HomeMy WebLinkAbout1996-007789 - mechanical �
� PERMIT
�ITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 ���-����?T����-
Crystal Bay, Minnesota 55323 Permit Number: t ii�f���;_�
(612) 473-7357 Date Issued: �_y::;f��:���:��;
SITE ADDRESS:
�.r.7t 3 `=�k-l�l3Yt�ii�i:1i� ��
:jC�
F`. I . P�. ; �7—i �7—�__:—:�1—�-}z�f,�
DESCRIPTION:
� �I F C:i i�,it",I i I iif�T N� ��t�-�:� ������t�i�� h'1t�+L�EL �t::E�s��.
���it�#°=� �
�_� VE��I7 ��...AT I E_�4� !���';���.E f—}::.I T4:N;i"'E��1T�"I t'I�_lC�EL 1—'CyFt'�'Efi
REMARKS:
FEE SUMMARY:
�r�L��AT I►�t�! �:: ,�a�;t r
F;�s.� �"�� �:=,i . �t;� t�(t�T L I td ____—____`��..�..��.�
°�:u1'�1'�Wtr��N _----______�.�..�.�,i;.i 1'���t.�tl ��� �,4i� . .�-�i)
'=:tat�t.����•a 1 �:=,'_� . t�t}
CONTRACTOR: — �������. �.���;�:� — OWNER:
t�::LEV� H�T�i t� �i��: =,'i�.14a_i 1 I�::I�LL�Y G;lF�1
f:�:c�7� �`?'�:ft�lE�� �"�ia?t._ f�.7f:� '�,Nt'�fl��li�Ii.i�� �;�:
EG�h�i F'F'r�I�I E t•iid C5:��.7 3_#I"{i=1�'�t�f ;•��,� ��:?��3.
t:�,�.%':> '��1—�:�'1 'a. �.;��--7it�:,,�
TH�. �1h��i��.l=i:�=I�;tl�C� �-�I����.E�Y �:E����?�'=��T°�; F`��,t�I°=�'W�i���t,� �-+�i t•��,}:::f= TFi� RE�i� t i•1�='s�:�-,tJ!�i°ii�i;�i�:�
'-�F'E4:.�7 F I EC3 �(��� ��t�Fi���:� j�_� i���i �:t.,.i_ i�i�i�F�:: I t� =,i#-;T i:�" t�::_��d����,T�=�F��::�: °:'�t"���-i �=:�._. _:_::�}`� °:::�
��t�;i�f���� �_;i��i���i t��ii�:�'� Af�1L� :��Tr�TE �tk= t�i I t�it��°=R;���i s� �;i:i t_�"�I t�€�� {�����i� ���,� z I#�;i::i it Ct.t°�
L �
. ` '�;�� �
� .�� v
APPLICANT%PERMITEE SIGNATURE f ISSUED BY:SIGNATUf�
'Y" f�wy
(1
� . �,.. ...-e...... ..
� ��� ` ��,�
�
CITY OF ORONO APPLICATION FOR MECHANICAL PERMI'T
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 ��1�� 2 ,2 �9� w�
r.-.. _ ., .,.,.,. ':i
GENERAL INFORMATION ��
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. x
2. Permit cards will be sent by retum 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 Desiens - Complete calculations, details and specifications are 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 invoived, a sz�,araie b�:;lding per.;i;t z.us: be �l}cai;,e�.
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.
Instructions Complete all items on this application. Compute the pernut fee. Sign and date the certification. ti;
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: X New Addition Repair Replace `$'
X Residential Commercial
JOB Sj'rE: 1670 SHADYWOOD ROAD ZIp:55323
Owner'sNa�e: Don Kielley TelephoneNumber: 471-7064
Mailing Address: 1670 Shadywood Road Clty: Orono ZIP� 55323
Contractor'sName' Kleve Heating & Air conait�on�fi'�lephoneNumber:941-4211
MailingAddress: 13075 Pioneer Trail Clt3':Eden Prairie Zlp: 55347
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs: —
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: 1
Make: z�mana=
Model: Rca24
Tons: 2
H. Power
� �
WOOD BURNING EQUIPNIENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
VENTILATION
No. 1 Kitchen Exhaust 1 ducted recirculating cfm
No. 1 Bath Exhaust (must be ducted outside) cfm
No. 1 Other Fans: Locations Dryer cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
$3,000.0o x .0125 $3�.so
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. S 3,o00,oo x .0005 $ , 50
or $.50, whichever is greater (contract price)
3. Posta¢e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $40.50
* 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
custnmer for the work done. If any material, equipment, labor, or installation are furnished by the owner,
tenant or any other party the reasonable market vaiue of suc�items musr be aci`�ed`to�the escim�r��`casT
or contract price for pernut 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 STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 cail the Department of Inspectional Services 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 Minnesota
State Building Code, and ifies that all state made on this application are complete, true
and correct.
Applicant's Signature: Date: /'� � �b
Approved By: Date: �!�� � �