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� � <br /> ty �E IV E D FOR CITY USE ONLY <br /> • �O�O Ci of <br /> P.O.Box 66 Date Received: Permit# <br /> 2750 Kelle P�� r��j a,y c <br /> Crystal Bay�'�v�N 5532� ���u Approved By: Amount$: <br /> Phone(952)249-4600 Fax(952)249-4616 <br /> y�, �' CITY OF ORONO <br /> �•�KFSH04tc.C' CITY OF ORONO—MECHANICAL PERMIT <br /> (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) <br /> GENERAL 1NFORIVIATION <br /> 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will <br /> be reviewed and a permit will be issued within two working days. <br /> 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT <br /> VALID UNTIL YOU RECEIVE A PERNIIT. WORK MUST NOT BEGIN UNTIL THE <br /> PERMIT CARD IS POSTED ON THE JOB SITE. <br /> 3. Mechanical Desiens—Complete calculations,details and specifications are required for each <br /> heating,ventilation,humidification-dehumidification,and air conditioning installation including <br /> heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to <br /> type,manufacturer and model. Data shall be presented on form provided. <br /> 4. When any new construction or remodeling is involved,a separate building permit must be <br /> obtained. <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 inspected(rough-in and final). Call(952)249-4600. <br /> (24-48 hour notice required) <br /> 7. House Heating Test 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] <br /> ❑ New ❑Additional ❑Repairs ❑Replace <br /> Job Site/Owner Information: <br /> site Address: 265 Leaf St <br /> o�er: Harlan Stockton Mailing Address: 265 L@af ST <br /> cl�y: Orono, MN zip: 55356 <br /> Home Phone: 952-473-6762 Alternate Phone: <br /> � <br /> Contractor Information: <br /> Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN <br /> AC1C�TeSS: 6161 GOLDEN VALLEY RD,BLDG A State BOriC�#: M6003503 <br /> C1Ty: GOLDEN VALLEY Zlp: MN Expiration Date: oai2oi2o�s <br /> Phone: �s3-5�2-2�s5 Alternate Phone: <br /> OLD REPUBLIC INSURANCE C0. <br /> ❑ WORKERS COMP&EMPLOYERS LIABILITY <br /> I11SUr[lI1Ce—CUI�CeIlt: POLICY#WLRCC48597075 <br /> 017 <br /> 1 <br />