HomeMy WebLinkAbout1993 - 005161 - mechanical • PERMIT
TY OF ORONO
PERMIT TYPE: ME_C:HAN I y.AP__
2750 Kelley Parkway • P.O. Box 815 Permit Number: ;c; 1
Orono, Minnesota 55356-0815 :t:_ I_
(612) 473-7357 Date Issued: 0F..,/1 /193
SITE ADDRESS: //3/
-=i IW I LOF-P!!RST TR
CH
P . I . N. ; 07-117-23-24-0043
DESCRIPTION:
HTG SYSTEM
1 HEATING SYSTEMS Ft:IEL NATURAL AL GA=_, MAKE CARRIER
MODEL 5;-:';X+::130--i i OUTPUT 1� 4)f f0
INPUT 132, 000
1 AIR CONDITIONING MAKE CARRIFR Mi-'DEL _. ; IMA :F,u
TONS
CITY i i iii ORONO
FINANCE OFFICE
1L•L
131 3300000 000 a'
Tr
V1 LLT 15,5.00
REMARKS: ;L„
_ V1 LL!T 6.20
1,351!''C:!00VVAt
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FEE SUMMARY:
RECEIPT-THAW -?=
VALUATION S _ 395 #273030
C001 ROI TO 7•45
05/1 9/93
Base - - $155 . 00 h-IL IN $1 . 5j
Surcharge in , ' Total Fa_ $152 . 70
. 70
Subtotal $151 . '20
CONTRACTOR: - Applicant - OWNER:
AF'LILLO H=ATING & VP NT I L HT I 3770060 +:i ILLI TON JOHN
551 'i HWY 36 BLVD 1133 WILDHURST TR
OIAKDALE MN 55128 ORONO MN 5,5354
(512) 770-0503
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
ORONO ORDINANCES AND STATE OF MINNESOTA E:i JILDING CODE REQUIREMENTS.
LI
L-//27-1 "-Gil . " i.,.
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ,C-0L
mc--2AcT
IL`y L
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 'APR 2 0 1 093
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 )X Addition Repair Replace
Residential Commercial
JOB SITE: 1131. L.dNu 2ST'"j'(Z , Zip: SS 323
• Owner's Name: 5oki ak.16v ISe. rzzGtS Telephone Number: 7)A-3 2-65
Mailing Address: 22I 1 VA U-EV V, c&L PL. City: C • PAUL Zip: X115
Contractor'sName: P-ppt_Lb }-(EAT)&S6 TelephoneNumber: Y?0-0603
MailingAddress: (051 a IJ N(uY 36 OLU b. City: OAK AL Zip: S 3 I
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make: GAP-Li E.
Model: 5$SXCI 2.A-Ll5
Fuel: FIAT, 6AS
Flue Size:
Input BTUs: ( 3Z,oob
Output BTUs: j 2 Z,o a°
CFM:
COOLING SYSTEMS
Quantity:
Make: C +,eRi E2.
Model: 'nt 40!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.
Total
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. 4 Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
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) _
j 2.3`iS, x 1.25 $ ISS "
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. I 2-31 5, x .0005 $ , zo
(contract price)
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ J(,2 7O
* 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: le Date: —(
Approved By: T- / Date: /r 3
/DATE1/-
DATE
TIME
CITY OF ORONO CALLED IN S /O'— 93
INSPECTION NOTICE SCHEDULED "/y '��
PERMIT NO. _S/(c/ COMPLETED iq
ADDRESS //,_V I ' - 2' T�
OWNER CONTR.
•
TELEPHONE NO. � 7 6 - / F.:2/DESCRIPTION feys '
01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
IQ 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS: P/ i
C
a
CC
CC
CC
CC
d WORK SATISFACTORY:PROCEED
CC
� ❑ PROJECT COMPLETE
W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR E CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contrr co site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN .6 l4- y3
INSPECTION NOTICE SCHEDULED 5--o D 4 m
PERMIT NO. COMPLETED 'S-a0 7I1
ADDRESS II 31 T�
OWNER C CONTR. 6402.0t- -
TELEPHONE NO. 2 7�- / 9 /
DESCRIPTION L o 0-y7
IQ 01 FOOTING •ClgCHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
• 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
`4 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
• OWNER/CONTRACTOR TO MEET YOU:_YES NO
1/1
o COMMENTS:
CC
Lu
cc
0
cc
0
W
cc
Q
Lu
Lu
cc
WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
C ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑
CITATION ISSUED
STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contra o ite•
Inspector.
White Copyllnspector's File Canary CopylSlte Notice