|
02/28/2013 THU 13: 46 FAX �63 C73 8565 Sabre Plumbinq 6 Heating �J005/015
<br /> ' FOR CI'I'Y USE ONLY
<br /> ,�p�, City qf Orono
<br /> �^ � P.O.f3or G6 Datc Reccived; Pomiit il
<br /> 2950 Kelley Pnrk���uy
<br /> �1 Crystnl 13ay.MN 55323 Ay�mved 13y: Amount S:
<br /> '���� Phonc(952)249-QG00 I�nx(952)249-QGIG
<br /> _ C.'ITY OF ORONO-MECHANICAL PERMIT
<br /> (All Commerciwl pn�mits�nust bc appro��ut Uy the 13uilding O(T'iciu!or L���eclor wu1/or Pire Mazs1�a11)
<br /> GENEXZAL iNFO TION
<br /> l. Y,ou may apply for mechanical pennits.by mail or in pe�•son ac the City offices. App3ications will
<br /> Ue reviewed and a permit will be issued within two working days.
<br /> 2. Permit cards wi11 be sent by return,mail after a review is completed. PERMITS,ARE NO'I' ;
<br /> VAL1D�JNT4 YOU RECEIVL A P�RMIT. WORK MUST NOT BC�GIlV L11_V_"TIL THE
<br /> PERMI'�i CARD IS POSTED ON THE J013 S1TE
<br /> 3. Iv�o�hanieel Desiq�—Complete esi3culations,details and specificatians are reyuired for each
<br /> �-heating,.yenulation,humidiftcation-dehumidification,and air conditioning instaUation including
<br /> heat los's1l�eat gain calculation,desi�n temperatures,equipment ratings and identification as to
<br /> type,maiwfacturer and model. Data sk►all be presented o�form provided.
<br /> �1. When any new conslruction or remodeling is involved,a sapardte building pom�it must bo
<br /> obYained.
<br /> �;i�e!<:a i 3 xH� t�g n�All�lc�r�a�t be�c�o,fe".in acc6��'�ce��'r}}f�i�`tShilbrn�`Mc�ciiA�iicai CodeJSiate Building Code �0 0 5/015
<br /> require�nents.
<br /> Ci. Ali work must be inspec;t�i(rou�i�-i�Y and final). Call(9�2:)2Q9-4(i0{3.
<br /> (24-48 I►our notice required)
<br /> _._..___.___.____._.__._,...__._
<br /> ?, =:Mousa H t ecord must be submitted before finaL �^i� ` �T'�`'`'� "''`��' �u^
<br /> ��„�;�����,; ���'���r,-�.�
<br /> ,��. ,a ,
<br /> „ ��,„ � �� ,,r-:�, . . TYPE OF PER.MIT �\� , '� ,
<br /> , � �
<br /> � � ' • , ,- --- _ _.
<br /> �+ � ; ..�, i ��. ,r, �:�,,,-. n.•. �,.�„i�
<br /> ,.�J�.That A 1 ___ .____.
<br /> : �l�ec �
<br /> ��, '• i��:,� �-,� d ;�
<br /> �r'`�.��AOv
<br /> ��Rosidential !�.'C��nmerCiN'1'(Ap,f�rmva��i�'Q:z�tii��.' . ,1: ` �.�� ,
<br /> - ������,,,�� �
<br /> �, � ,. , > . , � j ,
<br /> r " . „ �..,. � ��__;v( . •, . 1,�d e,,.
<br /> .,� .. ., I7 � �� �
<br /> New— -- - [�-Additionaa - - _. Re ai�s ___ ._._ _-.�-�t�plac� ._--- .__.._ ,
<br /> _.
