HomeMy WebLinkAbout1993-005092 - mechanical �A PEI�MIT
��b CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 � ME��hfi���€.�rL ,
Qrono, Minnesota 55356-0815 - \ PermitNumber. i�i;�ii°���
_ (612) 473-7357 Date Issued: ���I.�,�J�'�_;
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE C�,��
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CITY OF ORONO APPLICATION FOR MECHAlvICAL PERMI'T
Box 66 (2750 Kellzy Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at [he City offices. Appiications 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 PERM�T. 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 temperarsres, equipment ratings and identification as to rype, manufacturer and model.
Data shall be presented on f�rm provided. Ide�tification of�nd specifications ;or water heating equipment
shall also be provided.
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 final). 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: .� . ; ', �; �1-��- 4 : �`. Zip.
�`-. -' �- • , `�: ° � Tele honeNumber• '►- ' � �-
Owner's Name:� _. � ��: P t _ f-- ,.,- � 1��
Mailing Address: ' 'j �_ . :��, City: ,; Zip: >" ,1� � '� �1 .
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Contractor'sName: ��� �t_ � � � (��� ' '� �, ' t Telephon�Number: ;� ; '�_;,��:�_,t z.�!
MailingAddress: ;;�� ';�`� � c City:� Zip: �" _ �`_.
SYSTEM DESCRIP'TION
HEATING SYSTEMS��
i�uantit��: +`� 4 �_�_ �
-
Make: �" ��:,..'�L:_`; � � �: � � i . � ;-t a � . 'I l� ; � _�.�� �
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Model: '�, �. �, 1,,,��/' ��,_�� , � � �� . �iC_`�.:
,�
Fuel: �. j���i ; �F F,, q-�� s 1- t
' Flue Size:
a_ ; � �
Input BTUs: �'�,� � t C _� �._�-���. ���l� �� i ( ._ �
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Output BTUs: - - �
CFM: �'
COOLING SYSTEMS
Quantity:
Make:
Model: ��;��
Tons: �'� `
H. Power
. �
WOOD BURNIllTG E UIPivIENT
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, sid� , rear , min. flue dia.
Total
VENTILATION
No. Kitchen E�aust ducted r��circulating cfm
lvo. iiaiii i�ui��ust �ii�u:[ n� .i��cit:; v;.t.�;�::j �:;i,ii
No. 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 CALCULATIQN
1. 1.25% of Contract Price* or Minimum Fee 35.00
. t�. �t., �._ � .��, , x 1.2���-�,� $ i E-• i_
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(contract price) %� �� �
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. �! ; (;:� � = x .0005 $ 1 � �J ��'�
(contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ `�� , '`���.F`
,
* CO?�'�RACT PRICE or.ip�i rpST means the actual or estimated �ollar ame�mt r,harged fe�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 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 .00OS of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $I,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
ali work in strict accordance with the ordinances of the City and the regulations of the Minnesota
State Building Code, cenifies that all st�itements made on this application are complete, tive
and correct. �
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Applicant'sSignatur ; ' \� '` `: i '� � l L�.� �`j
a 1� Date:
Approved By: - Date: � a�o ��
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DATE TIME
CITY OF ORONO CALLED IN �/ � �� ?�
INSPECTION NOTICE SCHEDULED y- � 7 1 '�t3 �'
PERMIT NO. ''' �}�J� COMPLETED bt �/1
ADDRESS G � ��� '�� -� �
OWNER �-�-���L CONTR. ���C;.�,%�-L�. C�-z.z:�_ �
TELEPHONE NO. � �� �' ����'�
� DESCRIPTION �� -��
� 01 FOOTING 1 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINA 18 EXCAV/CRADING/FILLING
� 03 INSULATION 24/25 WOOD BURN /FIREPLACE / 19�AKESHORE/WETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOWUP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W� �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W CORRECT WORK&PROCEED r; ISSUE CERTIFICATE OF OCCUPANCY
0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance.473-7357
OwnerlContra r site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice