HomeMy WebLinkAbout1994-006598 - mechanical ——— . . . ��__�� -
� -_ - PERMIT
GTY OF ORONO PERMIT TYPE: .:-- - _ , - -
2750 Kelley Parkway- P.O. Box 66 � '_°= `- �"�_'��*° -�r`�-
Crystal Bay, Minnesota 55323 PermitNumber: �±�;�:_,�,-°=::_.
(612) 473-7357 Date Issued: _ - . - =
SITE ADDRESS:
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FEE SUMMARY:
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CONTRACTOR: -- ;z�=��='- � :--�:��� — OWNER:
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APPLICANT PERMITEE SIGNATURE ISSUED BY:SIG �TURE
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMTr ;.r�;
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 �
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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.
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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 Designs - 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 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 fina]). 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. �
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Please check one: New Addition Repair Replace �
,� Residential Commercial
JOB SITE: � y � �,/��� � Zip:
Tele honeNumber: �s--���'5��� -S`���
Owner's Name: S .� c � �,�� P
Mailing Address: ai s�..`� s�v/» �� City: !,,z,,,�� Zip: _
Contractor'sName: ���� .'� �- .>>� s -��,�� ;ry;' TelephoneNumber:?��--� s��� �
MailingAddress: /' 7 d�'"�ci,�'l��f���a `� City: ��,.; -,-,.��; Zip: _�.;-�s�� :�
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SYSTEM DESCRIPTION '�
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HEATING SYSTEMS ,�
Quantity: � �
Make: �-�' �+�� c'�/�n� �
Model: Gi; - � s'
Fuel: � � �
Flue Size: �`�
Input BTUs: y��� �
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Output BTUs: � `'�
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CFM:
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r COOLING SYSTEMS `
Quantity:
Make: �
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Model:
Tons: ��
H. Power �`��"
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WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on `�
Factory fireplace with flue �
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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 E�aust (must be ducted outside) cfm �
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'� No. Other Fans: Locations �� �
Total `�
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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 ,�
l. 1.25% of Contract Price* or Minimum Fee ($,�35_00)
�'��rC� i x .0125 $
� (contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
�' or $.50, whichever is greater
3. Posta�e and Handling (Only mail-in applications) $ 1.50
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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
'n' 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 aze 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 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 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 certi�es that all stateme ts made on this application are complete, true
and conect. ��
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Applicant's Signature: Date
Approved By: Date:
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DATEC� � /�=T�� �
CITY OF ORONO CALLED IN � " � 1
INSPECTION N TIC SCHEDULED �' -�3—� <3 a'�i
PERMIT NO. � COMPLETED
ADDRESS ���S -�-�C�tiJ L�
OWNER ��� CONTR. ��-o
TELEPHONE NO. '�.��J� �� �
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� DESCRIPTION �
� 01 FOOTING 11 MECHANICALRI i 16 WELLT�STPUMP
Q 02 FRAMING 11 MECHANIC FIN L 18 EXCAV/QRADINGIFILLING
� 03 INSULATION 24/25 WOOD BU /FIREPLACE 19 LAKESFfOREIWETLANDS
Q 04 WALL BD. 12 WATER HOOK-UP 34 TREE R�MOVAL
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Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSIPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGR�SS
Q 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLl�INT
= 09 PLUMBING RI 15 SEPTIC INSTALL 22 FOLLOWrUP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNEHICONTRAC OR TO MEET YOU:_YES_NO
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d WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
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� ❑ CORRECT WORK&PROCEED ❑ SUE CERTIFICAT�OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPOF�ARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ,_, pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ' ' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for t next inspection 24 hours in advance.473-73�J7
OwnerlContr c r on it :
tnspector.
White Copyllnspector's File Canary Copy/Site Notice