HomeMy WebLinkAbout1998-009866 - mechanical � PERMIT
- CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 _ - �
Crystal Bay, Minnesota 55323 Permit Number: _
(612) 473-7357 Date Issued:
SITE ADDRESS:
DESCRIPTION:
REMARKS:
FEE SUMMARY:
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CONTRACTOR: � �`'. ��. i.�` . � : OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE .G�.
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CITY OF ORONO APPLICATION FOR MECHA1vICAL PERNII'T �„ `.�
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 � "
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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 ;A� r� �;
POSTED ON THE JOB SITE. � ;
3. Mechanical Designs - Complete calculations, details and specifications are required for each heating, � �~
ventilation, humidification-dehumidification, and air conditioning instaliation including heat loss/heat gain ;- �^`'
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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. � ���` �' '
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4. When any new construction or remodeling is involved, a separate building pemut must be obtained. �::: >�x,
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code `;�;t���'��,
requirements. °�� �' �
6. All work must be inspected (rough-in and final). Call 473-7357. 24-hour notice required. �v`
7. House Heating Test Record must be submitted before fmal. �'
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Instructions Complete all items on this application. Compute the pemut 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 fi��
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� Residential Commercial '� !
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JOB SITE: � i ' e, t� ��l -�; �. L Zip: ��� S � }�
Owner's Name: � .-�-� Telephone Number: ���� -i�-f� / _y `�'�
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Mailing Address: `Z � t- ��, � City: �.�`�t� �-� �- Zip: E.�:S"���� ' � s �'
Contractor's Name: C. ��.'_ _ Telephone Number: � �� 4=�C 6 �� '<�� ��-
Mailing Address: I ;� �; L: �,,;,,,��;, ;� �t City: ���'Z�'� Zip: ���' yU' `.�-��}'
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SYSTEM DESCRIPTION ��>'��`.�
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HEATING SYSTEMS � � ` ��.�
Quantity: <'�c
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Make: � �
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Model: � �'
Fuel: ���
Flue Size:
Input BTUs: �
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Output BTUs: �� ��:
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CFM: ` '*�'��
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COOLING SYSTEMS � ���
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Quantiry: �'� ��
�°_ p.
Make: � ��
NlOdel: � ``'z
Tons: ` ������;
H. Power • �f�� �'
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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 4•{-�1 Model No. �..�r 5'�., � �
�:F Mfgr's Min., Clearances, side �?Z_, rear ;'j , min. flue dia. ,� ��
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�. VENTILATION
``'`` No. Kitchen E�aust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations ��
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
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Installation Removal
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Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
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PERMIT FEE CALCULATION
} ' 1. 1.25% of Contract Price* or Minimum Fee ($35.00)
��` ��? cZ�z� x .0125 $
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(contract price)
2. State Surcharge. ** Add the State Building Code Division
k Surcharge to each permit. x .0005 $
or $.50, whichever is greater (contract price)
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3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
. 4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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 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 pernu[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.
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** 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. 1
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` Arrlicant's Signature: ��� �___ Date: ,
Approved By: Date:
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �-q- S I l = ��
PERMIT N0. �/'•�=G' COMPLETED 1- `� - 9 /Z��
ADDRESS ZI 3S -S'�XT}I q�2 N c7
OWNER R�LWW�2D �IAL�TO� CONTR.
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
� 02 FRAMING 13 MECHANICAL FIfJAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 4/25 �OD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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= OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
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W 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ORK SATiSFACTORY:PROCEED
W/� �OJECT COMPLETE
� [ CORRECT WORK R PROCEED -: ISSUE CERTIFICATE OF OCCUPANCY
O Ll CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
O STOP ORDER POSTED.CALL INSPECTOR '- CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor ite-
Inspector.
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