HomeMy WebLinkAbout1997-008820 - mechanical � PERMIT
�*IT�( OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 "�::•;�;;��: ;`��::_
Crystal Bay, Minnesota 55323 Permit Number: „ „ - u�4
(612) 473-7357 Date Issued: -
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICAT'ION FOR MEC'HAi�IICAL PERiI�IIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, 1�I�i 1 55323
GENERAL INFORi�1ATION
1. You may apply for mechanical permits by maii or in person at the City offices. Applications will be
reviewed and a permit will be issued wi[hin 2 working days.
2. Permi[ cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
liNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGP1V LTNTIL THE PER��fIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi�ns - Complete calculations, details and specifications are required for each heatin;,
ventilation,hum.idification-dehumidification, and air conditioning installation including heat loss/heat gain
calcula[ion, design temperatures, equipment ratings and identification as to rype, manufac[urer and model.
Data shall be presented on form provided. Identification of and specifications for water heating equipmenc
shall also be provided.
4. When any new construction or remodelin� is involved, a separate buildin; 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 [he perm.it fee. Sign and date the certification.
IIVCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: New x Addition Repair _� Replace �
Residential � Commercial
JOB STTE: � 'f �S S hd�e��,�.t., �U r�.+�e�. ZiP� �`��gy
Owner'sNa€�ce: /►�!fk� M�c�. TelephoneNumber: y �/� �i g`/�
Mailing Address:�y�S S ilore.��tia- �r:�iCity: /V��rG.rr� Zip: �5'38`f
Contractor'sName• �L �nc,. TelephoneNumber: y%y-g 3(0�
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MailingAddress: � � (� t�a��e,c� S-i-. City: �x�e1S��P Zip: ���3�l
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: 1
Make: �,�-r•{��-���er
Model: (��-��?5
Fuel: NG•�.
Flue Size: `a." P��-
Inpu[ BTUs: �So 00 —
Output BTLTs: (��F 5do
CFM: �oZb O
COOLING SYSTEMS � �
Quantity: �
Make: C�M���-M.�.kc�
Model: A�o3� !
Tons: 3
H. Power —
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WOOD BURIVING 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.
Mfb's Min., Clearances, side , rear , min. flue dia.
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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 F'EE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($3�.00)
�; o�r� x .0125 $ � �, J�C�
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. �. ��u x .0005 $ � . � Q
or $.50, whichever is greater (contract price)
3. PostaQe and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ (� (�, 5`O
* CONTRA�T PRICE cr JOB COST means the acblal or estimated dollar amount charged for the permitted
work including materials, labor, profi[, 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 .000� of the contract price under �a1,000,000 or 5.50 - whichever is
ereater. 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 Mi.nnesota
State Building Code, and certifies that all statements m this application are complete, true
and correct.
. ,
Applicant's Sianature: " . � Date: (�-(� �-9(o
Approved By: Date: —�� �7