HomeMy WebLinkAbout1996-007788 - mechanical I
PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 MECHANICAL
Crystal Bay, Minnesota 55323 Permit Number: i�t p7788
(612)473-7357 Date Issued: 03/113/9E.
SITE ADDRESS:
4.5.5 TONk::AWA RD
JET
P. I . N. : 06-117-23-41-010S
i yS
DESCRIPTION:
1 HEATING SYSTEMS FLOE SIZE 5 FUEL NATURAL GA'_:I
MAKE TEMPSTAR MODEL NTCS075
OUTPUT 62,000 INPUT 7S,0i 01
1 AIR CONDITIONING MAKE TEMPSTAR MODEL NCASt 24
TONS 2. 5
II
REMARKS:
i
FEE SUMMARY:
VALUATION $2, 700
Ease Fee $35. 00 MAIL IN
Surcharge ---------11 5 Total Fee $37 . 85
Sub tota 1 $36. 35
CONTRACTOR: - Applicant. - OWNER:
AIR MECHANICAL, INC . 34347747 MURPHY JOHN
16411 ABERDEEN ST NE 455- TtONf:AWA RD
HAM LAKE MN 55:304 ORONO MN 55356
(612) 434-7747
THE UNDERSIGNED HEREBY REQUESTS F`ERM I SS I;C T7Q' -14A' kE TI" ' EA � �
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT C �L.I ICE" ���
L_ ORrONO ORDINANCES AND STATE OF M I NNNE OTA 51.E I LQ M PDI R�4VI ' tJT 3
—,Y7
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
11/08/95 11:41 THE CITY OF ORONO 612-473-7357 002
t '
CITY OF ORONO Al CATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INIr ATI(>N
1. You May apply for mechanical permits by trait or ill pntuon at the City offices. Applications will be
reviewed and is petmit will be issued within 2 working days.
2. Permit cards will be sent by return mail after a review is comp)eted. PERMITS ARL NOT VALID
UNTIL YOU RECD-Ivr; A PERMIT, WORK MUST NOT BE-GiN UNTIL T14E PERMIT ('AItU IS
POSTal) ON Tlili JOTS S1TL.
3. Mech:ulical Lk:sig,ns - Complete calcadalions, details and specirwat ions are required for each heating,
ventilation,humidification-dehumidification, and air eondiliuuiug insiallation inettlding heat loss/heal gain
c-alculation, design temperatures, equipment ratings and identification its to type,manufacturer and model.
Data shall be presented on form ptovi(led. Identification of and specification for water heating ecluipntettt
shall also be provided.
4. When any liew construction or retnodcling is involved, „ separate building permit must be obtained.
5. All work must he dolie in accordance with the Uniform Mechanical Cock/State Building Code
requirements.
fi_ All work must be inspected (rough-in and final). Call 473-7357. 24-hour notice required.
7. [louse Heating Test Record must be submitted before final.
Instruction Complctt. all Items on (Ills application, r(illlplitc the periliji fee. Sign and date the certifteation-
INCOMPLETf APPLICA'T'IONS WILL. NOT BE PROCESSED. if you have questions, call 473-7357.
Please check one: k New Addition —Repair Replace
_ Residential Commercial
JOB S1171,; lISS *y-)W �`r: ��3 --
Owner'sName: M( r 1 P rS TcicphnneNumber:
Mailing Address: _City:_ 'Lip: _
Contractor'sName:rjjjL i C8t bY�_OTelephoneNumber:
MttilingAddress: 1 (��}1��C►'� Q[:)�. City: Zip: SS. oLL
SYSTEM DESCRIUMN
HEATING SYSTEMS
Quantity: t^
Make: 1 _
Model: N - --
Fuel: --
Flue Size: ,.
Input BTUs: —
Output 13'lUs: t �
CFM:
COOT,ING SYSTEMS
Quantity: —
Make:
Model:
�D�y-- — -
Togs: -
11. Power _ -- –• —
11/08/95 11:41 THE CITY OF ORONO 612-473-7357 003
SOD BURNING EQUIPMENT
Wood stove with flue
Wood combinat ion or add-on
Factory furplace with flue
factory Fireplace (s) _ Freestanding _ Masonry
__ Wood Stove (s) Franklin, other _
Brand Name Model No._
Mfst-'s Min., Clearances, side rear inin. flue dict. _
VENTILATION
Nu. Kilcliell Exhaust ducted recirculating cftn
No. Bath Exhaust (must be. ducted outside) cftn
No. Other Dans: Locations _ efin
FUEL STQRA,GE (MUST BE APPROVED 13Y FIRE MARSHAL)
Installation Removal
_ Fuel oiler gallons ^_ underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Cotltract Price* nr Minintut c 5.00 �-1,�
-?(}:,t� x .OI25 $ —3�.-
(contract price)
2_ State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. 2uc x .0005 $ _ _
or $.$0, whichever is greater (contract price)
3. Postage and. IIandlitig (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 3(8. L:: n _
*
CONTRACT PRiCE•or JOB CUSP mc:nts (tie actual or estiillattxt dollar aniouut 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 clone. If any maletiial, equipment, labor,or installation are furnished by the owner,
Icnant or any other party the reasonable market value of SUGl1 items must be added to the estimated cost
or contract price for pernUl fee pi pQses. In the event that ihcrc is a dispute on the amount or the job cost,
the City inay request the submission of a signed txpy of the actual conirwt.
** The STATE SURCHAROF. is A=3 of the contract price under $1,000.000 or 1:.50 - whichever is
greater, For valuations over$1,000,000 call lite 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 iti strict accordance with the ordinances of the City and tate regulations of the Minnesota
State Building Code, and certifies that all statements rnadc on this application are complete, true
and correct.
Applicant's Signature: I
Date: /
Approved By: Date: