HomeMy WebLinkAbout1994-006608 - ac system PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66
Permit Number:
Crystal Bay, Minnesota 55323
Date Issued:
• •-•• • -
(612) 473-7357
SITE ADDRESS:
DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: OWNER:
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THE UNDE-RSIGNE0 HERE2Y REQUESTS PERM.[SSION TO MAK THE REAL IMPROVEMEN -S
SPECIFIED AND AGREES TG DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY 1.:F
ORONO OROINMCES AND STATE OF M (NNESOTA 31j1LOING CODE REc.,J)IREMENt !::: .
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APPLICANT1PERMITEE SIGNATURE —11/4", ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
C RAI, ORTvi _L N
I You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a permit willby return ml after a review is complete . PERMITS be issued within 2 working days. ARE2 P
UNTIL YOU RECermit cards willCEIVEtA PERMIT. as WORK MUST NOT BEGINdUINTIL THE PERMIjOT TCAD ID
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POSTEDN THE JOB SUE.
3. Ivlechan'cal Desian 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.
J. 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 APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one:
New Addition Repair Replace
Residential )(- Commercial
JOB SrI'E: , a) Lc) Wil Z, Zip:ip: ,fig��i(
Owner's Name:___j0EA) Ni TelephoneNumber: 97 3-• ilt/(v
Mailing Address: „..)-60 t...)/4- it .15 City:609 y Z/rA Zip: 67.T37/
Contractor's Naule• /ad I'U C i Ce - C- Tele honeNumber:_k '0'
Mailing Address: 3_� -aS 7 S ST City: �' pA-1-11-- Zip: TS7 p g
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model: -
Fuel:
Flue Size:
Input BTUs: _
Output BTUs:
CFM:
COOLING SYSTEMS 1
Quantity:
Make: a tem _
Model:
Tons: S
H. Power
7.00 LS`_L-SLP-7T9 ONOO A0 ;ll::) 9Hl 60:60 t,6/22/E9T
WOOD BURNING EQT W— N'Y'
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 thin_ flue dia.
Tota!
VENTILATION
No, Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfrn chn
No. J-� Other Fans: Locations Total _
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PE IT p'EE CALCULA'l'ION
1. 1.25% of Contract,Price,* or Minimum i , $ ($35.00) .0125 $ /50- the
(contract price)
2. State S rcharg " Add the State Building Code Division
Surcharge to each permit. / �� x .0005 $ 6 . c e
(Eontract price)
or $.50, whichever is greater $ 1.50
3. Postage and Handling (Only mail-in applications) -
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ / 5?- 50
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 Ciry 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 Servicca 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 certiftcs that all statements made on this application are complete, true
and correct.
Applicant's Signator
Date:
I
Approved By: ��i� Date:
£00 LS2L-21..P—ZT9 ONOc1O d■ ALIO 3HL 60:60 P6/22/0T
DATE TIME
CITY OF ORONO CALLED IN //-0Z,2 4/
INSPECTION NOTICE SCHEDULED // ".� 3 �� % 3 C'
PERMIT NO. Lc 6 a COMPLETED
ADDRESS C}L) tot'Cr
OWNER 0-''<ft.1 zw - C CONTR. /i / c'J
TELEPHONE NO. 9 YC' ( fr 91- 1.)
,4
( 1
W 01 FOOTING 11 ME IIiAN_I L RI 18 EXCAV/GRADING/FILLING
ci 02 FRAMING 131ECHANICAL FINS 19 LAKESHORE/WETLANDS
O 03 INSULATION 24/25 WOOOBDRNER/FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO/MEET YOU: YES NO
COMMENTS: /( ' 7-A.7
CC
CC
W
CC
CC
RK SATISFACTORY:PROCEED .KKOJECT COMPLETE
CC W ❑ CORRECT WORK&PROCEED .= ISSUE CERTIFICATE OF OCCUPANCY
• ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
Li STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractorte�
Inspector:
White Copy/Inspector's File Canary Copy/Site Notice
CITY OF ORONO CALLED IN
"DATE
� ''3o
INSPECTION NOTICE!„ 05 SCHEDULED J/197
—9 pa-O,4
PERMIT NO. lX COMPLETED
ADDRESS `="1°° 14) a Cl
OWN ER � � L C• CONTR. 1te—w-rm.-4..C'�
TELEPHONE NO. 946-- q5 1
• / I / • //
DESCRIPTION_ — . _
W 01 FOOTING 11 u - 16 WELL TEST PUMP
c• 02 FRAMING a CHANICAL FINAL 18 EXCAV/GRADING/FILLING
03 INSULATION 24/25 WOOD BURN ' FIREPLACE 19 LAKESHORE/WETLANDS
• 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
W "• P u:: 15 SEPTIC INSTALL. 22 FOLLOW-UP
�Y SEPTIC FINAL
Z O •` - TOME ••u• ' YES NO
CD COMMENTS:
eticGt-t •Se-4
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•' '06441 .Ce 6C;de, etAC/O-S
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W
cc
W
W
CC
WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C) BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
ElSTOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contract
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice