HomeMy WebLinkAbout1995 - 007097 - duct work only PERMIT
CITY OF ORONO PERMIT TYPE:
0 27.4 Kelley Parkway- P.O. Box 66
Permit Number:
CryMel Bay, Minnesota 55323
Date Issued:
(612) 473-7357
SITE ADDRESS:
4S0 LL
DESCRIPTION:
CUOT WORK ONLY
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: - - OWNER:
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1HE UNDERSIerqED HEREBY REQUESTS PERMISSICiN TO MAKE THE REN IMPROVEMENTS
SPECIFIED AND f)GREES TO DO ALL WORK IN STRIC- COr--PLIANC,E WITH ALL CITY OF
ORONO it. ANI) STTE OF MINNESOTA ElUILDING (...:05E REQUIRMENTS .
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APPLICANT PERMITEE SIGNATURE '"'' fl BY:SIGNATURE
06/20/95 16:16 THE CITY OF ORONO 612-473-7357 002
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL 1N ONION
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 IST IN UNTIL THE PERMIT CARD IS
POST- 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.
b. Ail 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.
Instructiorm 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
X Residential _ Commercial
JOB SITE: y-5C) Wrr,c w Zip:
Owner's Name: Telephone Number:
Mailing Address: ' ��C i- I 1 r'� _ City: C i'CV`-CO Zip:
Contractor'sName:_Er TclephoneNumber: .� "3 4 5 4 5
MailingAddress: -5(_N,t, City: C3iZip: '.15-51-1�+9
SYSTEM DESCRIPTION
HEATING SYSTEMS — -Dv ,c;rk L>Li e°a
Quantity: _. ..
Make:
Model:
Fuel:
Flue Size:
Input BTUs; _-
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: -
Make:
Model:
Tons: _
II. Power
06/20/95 16:17 THE CITY OF ORONO 612-473-7357 00-`
WOOD BURNING.. um_n_ T
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue Masonry
_ Factory Fireplace (s) _ Freestanding �,.
Wood Stove (s) Franklin, other
Brand Name _ Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia. _
Total
VENT LATION
No. Kitchen Exhaust ducted recirculating _ cfm
No, 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 Gas opening
Other
HERMIT FEE CALCULA'I'IQN
1. 1.25% of Contract Price* or Minimum Fee ($35.00),
I CO x .0125 $ 3_C)C)
(contract price)
2. Stat Surcharge. ** Add the State Building Code Division
Surcharge to each permit. I.";135.CX" x .0005 $ •(
(contract price)
or $.50, whichever is greater 1.50
3. Postage and Handlin (Only mail-in applications) $ ..
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or 1013 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.
Date:
Applicant's Signature:
Approved By:
Date: _..�...___
V
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED /e —.2 (o t4'..3 6
PERMIT NO. 7('09.7 COMPLETED
ADDRESS tit 5-0 W e Q /Cal
OWN ER Ul22/4-4CONTR. /?
TELEPHONE NO. 7? 3 - `J'S-S/S
DESCRIPTION
4,1
01 FOOTING 1 .a I 'L RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 3 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 03 INSULATION 24/25 WOOD :1- - (REPLACE 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
44 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
2 COMMENTS: t - 6 O I / $ /1
k%c4cti"-- etAA-'1 tAlvkareir__ ?CC
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� ❑ PROEl WORK SATISFACTORY:PROCEED
JECT COMPLETE
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
❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance.473-7357
Owner/Cont/ c on si :
Inspector. CtAit(1\
White Copy/Inspector's File Canary Copy/Site Notice