HomeMy WebLinkAbout1996-008448 - mechanical A PERMIT
` CITY OF ORONO
PERMIT TYPE: ���=::H�::t�,���:��
2750 Kelley Parkway- P.O. Box 66
Permit Number: t_�t z�=��.��.�
Crystal Bay, Minnesota 55323 Date Issued: i c_�/i�,::/�=�F,
(612) 473-7357
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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CONTRACTQ�R: — ��'�-'� ?'=�''��- — OWNER:
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APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE '�'�( '
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
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 offices. Applications wili be
reviewed and a permit will be issued within 2 working days.
2. Permit cazds 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 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. Ideatification of and specifications for water heating equipment
shall also be provided.
4. Wl:en asy r.ew constn�ction 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 fmal.
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: I U���V�,�r� I�n� Dr i��� n rn nC� � M�l. Zip:5�3� � ��'
Owner'sName: EriL �-�'i nc,��a �e TelephoneNumber:
Mailing Address: ��I�R ShUre.lin� t�X ivP City: (�v��m�; Zip: 553�1
Contractor'sName• 'r- -nd. TelephoneNumber: Gy �-�{Zl I
MailingAddress: I,��7�, PiOY�� 1 r�. City: ��� 1�i"��Zip: 553�1�
SYSTEM DESCRIPTION �}�� �n5-}C� �►i r,c� � {-{�-rex��x►1 e►ec�l-rcm�.. a:�,� C)�C�Q,v s�
HEATING SYSTEMS � �r',I�� # ��U k+��Ac���, �� ��%�� � �
���-'�`�-.
Quantity: __1_� _ � �
1Vlake: �� AYYYi,nCi
Model: GUC. i I�XiO ���'�'.0`�OX �b `�
Fuel: �,r}; �QS 1�C��'� C-sGS
Flue Size:
Input BTUs: J��(,Y� ��� �
Output BTUs: Q(U�,��(X� �I��00 5
CFM:
COOLING SYSTEMS �
Quantity: � I
Make: fl(Yl�t'-Y'-� �,ATI'1C�.f�Ci
Model: 12.CC(ob 12-CC,o7�l
To�: 5 a
H. Power
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WOOD BURNING EQUIPMENT
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.
Total
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Elchaust (must be ducted outside) cfm
Tio. 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
l. 1.25% of Contract Price* or Minimum Fee ($35.00)
� ��.�__ X .0�25 $ �a � .a5
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. c-(��(�(�;•CC� x .0005 $ �, �s
(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) $ �a 7.(d�
* CONTRACT PRICE or JOB CUST means che actual or estinat�d doLa::�e�:nt c??aroed f�r 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 fumished 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 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 $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accordance with the ordinances of the City and the regulations of the Minnesota
State Building Code, and certifies that all statemen made on this application are complete, true
and conect. \ 1 .
Applicant's Signatur • , \ Date: '�!"a�o'`��
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A roved B : Date: (J '3 �
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r1' � ��� t'-�a �-^'�� tir AddRiF�,�G � �... F-•-J�:i ���� �-P!en� . . Data
'� ' �� 1 1lEAT LO�.S CA�GLLATION$
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CITY OF ORONO CALLED IN /�"" "� � �,"��' �
INSPECTION NOTICF SCHEDULED I� -�Yct� ,�J�j%
PERMIT N0. 'y�� co PLETED �
ADDRESS
OWNER � Cz�cc.�-� CONTR.
TELEPHONE NO. ���' ���(/
� DESCRIPTION '
� 01 FOOTINO 1 MECHANICAL RI 18 D(CAV/ORADINO/FIWN(3
y 02 FRAMING 13 MEC 19 LAI�SHOREMIETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
�' 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
� 10 PLUMBINQ FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YQU:_YES_NO
� COMMENTS:
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d ORK SATISFACTORY:PROCEED � PROJECT COMPLETE
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� �CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C pHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO AR ANGE ACCESS.
Call fo e ne ins tion 24 hours in advance.473-7357
OwnedContracto site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
D,ATE TIME
CITY OF ORONO CA�LED IN �" i/'/% �l
INSPECTION NOTICE '��{ � SCHEDULED '�� �: 3�
PERMIT NO. � ��.�' COMPIETED �.%1��7 �
ADDRESS 1� �'i �1s2�.�_'����� "
�7 �
OWNER `�1��„__��.�.t�.y , CONTR. -'���� -z-,
TELEPHONE NO. ��� -�1,.Z/ /
� DESCRIPTION _
� 01 FOOTINd 11 AI.BL= 18IXCAV/GRADINO/FIWNd
y 02 FRAMING 13 MECHANICAL FINAC � 19 LAI�SHORE/WETLANDS
� 03 INSULATION �D"8 ER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
�Q 07 DEMQ—FINAL 15 SEPTiC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTiC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBINQ FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUEO
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for t e i spection 24 hours in advance.473-7357
OwnerlContra on s e
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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