HomeMy WebLinkAbout1999-012114 - duct work / gas line � �; PERMIT
GITY OF ORONO PERMIT TYPE: _ - - .::
2750 Kelley Parkway - P.O. Box 66 _ _ •�r-�w=.��_.��-;�.
Crystal Bay, Minnesota 55323 Permit Number: . ;:,�`��,�:�
(612) 249-4600 Date Issued: - _
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHAIVICAL PERMIT w �
� � Box 66 (2750 Kelley Parkway) ���� , ` �
Crystal Bay, MN 55323 ,,-.r _
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GENERAL INFORMATION ' µ
1. You may apply for mechanical pemuts by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within 2 working days.
2. Pernut 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.
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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 sgecifications for water heating eq�sipmer.t
shall also be provided.
4. When any new construction or remodeling is involved, a separate building pernut must be obtained.
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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.
INCONIPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: New Addition Repair i� Replace//`r��� � "`i
_�/ Residential Commercial �;'
JOB SITE: �OS�o �L�l"P,i�Ell.ei Ol�f� ZiP� SS'�•ZZ
Owner's Name: � (� �/�G�1Gp, 9"P,/y`y Telephone Number: Q73—��
Mailing Address: ZpS�'v �'-..�1�/`G�iM,pi �1Y�l,l�City: �J�tp Zip: ��.ZZ
Contractor's Name: , � _ Telephone Number: y�Q(—/Q�j:•� R
Mailing Address: City: 1`�Zip: �,� ;'
SYSTEM DESCRIPTION
HEATING SYSTEMS
�aantity: � o �j( O
Make: ��
Model:
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Fuel: �, _ � � ���
Flue Size: �.-�
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Input BTUs: �y-;
Output BTUs:
CFM:
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COOLING SYSTEMS `�i
Quantity: `k
l�iake: ''
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l�i�del: s�
Tons:
H. Power � �:;'�
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WOOD BURNING EOUIPMENT
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. 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 �9dy�(-�1 q�Q$ � � �!'Z°��G�P�Pi l�Gas opening
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PERMIT FEE CALCULATION
l. 1.25% of Contract Price* or Minimum Fee ($35.00)
�� /,�.�-� x .0125 $ �,7 e�
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. f jr�� x .0005 $ • �',J'
or $.50, whichever is greater (contract price)
3. Postaae and Handlin� (Only mail-in applications) 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ��.Z��
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
customer Yor the work done. If any material, equipment, labor, or instailation are 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 pemut 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 statements made on this application are complete, true
� and correct.
°' Applicant's Signature: Date: ��
� Approved By: Date:
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f DATE TIME
CITY OF ORONO CALLED IN ` j/''L'
INSPECTION N CE SCHEDULED /�� �
PERMIT NO. COMPLETED � ��
ADDRESS ���� 5����-��
OWNER CONTR.����C �" a-�-�
TELEPHONE NO. ��-f i � !D'�i�4
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI� 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAI 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� C MENTS:
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� ❑WORK SATISFACTORY:PROCEED C PROJECT COMPLETE
W 0 CORRECT WORK&PROCEED _ ISSUE CERTIFICATE OF OCCUPANCY
� I�ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. = pHOTOTAKEN
INSPECTOR WILL RETURN
- CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIOfV REQUtRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473�73�J7
OwnerlContractor on site:
Inspector.������
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN � I` f �-
INSPECTION �TI � SCHEDULEO •�� �� I '�%
PERMIT NO. COMPLETED �p.
ADDRESS SCO SY1 V•
OWNER CONTR. � _+-.__�� _._ .
TELEPHONE NO. ���C�� ��-IL�" �'��-�+�S ��`�i.�,
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
, 09 PLUMBING RI �, 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTO O Ef YOU:_YES_NO � �
� COMMENTS: ' ��_ �7 ��� "!�5�
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� � BEFORECOVERING
V PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. CPHOTOTAKEN
INSPECTOR WILL RETURN
�-' CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor on site:
Inspector.����-� ��
White Copyllnspector's File Canary CopylSite Notice
/ I Ql�T� TIME
CITY OF ORONO CALLED IN �d-
INSPECTION NOTICE 'I SCHEDULED l� �1� ���
PERMIT NO._ �{ COMPLETED j '—� ' r �'.. 3v
ADDRESS a-�SCr S � ,L�---L_
OWNE�e�.�. "1�,e rr u CONTR. � ���-
TELEPHONE NO. �I 7 3 ' �D�Co ° �CO� - l( 1,�
� DESCRIPTION —�—�S�r��n.� � — �c� -�esf C�ts (,��,
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMI G 13 MECHANICAL FINAL 19 LAKESHORE/N/ETLANDS
y NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
ZWALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED i-! PROJECTCOMPLETE
W p`CORRECT WORK&PROCEED L: ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r, pHOTOTAKEN
INSPECTOR WILL RETURN �
�' CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor on site:
Inspectov���G �'`�'�-�
White Copyllnspector's File Canary CopylSite Notice