HomeMy WebLinkAbout1993-004929 - a/c PERMIT
CITY OF ORONO , PERMIT TYPE: ,
1335 Brown Rd. South • P.O. Box 66 Permit Number: �#��������-��'-
Cr stal Ba , Minnesota 55323 {'�'����_�
Y Y Date Issued:
(612) 473-7357 `-�'�f�''�'�'_�='
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: — ���E��. �.r���t. — OWNER:
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APP CA i� MIT E GNATURE ISSUED SY:SIGNATURE �i1�L � J
02%02i93 11: 14 THE CITY OF ORONO 612-473-7357 �01
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CITX OF a1tON(7 APYLICATIQN FOR MECIiAiV�CAL YERNIIT
Bax 66 (2750 Kelley Parkway)
Crystal Ba,y, MN 55323
� GELYERAL INFORMATlON
1. You may apply for mechanical permits Uy Ruail or iu }�crson at chc City of�ices. Applications witt be
reviewed and a permit will be issued within 2 working days.
2. 1'crmit oards will bc scnt by return mail afrcr a rcvicw is cota�plel.ed. P�RMITS AR� NOT VALtD
UNTIL ti'OU REC��VE A PL�RMIT. WORK MUS'� NOT BEOIN UNTIL THE. ��RM1T CARD IS
POS'I'�D ON THE JOB S1TE.
3. Mcchanical Dcsi�ns - Coanplete calculacions, dCtails and �pc�ifications are required for each heating,
ventilation,humidification-dehumidifi�ation, and 1ir conditioning installatian includin�heat[oss/heat gain
aslculation, dcsign ten���e��atuces, eqaipmeiu ratiugs�u�d idcntificat'ron as to type, enanufaeturer and mod4l.
bata sha11 be presented on fnrm pmvided. identi�cation of and speeifications tor water heating equipment
shall also bc providcd.
4. When �ny new ConsirucLion or remodeling is invnlved, a se��arate buildiug �rcyiit inust bc c�btain«l.
5. All work iuust be dvuc ia� xecorciancc with the Uniform Mechanicat CodelStace I3uildir�g Code
tequirements.
6. All wvrk must be inspected (rougll-i�� at�d fit�al). Call 473-7357. 2�-hour notice required.
7. Hause I�ieatit�g T�sl R�i:viYl inusl b� submiticd bcfc�re �nal.
Instruetiotis Completo all itcros on this application. Cvmpuic thc pern�it fee. Sigtt�tt�l ilatc lho ccrti�calion.
INGOMPLETE APPLICATIONS WiLL NOT BE PROCESSED. If you have questions, call 47:i-7357.
Pleuse cheek one: New Addition Rcpair RcPlacc
� Rcsidcntial Commercial
JQE SITE: 1 `��C� ..��1-�'�f'� ,1�1%E'-l�l��. Zip: ti-%1'�`��
Owne�'s Nanr�e:_��� G����Y' Telephane lrTumber: y��; - (v;� 7�'
Malling Address: ` 5 �� •f� C�ty: '��y t/<'=�f�T Zip:`1';ar-��/
Contractor'sNamc: l ` �'. TelephoneNumber: y 7;�- ��'S�:3'
Mail�ngAddress: �,;t% '�l�l��� 17r. �ity: � Zip: ..��.�3�-fl�
S'Y�TEM DESCRIPTIUN
HEATING SYSTEMS
Quancity:
Make:
Model:
�uel: -- - —
k'lue Size.
Input BTt1s:
Output BTUs:
CF�1:
COOLING SYSTEMS j
Quantit.y: /
Make: ���;�,�
Model: 3�"T l�l'
Tans: ��J�.--
H. Power =/ �_
�2i02i93 11:15 THE CITY OF ORONO 612-473-7357 002
` R .
WOOD BURNiNG EOUIPMENT
Wood stove with flue
Wood combinatian or adcl-on
_ Facta.ry �replace with flue
Factory Firc�lacc (5) �ceestanding Masanry �
Wood Stove (s} Franklin, other
$rand Nan�e Model Na.
Mfgr's Min., Clcaranccs, sid� , rear , min. �1ue dia.
Tpta!
VENTiLAT�ON
IVo. Kitchcn Exhat�st ducted recircutating cfm
No, �3at}a �xhaust (must be ducted dutside) cfn�
No. Other Fans: Locatior�s cfm
motal
FUEL STORAGE (MUST BE APPROVED $Y �'IRE MARSHALj
Installation Remavat
Puel oil: gallons ____ undexgrou�nd inside outside
_ _ LP C3as: galloiis
Other Gas opcning
� ,
�ER,MIT FEE CALC(JLATION ' �'��
�. 1.25% of Contract Price'" or Minimum Fee ($35A4) $ ; =�`�'
2. State Surcharge. ""� Add the State Building Cc>d� Division $ �
Surcharge to each permit.
3. Posta�e and Handlin� (Only mail-in applications) $ �_� Sz;
4. TOTAL PERMIT PEE (Add lir�es X-3 abave} $ _��' j�` �—
* CONTRACT PR[CE or JOB C05T means the actual ar estitnated doilar amount charged for ihC pern�tittCd
work iucluc�iug uustCriula, lxtwr, prc�fil, xnd ��hcr fixr.d costs. Ii ix thc amount to be charged tv the
�ustuuicr for ihC wurk dun�. If any matcrial, c:quipmcnt, labc�r, or installatic►n are furnished by the owner,
tcnani c�r any o�her par�y thc rcasvnablc market valua o�such it.ems must be added to the estlmated cost
or cantract prica for permit fee purposes. In the event d�at there 9s a dispute on the smnunc vf thc jvb cost,
the City may re�uest the submission of a signcd copy of thc actual c�ntract.
** The STATE SURGHARGB is .Q005 of the contract prlce under �1,OOO,U00 or $.5� - whichevCr is
greater. For valuations over $1,000,000 cal� the Depariment of]nspeccional Services for the price,
The undersigned hereby a��Iies to the City for issuance of a Mechanical Permit, agrees to da
all work in striet accordance with the ordinances of the City and the regulations of the Minnesota
State Buildir�g Code, and certifies that all statements made on this application are cornplete, true
and carrcct,
. �,-�;
Applicant's Signature: ���,�� �� �fi�f��l':� Date: � 'Z{��'�
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