HomeMy WebLinkAbout1994-005890 - mechanical PEI�MIT
C1iY b� ORONO PE�RMIT TYPE: �':`.�==��r��'���:�-:�-:'_
2750 Kelley Parkway • P.O. Box 815 Permit Number: �"'`'�='="�
Orono, Minnesota 55356-0815 '-���'�`j��`'��
(612) 473-7357 Date Issued:
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APPLICANT/PER T NATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHANICAL PIItNIIT
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 wi[hin 2 worldng 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 UNTII., THE PE_RMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desiens - Complete calculations, details and specifications are required for each heating,
ventilation,humidification-dehumidification, and air conditioning installation including heat loss/heat gain
calcularion, 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.
4, When any new construction or remodeling is involved, a separate buildi.ng permit must be obtained.
g, 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 final.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATTONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: New Addition Repair Replace
Residential Commercial
JOB STTE: ,2��7 <Su�,,�;- ;-�;^ :�� �P=
Owner'sName: �5���,;.�,- ���„�.t�� TelephoneNumber:
Mailing Address: City: Zip:
Contractor'sName• /1� � ` --.�f / . TelephoneNumber::5`�S=�3 797
MailingAddress•��'c.� ������ 6�c� Crt3'=ti/,,��a�i�.l�-ZiP: .�s�3�'�'
SYSTEM DESCRIPTION �
HEATING SYSTEMS
Quantiry:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output B'I'LJs:
CFM: �
COOLING SYSTEMS
Quantity: � �
Make: �
Model:
Tons:
H. Power
_ •� �
. -:. _ . . . . _
WOOD BURNING EQUIPMENT _ -
Wood stove with flue �
_ Wood combi.nation or add-on _
Factory fireplace with flue � � �
�� � Factory Fireplace (s) Freestanding � _ Masonry -
Wood Stove (s) Franklin, other
Erand Name ���` � i�,r�.e.�`� ✓ ;T�Model No. ,UI/�3�__ —
Mfgr's Min.., Clearances, side ��, rear � z. , min. flue dia. S'�
Total /o��"
VENTILATION
�No. Kitchen Exhaust ducted recirculati.ng ��
No. Bath Exhaust (must be ducted outside) �� c�
No. Other Fans: Locations �
Total
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAI-)
Installation Removal
Fuel oil: gallons underground inside outside
I,p Gas; gallons
Other Gas opening
. pERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) ��
/��� �J x .0125 $ .5-S'
(contract price)
2a State SurcharQe. ** Add the State Building Code DiXisio�5 $ �J
Surcharge to each permit.
(contract price)
� or $.50, whichever is greater � �_
3. Posta�e and Handlin� (Only mail-in applications) `
4. TOTAL PERNIIT FEE (Add lines 1-3 above) � �����
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fized costs. It is the amount to be charged to the
customer for the work done. If any macerial, 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 actuai conuact-
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or 5.50 - whichever is
greatez. For valuations over$1,000,000 ca11 the DePa�ent of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mectianical Permit, agrees to do
all work in strict accordance with the ordinan��s II�de on this applir.�ation are omple�es�
State Build.ing Code, and certifies that all
� and correct -_ __ ` :
_ -- � _ r, ' Date: l `" —�
_ Applicant's Signature:
_ Date:
APProved By:_.. �._ . -