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01124l2012 10:06 S R Mechanical �A�QA5�i3148A P.002l006
<br /> O,a p�O Clty oi Oronu � Cl Y US6 ONLY D y�
<br /> P.O,Hox 66 Dote Rece / Permlt# 17�'�'� —
<br /> r;,•,,,, , 2750 Kelley Petkwsy
<br /> � �,r'•' x Cryttal Bay,MN 55313 Approved�y: Amount S:
<br /> � '�.�~d` Pkione(952)3�19-4600 Fax(952)249-4616
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<br /> C�TX OF ORO1�T0—MEC�.A,NiCA.Y.�PERIVII'T
<br /> (All Comme�isl permite muet be approved by th�Building OfPcial or I�ropa�tor and/pr Pi�e Ma�hatl)
<br /> GENFRAL INFORMATION
<br /> .. I. You may apply for mechanical'parmits by ma11 or in person at ffie Cily offices, Applic�tions will
<br /> ba reviewed and a parmit will be issued within two working days.
<br /> 2. Permit cards will ba sar�t by�eturn maiJ after a review is completed. PERMIT3 ARF NOT
<br /> V�0.LID UNTIL YOU R�C�IVE A P1:RM1T. WO�iK MU�T NOT BEGIN UNTIL TNE
<br /> P�MIT CA�i5 P03'C�b�N'�'�IE.��B 91TL.
<br /> 3, Mechanical Desisns—Complete calculations,details snd specifications are required for eacb
<br /> heating,vantilation,humidification-dehumidi8cation�and air conditionin�instsllation including
<br /> heat loss/heat gain calculation,design temperatures�equipment ratings�nd identiiication as to
<br /> _ , ,`,.typp;martt�ar�r and model. Data shall be presented on form pmvided: ��,;•�� � ,.; ,��� , �. .1;���
<br /> .: � �
<br /> 4, When�sny new construction vr remedeling is involved,a sep�rate buildin�permit must be
<br /> . vbtained.
<br /> 5, Ai]work must be done in accvrdance with the Uniform Mechanical Code/3tate Building Code
<br /> requirements.
<br /> _._ ........ .
<br /> 6.,,. All work ust ba inspected(rough-in and finaq. Call(952)249-4600.
<br /> F (Z4-,48 6p�r'nbHce required) ,
<br /> : ,7. H��,e}�eatinQ T'�st Record muat be submitted before ftnal. __ _
<br /> , _ .. ..
<br /> >'' ' ':';�TYPE OF PERMIT
<br /> � Check All Th�t A 1
<br /> � � ���,�,�. � �. �
<br /> �Residentiel ❑Commercia��F�A ovsl Re uired �' .
<br /> ( Ppr 9 )
<br /> �' New,. ; ,
<br /> Additionai---- ❑R airs - _. _...
<br /> ❑ ep 0 Roplece
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<br /> Job Sita/Owner Information: ''���F ,
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<br /> Site Addre�s: ��!O� �� f,���,7,����� ; . .. '';
<br /> Ov�mer: �c'�`�c�►��P�1(�; .t+.�� , .:Metiling Address: '�; � .
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<br /> G'lty: �/��¢/�:V r �� Z�p: ,`, '
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<br /> Home Phone: , ,:� : � ,zra,,a� Alternate Phone: .: ��,�k
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<br /> Contrac#vr Intb'r'niation: � ���u�`;� '� . . ''-`
<br /> Contracto�'., ��� ,.. .: . ;� ,. • �"" c�. ,��U�,Sh
<br /> r: � �lfGG6 � Contact Person: . • r
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<br /> Address: �.3�Ci �1�,Si �. state Bona#: � "' "
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<br /> C'lty: ;,'�i�°�.7T. � , �r ,��p.��� Expirahon Date: ✓ � �.
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<br /> Phone:� ��, Alfern�te Phone: � � "
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<br /> � '� , ' � Ynsurance—Current: �ti'�
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