HomeMy WebLinkAbout1995-007251 - mechanical _ PERMIT
CITY OF ORONO PERMIT TYPE:
` 2750 Kelley Parkway- P.O. Box 66 -
Crystal Bay, Minnesota 55323 Permit Number: .- -
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(612) 473-7357 Date Issued: - _ _
SITE ADDRESS:
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DESCRIPTION:
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CONTRACTOR: - :::: -. -. : _ �:.;:�.. ..- OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �•'� .
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CITY OF ORONO APPLICATION FOR MECHANICAL PERNII'T
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 will be �
reviewed and a permit will be issued within 2 working days. ,.�
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. Ideatification of and specifications for water heating equipment -�
shall also be provided. q
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. `�
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Instructions Compiete 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 �
Resident'al Commerciai
JOB SITE: �-� c�,vc� ZiP: SS�23 �
Owner's Name: �h�f/ Nf��rr�4.✓ v� Telephone Number: ;;
Mailing Address: City: Zip:
Contractor'sName: �D�`s � C TelephoneNu ber: ��7-a6G/
MailingAddress: �D G��13s ��- �F City:L�,,� Zlp� S�S`��'� �
SYSTEM DESCRIPTION
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HEATING SYSTEMS :
Quantity: � j"
Make: ��a.v�t �
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Model: �[�co�c��-3� '
Fuel: �`--��� f'�
Flue Size: -3�- �v'C '�
Input BTUs: ���d�
Output BTUs: �'��G�c�a
CFM: 1P/�c�
COOLING SYSTEMS
Quantity: �_
,
Make:
Model:
Tons:
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 Exhaust (must be ducted outside) cfm
No. �_ Other Fans: Locations ,q.r/ � �:� f�c� .v°� � cfm
To
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal -
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT �EE CALCULATION
�' 1. 1.25% of Contract Price* or Minimum Fee ($35.� , �
�-
S'�C�C>.�—� x .0125 $ � =�� 5 �%
(contract price)
2. State Surchar�e. ** Add the State Building Code Division � ,�c, ;;:
5urcharge to each permit. x .0005 $ '
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(contract price)
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or $.50, whichever is greater _£,
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �,` �a- S��
* 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 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
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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: �'
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Approved By: Date: �b '�l 8 �
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Jl'lE� t�U1'1FtESS: C:f� E�
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F'LFtN N�ME!#: F�H I L R MARY HE RNANDUS
DA'TF: F-�� 1S. 199�
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TYF�E OF CCJPdS f. 'T'YF�E F�Tih AREA OR RTUH
EX�'OSllRE LR ft VF�IL.UE HTG GLfa LEI�JI'�"t'H F-I�TG CLG
GRDSS t�a) AEk!�t!F: laRf�DE �81 r�
EXF'OSED t�> BE:I.f.)bl GRADE i3�";
WALLS !r`)��E_!_.Cil•! GR I NS 4?
WINDC7WS S�a) UC�L�L�LE: GLAZE 4�. 8 S.s7. 8hf�E, ;�'�s�.�i
& GLFaSS (R)
DOORa (H'T(�) (C)
WINDOWS hJ(7f?Tf� �3 1,?,�� 31`H
& 6LF�SS EA�;T;WE�7 �3 1�►ra '789 i
DOORS (CLG> SC7UT1� 38 `5�. A6�t:� 9EQ�9
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DUC;T LO£�5/C::OMES!!:';1 :{C:Ft�! Alfi ATUH E�45�
TCITAL HEF�T'1_O�:�S Fti l..J�� 74�98�
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t1F�F'L, L I CNT, E'TC !d l:�v�� PTUN ' .t 1���
NET SENS I RLE P7l.JH GA I N 31 Q�77
DUCT PTUN GAIN Q�
TOT�I_. S�:I�JS I Al...E (.�F►1 N 31 Q�77
TUTI�L COOL I NG U«i N !SENS I PLE + L�TEh1T) 4�4Q��
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DATE TI�
CITY OF ORONO CALLED IN � ' �' �� � -S �1
INSPECTION NOTICE 1� � SCHEDULED f�-.�- 9s '. ��� a.�s�.
PERMIT NO. ��/ COMPLETED "l
ADDRESS I 7O ^ '� �l� /�J
OWNER CONTR. ��J 5
TELEPHONE NO. �7- � L�� /
� DESCRIPTION Qc�Uz,���� "a ��
ly 01 FOOTING 1 MECHANICAL R 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 FINAL 19 LAKESHORE/WETLANDS
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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-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 FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. r PHOTO TAKEN
INSPEC'fOR WILL RETURN
! ' CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance.473-7357
OwnedContrac r si
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN ���3� v'�
INSPECTION NOTICE SCHEDULED � � d
PERMIT NO. 7�� COMPLETED
ADDRESS � �� �� �' � ��"'� /t-�
OWNER �`�� ��2�� CONTR.
TELEPHONENO. ��1 � — � ��� ���/���
� DESCRIPTION
� 01 FOOTING 1< 1��kiApl f 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 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 05 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
i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FIN 36 FOUNDATION/REMOVAL
� O RACTOR TO MEET YOU:_YES_NO
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� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r- pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
� INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra or 'te:
Inspector.
White Copyllnspector's le Canary CopylSite Notice