<br /> � (r ..I�S' i �'_, 1 Nl t.'�f' r�'� I ;• ,
<br /> JQb Site .Owne�-Info��natior�: _ _ .._ . _ _. _�___._ -- - _. __ _ __.___._ __.�
<br /> `. ,, .0 i; , . r� �, , rl��;�:. ,'+,���.1��:�i�n; ��a'
<br /> he ��v veu.- ,,� . ,�11 � ;i� ,� •a;t .in tlw�o\ a,r
<br /> Site;Addi�essa � ��t-;s',,�1:'�,�i I �ti�i���� fi �!� ���i���,-'-`i��a��V',�..,y .� �r f� ,,r� rc� '�r�J � `�
<br /> V o�.i+► i!� l �(yq E.I I :� : i I J►��3 i.� . __`�° il ��� ('y'�I.. . 3�I;
<br /> dWII ��! �'4�,� 4�al, i�� .' i N1 „`i�, ! .3i t+ �, 7'p' ..- - —_ -- - -- -
<br /> � . __ �__ ___..��t�Ad.dress:
<br /> �� ,,_�trr'�i-`��;_ � "'1�'S'C-"--t'i c i � n . �l, r,�i r.�{ ,..•t , i
<br /> -�"trr'c"it)."-,�.'�.-...�
<br /> her�i„1E!.'�'�;n+,j�a�U�.�n��� Jtr..i��,� �� tirr. .. ��4ic t;:<t1A, '� , .I: ci� � i'�., : r�,.� ;ns+:iiL��_;v, � n;1�n�
<br /> Crty: �ir:� c s;%hr:a: , :� �c, ��� �,�'.,lp;:. . ,. , , '
<br /> u��i 1(:rtn� ,i,tb;� ��: [(�,
<br /> �'ii� - �ldl '1.,_., .ir.,. iTl( ',(�'� .� . 'L '� � . 'Jl..'1CiY�. (`"1` . 1(li.:�
<br /> �i � i�liV t.t:` i �.�� '.rI[�. • ` f> +,il��� ._���I, . l i . .� . ��{�li !. ;V(;571ll1 .'1'L!;'.
<br /> l�:ome P�dtti� '�4Tt��iia.te Phoiie: - .
<br /> �, :,,:�„�
<br /> . __ . ;c , ; _. . . _ .1ate rli, �� ii� >�':: - , -
<br /> . . . . ll 11:'-:.� ..� . '�..-� r -
<br /> Cont��actp�;�k��,AF�:ation_
<br /> , ;i,; �,� �it i , �; ,� � u}, � . ., ., ri; { ii; {' ;' t:
<br /> Gontrac{z�,a� ���H��l��}�' ` I���E t� �t'(,1-jr�
<br /> ,�„���,� �����, �. , � � -,-,---� , � .C.t�n�act Ferson: _ �f��t L��.��-��
<br /> c:�t :c
<br /> ;Ad�"re_ __" . . -- - # -.,. _..
<br /> �,
<br /> � SS: � ����`����'.� �� ��c�, 4lii ��,-. .. t,�.� ,,_ ..1
<br /> � �f S�a��Bond . , ���5 >-,G .
<br /> i ; r }
<br /> . �
<br /> �. • . �, . , . -. k,. [�6Y1 ��t � � .. .. ..'
<br /> ��iTy; _. . t��1�i�`L;�:i�-� Zip.�c�..`] Expi"ra�ion Date: -6�=-i�':�--��:���-� - . _ . __
<br /> �.:..:� }�'..I[!('fi�llc�� "'_-• '� - ^1;7� � �V.r . �.'�r.�.r(1'G;
<br /> Plaotze. 1 ii;'r).�Gr;;.� �-��;��,� , �Allernate Pl�on.e:
<br /> (T' � ����, f� r,�- i;. . � ,,�; C;cE� � I�; 1; tac.
<br /> ; a `._. {.;vt,r 0..__. _..Insurance-Current: ���`.':
<br /> � 1� r in� i5:_�.<it _ -- 1 ..�
<br /> .`.�iitl� :�i.�(:� , . , . � . . . .
<br /> ���1A'il.�i . i , �l�il;it11L ''
<br /> � -�4��' _:_i
<br /> --..._ . ._. . .___._.. l�):
<br />
|