HomeMy WebLinkAbout1999-012330 - a/c � �. PERMIT
CITY OF ORONO PERMIT TYPE:
275Q Kelley Parkway - P.O. Box 66 _ _ ..s:.;��� ��
Crystal Bay, Minnesota 55323 Permit Number: - -
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(612) 249-4600 Date Issued:
SITE ADDRESS: —
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DESCRIPTION:
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REMARKS:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CTTY OF ORONO APPLICATION FOR MECHANICAL PERNII'r ;= �` �
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Box 66 (2750 Kelley Parkway) �
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Crystal Bay, NiN 55323 �'�.�; `�.. , µ
E GENERAL I�i FORMATION
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 worki.ng days: .
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS >'"
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POSTED ON THE JOB SITE. �i
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, equipmen[ratings and identification as to type, manufacturer and model. , � ��
' ' Data shall be presented on form provided. Identification of and specifications for water heating equipment r ��"� ''
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shall also be provided. '�` :
� `J 4. When auy r.�w construction or remodeling is involved, a separate building permit must be obtained. �`��x
G , 5. A l l w ork must be done in accordance with the Uniform Mechanical Code/State Building Code ��5
` � requirements. »'-="
�" - 6. All work must be inspected (rough-in and final). Call 249-4600. 24-hour notice required. `
� 7. House Heating Test Record must be submitted before final. �
� � .�-r:',
,.;� 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 249-4600. �r ;
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; ,. Please check one: New �_Addition Repair Replace ,
. �_ Residential Commercial �
. JOB SITE: �%���n�C�e �I tC� Zip: .'��1��`� __ .�:
Owner's Name• �rc��henc� Cct1��- Telephone Number:
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Mailing Address•��;O,��e `�h.1 (:�' S�c, )l O City:���r►�� ��11L.t�� ZiP� 5�'��
Contractor's Name• �. RcJ Telephone Number: �oia-��—l 1lr�l�
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k' Mailing Address• ��•D c, City; �.� Zip: �-i�� h
��� ` SYSTEM DESCRIPTION � �> �- � -� � �
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HEATING SYSTEMS � �'` '"�
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Quantity: __ --�°
Make: ,`'�`
Model: `
3�
� Fuel: . �;
Flue Size: �
Input BTUs:
Output BTUs:
CFM:
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COOLING SYSTEMS ���� �
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a' I
' Quantity: �`�
�s
Make: �.,+rY�-e_,� ^
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- Model: ��'1 '��� �
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Tons. �{;�"
H. Power �f,.�
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WOOD BURNING EOITIPMENT - �
= Wood stove with flue . -: , . : .- ..- - , - �_� _. _,:� ._�,,_ .;v �; i
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Wood combination or add-on _ L -�.��
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. .�
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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 (1VIUST BE APPROVED BY FIRE MARSHAL)
- Installation Removal .
Fuel oil: gallons underground inside outside�
LP Gas: gallons �
Other Gas opening
PERMIT FEE CALCULATION �
1. 1.25% of Contract Price* or Minimum Fee ($35.00) �
3sv�a �� X .oi2s � �� -�15
. (contract price) .
� 2. State Surchar�e. ** Add the State Building Code Division � ���-.. �
Surcharge to each permit. 3�""l)O � ��'v x .0005 $
or $.50, whichever is greater (contract price)
,
3. Posta�e and Handling (Only mail-in applicafions) $ 1.50 '
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �� -l`�l� I
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted �
work including materials, labor, profit, and other fued costs. It is the amount to be charged to the �
customer for the work done. If any material, equipment, labor, or installation aze fumished by the owner, j
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
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 j
all work in strict accordance with the ordinances of the City and the regulations of the Muinesota (
State Building Code, and certifies that all statements made on this application are complete, true
and correct. �
Applicant's Signature: ��-y--J , Date: ������
Approved By: Date:
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