HomeMy WebLinkAbout1999-011648 - air conditioning PERMIT
CITI$PF ORONO PERMIT TYPE:
2%50 Kelley Parkway- PO. Box 66
Crystal Bay, Minnesota 55323 Permit Number: MECHANICAL
Date Issued:
(612) 473-7357 i:i�, �,G-4181
SITE ADDRESS:
TURNHAM RD
DESCRIPTION:
AI C:C;Nil DI T TAN1Nt
1 'TR COM 1TIONING MAA— CARRIER MODEL F64A i30
TCINS'
REMARKS:
FEE SUMMARY:
Base Fr:,,= $G MAIL IN
i'�=!'I.r+1'°TF' _�W____ $ s! Ttt .. F T S�,i'it1
i
CONTRACTOR: _ Applicant _ OWNER:
FLARE HTG ; AC' =.1-54-116- SEL1N`;'Y RONALD
__t_, =°L_YM0j J H AVE - ,t_� Tt l NHAM iii
GOLDEN DEN ` i=?LL E Y MN ! JR13NO MN 5535,-.-'
THE UNDERSIGNED NEkER'Y REQt SEE=T' F'ERi1 ISS i ON TO MAKE THEEAL.° t F'R#)�NTS
: 'EC I F T ED AND Af�RE Eti• TODOALL iF F�: I N �TR I CT CL1MPL I ANCE WITH ASL`-Cl TY -OF
ORONO ORDINANCES AND STATE :OF MINNESOTA BUILDING C13DE RE+*xUI RNT ..
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL L(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 working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
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, 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. Ail work must be done in accordance with the Unirorm *Mechanical Code/State Building Code
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.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICTIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600.
Please check one: 0 ` New Addition Repair Replace
Reside tial Co ercial
JOB SITE: (� Zi ?JGI GI
Owner's Name: Telephone Number: O q
Mailing Address: City: Zip:
Contractor's Name: Q �G t G Telephone Number:
Mailing Address: 3 kill) City: Zip:
SYSTEM DESCRIPTION ey
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS +
Quantity:
Make: {(
Model: 00
Tons:
H. Power
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.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
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 ($35.00)
UVLI x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. � ( � x .0005 $
or $.50, whichever is greater (contract price)
3. Postage and Handling (Only mail-in applications) $ 50
4. TOTAL PERMIT 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 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 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
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 made on this application are complete, true
and correct.
Applicant's Signature11 "" UADate:
Approved By: 0 Date: