HomeMy WebLinkAbout1993-005445 - furnace/vent PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: MECHANICAL
Orono, Minnesota 55356-0815 ` 00S445
(612) 473-7357 Date Issued: i tL:/2=,/9 3
SITE ADDRESS:
4755 TONKAV I EW LA
LSV
P. I .N. = 07-117-223-23-0027
DESCRIPTION:
FVRNAC:E/VENT
I HEATING SYSTEMS CFM 800 FLUE SIZE 5"
FUEL NATURAL GAS MAKE HEI L
MODEL NUGS X75 i1TRtT 60,000
INPUT 75;000
1 VENTILATION CFM o MAKE 1 BATH
REMARKS: -_
FEE SUMMARY:
VALUATION $2, 100
0
Base Fee $35 . 00 MAIL IN --------- � }
Surcharge ---------1.1--5 Total Fee $37. 55
Subtotal $36.05
CONTRACTOR: - Applicant - OWNER:
ACE MECHANICAL SERVICES :346412:32 :TOHN SS fN X
5217 190TH LA 4765 TONKAV I EW LA
WYOMING MN 550922 ORONO MN S5364
E.1;:'i 464-132
# )� Ei�ii �9iN � � � �k, l�a. THE, j + � 4.
77
PIED
4,222
APPLICANT/PERMITEE SIGNATURE `� ISSUED BY:SIGNATURE
e
�
ROE . .
(�ORONO
LS \:/L``L�
r CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
CAU G 18 1993
GENERAL ]:NI6'ORMATION
01 i 1. You may apply for mechanical permits by trail or in person at the City offices. Applications will be
reviewed and a permit will be issued within 2 working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECSIVE A PER-MIT. WORK MUST NOT BEGIN UNTIJ THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical D_ eslitn4 - Complete calculations, details and specifications are required for each heating,
ventilation, humidification-dehumidification, and air conditioning installation including heat lossirlicat gain
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.
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 final.
Instructlons 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: /�1 w Addition Repair Replace
�/ Residential Commercial
JOB SITE: C-/ 7� .s j:-c, k'P 1,/ ,e '�,j � � Zip:
Owner's Name: �;�� �-,s ^_: Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: �Ztt ,• TelephoneNumber: i 3
MallingAddress: ;- 2 e., City: ice,. ;,: Zip: •
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size: _S "
Input BTUs: 7s—
Output BTUs: _/111 Gf 11
CFM: 8 w
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
_5 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 Model No.
Mfgr's Min., Clearances, side , rear min. flue dia.
Total
VENTILA'T'ION
No. Kitchen Exhaust ducted recirculating cfm
No. �L Bath Exhaust (must be ducted outside) ,icy cfm
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 CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.01}) J
.0 _ X .0125 $ �J
(contract price)
2. State Surcharge_ ** Add the State Building Code Division _
Surcharge to each permit. 22,/U C; x .0005
(contract price)
or $.50, whichever is greater
3. Postage and Hgndling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ -7 s–
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged 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 parry 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
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 trade on this application are complete, true
and correct.
Applicant's Signature: , — 'D Date: 8
Approved By: Date: 3 3