HomeMy WebLinkAbout1996-00 - duct work only , PERMIT
� CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 t•-..- . ._ .. .. - .
Permit Number: �'����-.:;�j��:�"3�s-:;`��.
Crystal Bay, Minnesota 55323 ��;�;;�;;_,;�,�;
(612) 473-7357 Date Issued:
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: _. - � OWNER:
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APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATUR
.
CITY Or ORONO APPLICATION FOR MECHANICAL P�RMIT
Box 66 (2750 Kelley Parkway)
Crystat Bay, MN 55323
GENI:RAL INFORMATION
]. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a permi[ 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 'CHE PERMIT CARD IS
POSTED ON TI�E JOB SITE.
3. Mcchanical Desi� - Complete calculations, details a��d specifications are requircd for cach hea�ing,
VCIlU18[IOIl, humidification-dehumiditication, and air conditioning installation including heat loss/heat gain
calculation, design temperatures, equipment ratings and identification as to type, m�uiufacturer and modcl.
Data shall be presented on form provided. IdentiYication of and specifications for water heating equipmcnt
shall also be provided.
4. When ai:y new constructiou or remodeting is invoived, a separate buil�iing permit must b� obtaine�i.
5. All work must be done in accordance with the Uniforni Mechanical Code/Statc Building Code
rcquircments.
6. All work must be inspected (rough-in and tinal). Call 473-7357. 24-l�our notice requircd.
7. Ilouse I�Icatin� "Test Record nlust be submitted before fi�ial.
Instructions Complete all itcros on tl�is application. Coiupute thc permit fce. Sign and date the certification.
INCOMPLEI'E APPL[CATIONS WILL NOT BE PROCESSED. ff you liave c�ucstions, call 473-7357.
['Icasc chcck onc: ___ Ncw �Addition Rcpair Rcplacc
R�stde��tial Commcrcial
JOI3 S1TE:�S .�-fi e,'� �c.n�ti�c� r, � 'Lip:_S_'
Ow►ier'sName:����,.,.�,... I�.�S;T TelephoneNumber: 7 d-t� - �y�
Mailing Address: �3S C�'��r�e �-�-� City: �p C S Zip: S'.s�t>.v
Contractor'sName: �.�.���,.,,�s S�i,��fi•-�a�'..�� TelephoneNumber: 7�z-�7d'z
MailingAddress: � ,w� City:�,��i. i�-r��/�/�Zip: �-sy�
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SYST�M DESCRIPTION
III:ATING SYSTEMS
Quanlity: ---- --- -------- --- - -----
Make:
Model:
l�ucl:
l�lue Size:
Input BTUs: _
Output BTUs:
CPM: _—
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
II. Power _
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WOOD BURNING EQUIPMENT
Wood stove with nue
Wood combination or add-on
Factory fireplace with i7ue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
V�NTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Batli Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cCnl
FiJ�L STORAGE (MUST �E APPROVED BY FIR� MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PCRMIT rI;� CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�'�7 0 _ o �:c.� x .0125 $ S: c�c�
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. __�c��r�o x .0005 $ 5��[�
or $.50, whicllever is greater (concracc price)
3. I'ost�e atid I-Iandling (Only mail-in applications) $ 1.50 _
4. "I'OTl1I, PERMIT FEE (Add lines 1-3 above) $ -�e�, S c�
* COV'1'RACT PFI�E or JOB COST rrcans the actual or estimated dollar amount charged for thc permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
customcr for the work done. If any material, equipment, labor, or installation are furnished by the owner,
tenant or any other party the reasonable market value of such items must be added to the estimated cost
or contract pricc for permit fee purposes. In the event that there is a dispute on the amount of the job cost,
the City may request the submission of a signed copy of the actual contract.
** The STnTE SURC}IARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Deparhncnt of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mectlanical Permit, agrees to do
all work in strict accordance with the ordinances of the City and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct.
Applicant's Signature: Date: /// S r f/_
Approved By: Date: