HomeMy WebLinkAbout1999 - 011718 - a/c 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:
27f;0 WHITF OAK CIR
P
DESCRIPTION:
AIR CONOITIONING MCKE LENNOX H526-03-:7;
TONS
REMARKS:
FEE SUMMARY:
V A T I ON
Base F. -? MAIL IN FEE zi
S r C h.9.r Total FPe S3 7 .5 7
11)„lit0.0
CONTRACTOR: - App1ic,,int OWNER:
KLEVE HIG AC :39 Li•14211 SHANNON KATHERINF
t- ILMTM Litu WHlTE OAK CIR
I kit. IN SS347
76,-
THE UNDERSIGNED HEREBY REQUES(S PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIF.D AND -GREES TO DO AIL WORK IN STRICT COMPLIANCF WITH ALL CITY OF
ORONO OROINANCFS ANO siATF OF MINNEIL,01A Rijn DINCi CODE REQUIREMENTS .
L_ APPLICANTTERMITEE SIGNATURE ISSUED BY:SIGNATURE 4641,Y__
I/ -i /8
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 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 APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600.
Please check one: New Addition Repair 17Replace
Residential Commercial ,
JOB SITE: a –7 �P_o1, �–_�J . Q G-�_ Zip,
Owner's Name: -hK a+N o��� Telephone Number: Cc i - `-( gs E
Mailing Address: City: Zip:
Contractor's Name: I A1C Telephone Number: (Lc, ciL/ -- / I
Mailing Address: I,3t) 7 S P, ,, ti e� City: T�-fin Zip: . ---5-4/3 7
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make: h o�L
Model: 1+5DA, -/D 3 So
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) 0 0
/.�?> oo x .0125 $ --
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. ` x .0005 $ I , 6-7
or $.50, whichever is greater (contract price)
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 3 7 s7
* 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 Signature: CisA\CL.Q j _.___ Date:
Approved By: Date:
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED (1a�
PERMIT NO. 11 71 9 COMPLETED .1 CC)
ADDRESS ,776,C, c '- k c
OWNER CONTR. I-e'
TELEPHONE NO. (a)-- 4L// - y �
E DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING3 ME'�CH N C L Fl NA L(0-- 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
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
• 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
IQ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
'c OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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OW WORK SATISFACTORY:PROCEED PROJECT COMPLETE
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❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C: PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
—i CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor on site:
Inspector. 1' C'-vt OCk-I/ 3
White Copyllnspector's File Canary Copy/Site Notice