HomeMy WebLinkAbout1996-008627 - furn/ac —�–r �-�– _ _ � - � • _
� � PERMIT
CITY OF ORONO PERMIT TYPE: —
2750 Kelley Parkway- P.O. Box 66 ���'�'--��'`'"�"�:�'r�'t
Crystal Bay, Minnesota 55323 Permit Number: _::�}�:+�:��;'�?
(612) 473-7357 Date Issued: ....;;�;'�:.-,:�°_::F�;
SITE ADDRESS:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECF�'VICAL PERi�IIT
Bos 66 (2750 Kelley Parkway) r�
Crystal Bay, � 55323 c�GQ
GEivERAL INFORi'�tATION
1. You may apply for mechanical perm.its by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued wichin 2 working days.
2. Permit cards will be sen[ by retum mail after a review is completed. PERMITS ARE NOT VALID
liNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGP�1 UiVTIL THE PERVIIT CARD IS
POSTED ON THE 70B SITE.
3. Mechanical Desisns - Complete calculations, details and specifications are required for each heating,
ven[ilation, humidification-dehumidification, and air conditioning installation includin;heat loss/heat gain
calculation, design temperatures, equipmen[ratings and identification as[o 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 aay new cer.struction or remodeling is involved, a separate buildin� permit must be obtai.ned.
5. All work must be done in accordance with the Uniform Mechanical CodeiState 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 applica[ion. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-73�7.
Please check one: New Addition Repair �_Replace
'?(� Residential Commercial
�0:3 Sl:E: � I 2. `�('�`� �- � 1�-� � Zip:
Owner's Na€�ce: 1'v6�-�H�-%v iiv��Z-C- '�' Telephone Number: � � a• 7
Mailing Address: �'�- s}-yv� �`-'" City: Zip:
Contractor'sName: TelephoneNumber:
MailingAddress: RFCInG�rTie� uenT��Y���_Zip:
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19000 Easton Road • Deephaven, MN 55391
SYSTEVI DESCRIPTION (612j 475-3309
HEATING SYSTEMS �
Quantity:
l�.�ake: T<'rn�5'7r/�-iz.-. _ ^__._
Model: N ��� �� 1 �
Fuel: N� �'"1- s
Flue Size: '
Input BTUs: `7S� o a � —
Output BTL's:
CFM:
COOLING SYSTEMS
Quantity: ( I � fi-�"''`a'��Z'`
M ake: l z�'►'�t��`1—
Model: C��-i������`� � �
Tons: � I
H. Power �
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�(�a � .
r.
�
#�> -�- , , ;
WOOD BURi'VPi 1G EQUIPMEi�1T
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.
Mfd's Min., Clearances, side , rear , min. flue dia.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
4 i 5f� X .o12s � �I � � �
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ � • � �
or $.50, whichever is greater (contract price)
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3. Postaae and HandlinQ (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 5�• `3 �
* 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 chazged to the
customer for the work done. If any material, equipment, labor, or installation are furn.ished by the owner,
tenant or any other party the reasonable market value of such items must be added to the estimaced 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 contract.
** The STATE SURCHARGE is .000� of the contract price under $1,000,000 or 5.50 - whichever is
Qreater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the Ciry 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 Buildin; Code, and certifies that a "�tatements made on this application are complete, true
and correct.
, � �/ ,—' Date: ��,� ��
Applicant s Sijnature: �•
Approved By: Date: "1✓ � � � �
'�lU%lt.i/q6 11:4� FAK 612 475 4U91 RESIUENTI�IL f�i��
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