HomeMy WebLinkAbout1999-012307 (Mechanical) � = PERMIT
CITY OF OROIVO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �s;r�_������'�;ff•t;
Crystal Bay, Minnesota 55323 Permit Number: ,V , :,:_iri�'
(612) 249-4600 Date Issued: ��''
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SITE ADDRESS:
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REMARKS:
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I FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �
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� CITY OF ORONO � APPLICATION FOR ME PERMIT
Box 66 (2750 Kelley Parkway) CH���� ` -,
Crystal Bay, MN 55323
GENE_RAL 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. PERMTTS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desians - Complete calculations, details and specifications aze 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 sgecifications for water heating equipment
shall also be provided.
4. �Vhen any new construction or remodeling is involved, a sepazate 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 x Repair Replace
Residential Commercial
JOB SI1'E: �� �b�'n Zip:
Owner's Name: �O , Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: VO�T HEATIMta d�AIR tA!lDlt'IflNll� Telephone Number:
Mailing Address: � 3280 GaRHAM AYf. City; Zip:
SALES 829-8767 SEfMCE 929-4411 �
SYSTEM DESCRIPTION
HEATING SYSTEMS r
Quantity: 1�C V�Y1��� C'�Pi� (/P/�l(�CC1C) '�
Make:
Model:
Fuel:
Flue Size:
Input BTITs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Ntodel:
Tons:
H. Power �
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WOOD BURNING EOUIPMENT �
Wood stove with flue �
Wood combination or add-on �
Factory fireplace with flue �
� Factory Fireplace (s) Freestanding Masonry
f Wood Stove (s) Franklin, other
Brand Name Model No. '
Mfgr's Min., Clearances, side , rear , min. flue dia..
� VENTILATION '
` No. K�tchen Elchaust ducted recirculating cfm �
No. Bath Elchaust (must be ducted outside) cfm �
No. Other Fans: Locations cfm �
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FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) �
Installation Removal �
� Fuel oil: gallons underground inside outside
LP Gas: gallons i
Other Gas opening '
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PERMIT FEE CALCULATION
1. 1.25% of Contract Price�` or Minimwn F ,e 35.00 �
c x .0125 $ ���
' (contract price)
, � 2. State Surcharge. ** Add the Sta.te Building Code Division ��-�
Surcharge to each permit. �� x .0005 $
or $.50, whichever is greater (contract price)
� 3. . Posta,�e and_Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERNIIT 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 chazged 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 Ciry 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 ma.de on this application are complete, true
and correct.
��� Date: �// �/�� �
Applicant's Signature: j � �
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Approved By: Date: �
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