HomeMy WebLinkAbout1998-009960 - ventilation PERMIT
', CI'TY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 � ;�r: ::�:, - �
Cr stal Ba , Minnesota 55323 Permit Number: '�—L�'����f:�7�-
y y Date Issued: ��'�-}''�'=���t'
(612)473-7357 t i�;f�.t��;'�::
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER:
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APPLICANT/PERMITEE SIG TURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHAlvICAL PERMTr
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL IlVFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be '
reviewed and a permit will be issued within 2 working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi�ns - Complete calculations, detaiis and specifications aze required for each heating,
ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat gain
calculation, design temperatures, equipment ratings and identification as to type, manufacturer and model.
Data shall be presented on form provided. Identification of and specifications for water heating equipment '
,
shall also be provided.
4. When any new construction or remodeling is involved, a separate building pemut must be obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected (rough-in and final). Call 473-7357. 24-hour notice required.
7. House Heating Test Record must be submitted before final. �
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Instructions Complete all items on this application. Compute the pemut fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: New Addition Repair Replace
Residential Commercial t6`
JOB SITE: i 3�a� �.st- �a��� Rc(� Zip: ��3�(;� ��
Owner's Name: To„,� 6���h�,.;�� Telephone Number: y7 Z _yg g� :�
Mailing Address: sH:�:4. City: ('�<��-.,�i�J ZiP: ';
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Contractor's Name: _ P � _ �-'�,,, .�.�c� Telephone Number: �i�r Z-Zv�� �
Mailing Address: �i� 2(,}+� � �., City: �� /'�r�K�-�.L Zip: ��37� ��
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SYSTEM DESCRIPTION � ��
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�. HEATING SYSTEMS
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Quantity: `'
Make: `i�;
ModeL• �=t
Fuel: � '
Flue Size: �
Input BTUs: �
Output BTUs: �
CFM: ( "
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�4�������
�;.�
COOLING SYSTEMS . � �
Quantity: `'
Make: ':�
Model: �
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Tons: `�
H. Power �
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� �
1 . ��� � .. ' . ' .. . . � � s .� '�..`�,`�i,y(4t,J���, .� f 1'�� '` +.` ,
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�� ��_ ' WOOD BURNING EOUIPMENT �����' �"°"�
"T� ��k ����'���� Wood stove with flue � �
L `'�'� :
�. ,.��s'�� Wood combination or add-on '
° Factory fireplace with flue .�
�:_�
��' Factory Fireplace (s) Freestanding Masonry
�xr Wood Stove (s) Franklin, other �,;
,��
� Brand Name Model No.
' �:;; > Mfgr's Min., Clearances, side , rear , min. flue dia. F ��
�:`" ' � �;
,
°� VENTILATION ��
�� No. � Kitchen Exhaust ✓ ducted recirculating cfm ` r. �{�
�� ,. No. ( Bath Exhaust (must be ducted outside) cfm b' ��
� ��,:
� No. Other Fans: Locations cfm ' � ��'`�
4 �� �
r� FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) k'k;
�� ,�, �
� Installation Removal ,
�� Fuel oil: gallons underground inside outside S
LP Gas: gallons ° � `
� �, �
, � Other Gas opening � �>���� �.� a
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� � ��`� � PERMIT FEE CALCULATION � �'
4�k� ,� �. �4 a
� .� . : 1. 1.25% of Contract Price* or Minimum Fee ($35.00) �,
E �'.��5.�v x .0125 $ �
� �
,�� ' , (contract price) ''
` � . 2. State Surcharge. ** Add the State Building Code Division t'
� „ '; Surcharge to each permit. x .0005 $
��fi� r ' or $.50, whichever is greater (contract price) ,�
� -
�,�_ � � �'
�x� : x , «�
��` ��f, � �J� 3. Postage and Handlin� (Only mail-in applications) $ 1.50 �;���,� �;
� : 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ;:�� -�� `° ��r -�
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�� ' � : * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted i,", r� ,;'
F �.� � � �`�� work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the =���
� r ,. customer for the work done. If any material, equipment, labor, or installation are fumished by the owner, � '��y
� { ' tenant or any other party the reasonable market value of such items must be added to the estimated cost '4 �#
��x,�* `��'r` or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost,
r ,z� ; '`.
r { ,.; , ;f the City may request the submission of a signed copy of the actual contract. , *
�•' a ', � , � -� s,
� '' . ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is :�
� 3<^ �- greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price. �
r; : �.
� - The undersigned hereby applies to the Ciry for issuance of a Mechanical Permit, agrees to do ��
�
� ��`�°A all work in strict accordance with the ordinances of the City and the regulations of the Minnesota �P_y 7 s,k v,
� ,{� � State Building Code, and certifies that all statements made on this application are complete, true ,�: '
���7�� and correct. -'�� ;�
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�� y- Applicant's Signature: �.,.�, `(���., Date: Z - l S� '`�� � -` '
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���e � 'd S�:.
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µ°�� Approved By: Date: '���"
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