HomeMy WebLinkAbout2009-00053 - mechanical � .
:FpR�CITY U5E t3NLY
�,¢��� City of Orono �� � �� � � �� + �
P.O.Box 66 Date'Received:a���Permit# ��T'� ��'`3
2750 Kelley Parkway ` � /
� � ; � Crystal Bay,MN 55323 Approved By: Amount$f�•� '� a'��
��o4y (952)249-4600 .
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CITY OF ORONO—MECHANICAL PERMIT
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(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
�ENERAL INFORMATION
• 1. You may apply for mechanical pernrits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two 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 DesiQns—Complete calcularions, details and specifications are required for each
heating,ventilation,humidificarion-dehumidificarion,and air conditioning installarion including
heat loss/heat gain calcularion,design temperatures,equipment ratings and idenrification as to
type,manufacturer and model. Data shall be presented on forxn provided. .
4. When any new construction or remodeling is involved,a separate building pernut 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(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF.��RIVIIT '
Check A11'�iat�1 . 1 ;
�Residential ❑Commercial(Approval Required)
❑ New ❑Additional ❑Repairs [�Replace
7ob Site/Owner Information: '
Site Address: �S� QvA,,,,� ��a�
Owner• �nw. �{JZSO�/ Mailing Address: �5�0 (�v�,�,,,,, fRo(
City: _0 Q 0 iv� Zip: �S 34 (
Home Phone: Alternate Phone:
Contractor Information: '
Contractor: f1VhPR� C�N �:2 S�PP�y Contact Person: �0(.�,�.. �0 6kquq.
Address: '� �-S 1 ��+�t�� ��/State Bond#: G���c��S3
City: ���� ����� Zip:� Expiration Date: � J �� "0 1
,SS'336
Phone: (��� `a���- 7�� � Alternate Phone: *� 7G 3- a���- 3�y s
❑ Insurance—Current:
1
. !
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? �Yes ❑No
HEATING SYSTEMS
Quantity: � `
Make: UN 2 �('(J nJA.2
Model: �V S� U p U�✓ �r U►-�11 -l ' k/�j�/1/
Fuel:
Flue Size:
Input BTLJs: .�(,, Uo� L�(� bCIU
L
OutpUt BTUS: S-(.r, (�UU ��i�UUU
CFM: a-U Uo �UU
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons: � �d..� � (v^'
H.Power •
FIREPLACES � �(�QN lUa� • (,�j� Ui(� �e Nu p�Cj9`'v
5
❑ Gas Factory Fireplace Brand Name:
❑ Wood Buming Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove With Flue
VENTILATION
❑ No. Kitchen Exhaust duct recircularing cfin
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locarions cfm
FUEL STORAGE (Must be approved by Fire Marshall if proposing to a6andon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
. 2
! ._ ,
❑ Yes,this section applies
The replacement of a Residential fixture or a� h�ance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service. .
2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
�o� o��. °° X.o�25$ lZ� U4
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
� G6
�� �U� ou x.0005 $ '
� (contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 2.00
O�
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � ��,
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor,profit,and other fixed costs. It is the amount to be charged
to the customer for the work done. If any material, equipment, labor or installarions 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 price 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 contxact.
■ **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price.
� ��
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: l �U� Date: o�- I U-U q
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