HomeMy WebLinkAbout1993-005816 - mechanical PEI�MIT
� �t;ll'Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: �-���'��`���`'�'-
Orono, Minnesota 55356-0815 i_�t_',�,-,f�=,
(612) 473-7357 Date Issued: �y;:1��,�::;
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"NOVI �2 4 i993
CITY OF ORONO _ APPLICATION FOR MECHAIVICAL PERNIIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
_ ,,._
GENERAL INFORMATION � '
1. You may apply for mechanical permits by mail or in person at the City offic ' �ons wjil��;;
reviewed and a permit will be issued within 2 working days. �. � ,: �.__.�
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 DesiQns - 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
shaii also oe provideu.
4. When any new construction or remodeling is involved, a separate building permit 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.
Instructions Complete all items on this application. Compute the permit 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
JOB SITE: ZiP�
Owner's Name: L • Telephone Number: —
Mailing Address• City: 'p:
Contractor'sName: 11�, TelephoneNumber: — �
MailingAddress:�Y �a. City: Zip:��
SYSTEM DESCRIPTION
HEATING SYSTEMS
cluantiry:
Make: I�'�D��
Model: fl�
Fuel:
Flue Size: ��
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
�,' Quantiry:
��'' Make:
``-f Model: 1�
Tons: �
H. Power
..*
� , •
C�,s�� - � C��
E UIPMENT _ >��C`�"
Wood stove with flue �'"
Wood combination or add-on `b C?'
Factory fireplace with flue_ (gLL� ' �
T Factory Fireplace (s) �� Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
Total
VENTILATION
No. ) Kitchen Exhaust � ducted recirculating cfm
No. /-� Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
� Total
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 Manimum Fee ($35.00)
(pBC��(J"Z� x .0125 $ ����v
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. �ps� ' x .0005 $ �
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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 installation are furnished by the owner,
tenant or any other party the reasonable mazket 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 conuact.
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call 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 certifies all statements made on this application are complete, true
and correct.
Applicant's Signature: Date:
Approved By: Date: �
DATE TIME
CITY OF ORONO CALLED IN I.��`/
INSPECTION NOTICE SCHEDULED � >� ���G'�
PERMIT NO. �� COMPLETED '-%F�'S 3 � �O�
ADDRESS � L� ...eJ
OWNER CONTR. ��.d��L�
TELEPHONE NO. ��J'�-�G' 7�
� DESCRIPTION _/���.�'>�
� Ot FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 1 MECHANICAL FINAL � 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNEHICONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
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d ORK SATISFACTORY:PROCEED
W �. ROJECTCOMPLETE
W C7 CORRECT WORK R PROCEED �: ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ` pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnerlContr r on si :
Inspector.
White Copy/lnspector's File Canary Copy/Site Notice