HomeMy WebLinkAbout1995 - 007050 - mechanical 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:
CITY OF ORONO
FINANCE OFFICE
1311100000
01 la 50.00
1222200000
01 LEN 2.00
CIECK I 52.00
RECEIPT--THANK YOU
#137z-740
REMARKS: C001 ROI T08:1'
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FEE SUMMARY:
CONTRACTOR: _ f _
OWNER:
,74 7 7
-"HE UNDERNt HEREDY REOUP:-.:7S PERMSSION TO MAKE THE REAL 1MPROVEMET
SPECIFii:-J AND r'ir.JRZES TO 00 ALL WORK IN STRICI COM::'LIANCE jAiITH ALL CITY OF
OFir O JP 1NANC:E AND .)F MINNESiOTA P3ILDING CODE REOUIREMENTS .
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APP CANT:PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
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 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. 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
72
Residential Commercial gyp. �� (
JOB SITE: ,��®/ G�J• (/�„� �—red.
Owner's Name: z'6- 0 C Telephone Number: 9'a70-_ 77
Mailing Address: a(7Q W- (, �L �� City: GYL Zip: ,S��ry
Contractor'sName• O//�� Telep oneNumber: _
Mailing Address: ��d T2J1 City: �7TeC Zip: / 7/7- j- ,U
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make: /
Model:
Tons: 3
H. Power 3
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.
s Min., Clearances, side , rear , min. flue dia.
Total
VENTILATION ----__"�
No. Kitchen Exhaust ducted �rccirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other-Faris: Locations cfm
-- Total
FUEL STORAGE (MUST BE APPROVED BY FIREMARSHAL)_____..- ----
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)
3& x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications) $ 1.50
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 c- "ifi-sthat all statements made on this application are complete, true
and correct. .
, i . Ale 471 AO
Applicant's Signature Date: bb,fr
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Approved By: Date:
G/
DATE TIME
CITY OF ORONO CALLED IN - D1- `-_) '0-77 ,
INSPECTION NOTICE SCHEDULED 4 =meq- J /c) :6r,f) 014,
PERMIT NO. -7 n'-5LCOMPLETCOMPLET D
ADDRESS o; (O cv 1 0_ . A:� _r ti' �C /_
OWNEC ��`'a� CO TR. .a..-_ti } '` t
TELEPHONE Isib. ci. 7 P - ,-s-- --
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DESCRIPTION
1.1.,
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING ;13 MECHANICAL FINAL_ 19 LAKESHORE/WETLANDS
h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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= 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
o COMMENTS:
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W WORK SATISFACTORY:PROCEED PROJECT COMPLETE
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CORRECT WORK&PROCEED Li ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
O BEFORE COVERING
V PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
C CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.KCall ne i spection 24 hours in advance.473-7357
Owner!Cont 'tor on s
Inspector. ,/
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