE NOT
<br /> VALID UNTIL YOU RECBIV A PP:RMIT. WORK MUST NOT BEGIN tJNTIL TH:F
<br /> 1'ERM1T CAI2D TS p S7.'Ell THE OB STTE.
<br /> I, 3. Mechai�ical Desians—Complete caiculations,details and specifications are required for each
<br /> he�ting,ventilation,humidii"icat' n-dehumidification,and air conditioning installation includin6
<br /> l�eat loss/heai gain calculation, si�n temperatures,equipment ratings and idenYilication as co
<br /> t,y�e,manufacturer and model. ata shall l�e preseneed c�n form provided.
<br /> . I 4. W��en any new construction a•r �nodeling is involved,a sepnrate building permtt must be
<br /> obtained.
<br /> "" ' } � 5. A11 w�rl:i4fusC li�done in accot nce with the-tJniform Mechai�ical Code/Stiate Fiuilding Code � �
<br /> Ireqnirements.
<br /> , 6. All work mtist:b�inspectec�(rou h-in a.nd fisial). Ca(l(s)52)249-4G00.
<br /> (�4-48 hour notice required) _ _ _
<br /> __— - -- - •
<br /> , 7. }�ouse He,ati��g'1'est Reca�d �nus be submitted before�nat.
<br /> �� � .
<br /> i 'Yl'F OI�PER.MIT
<br /> � � _ lieck All T11at A ly�_ �
<br /> Q T2esidential []Cornmercial AppravalRequired)
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<br /> [t']�New ❑Additional ❑Repairs ❑Keplaoe
<br /> Job Site/Owner Tnforination:
<br /> Site Address: ,�� :�:; � -G�._: . �� . ;� :_,
<br /> Owt�er�: IV�ai,linb Address: _
<br /> �, � �����;��� � � � �
<br /> City: _._.__. � '7_,ip: __ ._.....—_._ _
<br /> }-�ome I'h�inc: ' Al'fernate Phone:
<br /> ��;,
<br /> .T._.,._____
<br /> �C:oyitractor.Iaa,,farrrtatio[i:^---.^. �
<br /> . :\`� y 1� „�'..
<br /> Concract �r: ,' i.��}r:. i'1�,,�� �-`'�T Contact Person: ,{+�_!.t4--�.–�-------.
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<br /> Address._ �`::��:; �t � ���;�r.f�-�i%� �:�.� State Bond#: �`��l�� .�-:��j ��:�
<br /> City: � ,jt- ``�- ��� Zip:���a.����'1 Expiration Date� �1 I�' L.E:I y
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<br /> Phone: �1(l..��� %_�_:%.'.:� j�'1 a'�' Alternate Phone:
<br /> � Insurance–CuiTent: �� � I
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