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1999 - 011961 - mechanical
PERMIT t';ITY OF ORONO 2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE: �_�� :f F'<�;;�CAI _..- Crystal Bay, Minnesota 55323 Permit Number: 011 9r_+1_ (612) 249-4600 Date Issued: 1 €:F.`it t9 SITE ADDRESS: j_ 880 W t Fti'.i.'AMMEi` LA DESCRIPTION: _ HEATING A/C MME DE €3 .5 ;�1i1 3 l? r:` 'it,) INPUT '75,000 ANINC; MAKE* Et�;`ri_r `s. '1 3 s !i = .�'t:—1}: ` i TUNS 2 .S REMARKS: FEE SUMMARY: U'1 13_T ION $4,295 $53.69 MAIL IN FEE RasP Sur e ._ Tota_•�-E i Fee ' ?t . ..+`4 Subtotal "�-:„+C _ ia�.}. C©N'#ACT R , AC _. 3'3414211 fid• ..A4 1 ( _ YOLAaNRE Li€ 13075 F I CiNi'„i• TRA- i ��i� r i F I-i°ild'"•�^ A::C`N RitIF: E .°41 + s .7 <,ORONO �' - Y (•512) 941-4211 }.' ,}^af �a.i 'S7,,+f 1 ,�:- - 4 . } i Sf � I �. � i 3 x:33 '� !� ] 1^'�, � „, 5 pp ,pp q i =4`v f 3 1) i� .� �4,, ti ty• r • 3 • gi/af_le :>(/)')\ /)Y016 (2/7-142-/-7 APPLICANT/PERMITEE SIGNATURE ISSUED BY.SIGNATURE ge 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 X- Residential Commercial JOB SITE: \ Zip: Owner's Name: j A,,\r Q B' 2r► \' -r-biTelephoneNumber: Co 12Gt90E3- 938 c'T Mailing Address' �� � i ., ,rte p ity: ©rte v Zip: _S=34o Contractor'sName: TelephoneNumber: (o t MailingAddress: KLEVE HEA Zip: & AIR CONDITIONINGNC. SYSTEM DESCRIPTION 13075 PIONEER TRAIL EDEN PRAIRIE,MN 55347 HEATING SYSTEMS Quantity: Make: Model: C eco Q Fuel: Flue Size: Input BTUs: —J� a p c) Output BTUs: (o61,-7 c� n CFM: COOLING SYSTEMS Quantity: Make: „ . / Model: . Tons: , 5 H. Power 1015-2) C 1-M WOOD BURN I G E O UIPMENT Woad stove with flu- Woo I u•Woo. combination sr add-on Factory ireplac: with flue Factory e p .ce (s) Freestanding Masonry Wood Sto ) Franklin, other Brand Name �(sModel No. Mfgr's Min., Clearanc: , side , rear , min. flue dia. VENTILATIO No. Kitc'-n Exhaust ducted recirculating cfm No. Exhaust (must be ducted outside) cfm No. 0 i er Fans: Locations cfm FUEL STORA 6 (M . T BE APPROVED BY FIRE MARSHAL) Installation Removal Fue :' : gallons underground inside outside ' Gas: gallons Other Gas opening PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) Q ° � x .0125 $ 53 L7 1 (contract price) 2. State Surcharge. ** Add the St a Bui i g Division a , Surcharge to each permit. x .0005 $ 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) $ 5-?, 3 4-1 * 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: Date: 0• . c Approved By: � t Date: a DATE TIME CITY OF ORONO CALLED IN _ INSPECTION NOTICE . / SCHEDULED (-7'"�- PERMIT NO. //q1 COMPLETED I Jf�zj7q 7 <- ADDRESS %>c >'- r� h_ J� 111 OWNER CONTR. (-, �'� f TELEPHONE NO. DESCRIPTION LLQ 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FI A 3 19 LAKESHORE/WETLANDS h 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 v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W C cc,ciddrar _e c_ ccO W NORK SATISFACTORY:PROCEED ROJECT COMPLETE CC O CORRECT WORK&PROCEED LI ISSUE CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY O) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN PHOTO TAKEN ❑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/Contra �lctor on site: Inspector. j/2 )C 1J/ ' White Copy/Inspector's File Canary Copy/Site Notice