HomeMy WebLinkAbout1995-007563 (mech) i PERM T
��.I�Y� OF ORONO PERMIT TYPE:
'S0 Kelley Parkway- P.O. Box 66 � _.
ystal Bay, Minnesota 55323 Permit Number: _
?2) 473-7357
Date issued:
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REMARKS:
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FEE SUMMARY:
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ISSUED BY:SIGNATURE
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CITY OF ORONO AI'PLIC TION FOR MECHANICAL PERMTI'
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
G�NL+'RAL INFORMAI'ION
1. You may apply for mechanical permits by mail or in pe son at the City offices. Applications will be
reviewed and a permit will be issued within 2 working ays.
2. Permit cards will Ue sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST OT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Designs - Complete calculations, details an specifications are required for each heating,
ventilation, humidification-dehumidification, and air cond' ioning installation including heat loss/heat gain
calculation, design temperatures, equipment ratings and id ntification as to type, manufacturer and model.
Data shall be presentcd on form provided. Identification o and specifications for water heating equipment
shall also be provided.
4. When any new construction or remodeling is involved, separate building permit must be obtained.
5. All work must be done in accordance with the Un� orm Mechanical Code/State Building Code
requiremcnts.
6. All work must be inspected (rough-in and final). Call 4 3-7357. 24-hour notice required.
7. House Heating Test Record must be submitted before fi al.
Instructions Complete all items on this application. Compute t e 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 epair Replace
Residential Commercial
JOB SITE: ��`�-�� � c,� �,• Zip:
Owner's Name: elephoneNumUer:
Mailing Address: City: Zip:
Contractor'sName:�" ;rl� ,, ( r�b,�2 f --r • TelephoneNumber: 1?C��-t;�C��
�-� � � % � = � E` r Zi �533 (
MailingAddress: �_�_L�� � � �. �ty: �- x��p � P�
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: �
Make: `��,. K u�'v�QL� GA C��.t_ �, c��n S �
Model: "T�;�-��,i�� .
Tuel: /�/c,+�r�! �45 c� ' �� a�'��E d��/laG�
��lue Size: �V� �(U�
Input BTUs: t���CX�O �vts �L�����
Output BTUs: i Qc�, c��
CFM: i�,�O
COOLING SYSTEMS
QU111tlty: ;'
s
Make: ; pr K
Model: (_ r�c�z(�_
Tons: �
H. Power
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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.
V�NTILATION
No. Kitchen Exhaust � ducted recirculating , cfm
No. __ Bath Exhaust (must be ducted outside) cfm � -
No. Other Fans: Locations cfm
FLT�L 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)
x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ �
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only rnail-in applications) $ 1.50
4. TOTAL PERMIT 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 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 STnTE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichcver 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. �
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Applicant's Signature:%/� ; Date: , � -� �• /.���
Approved By: Date: �C — �—�s
r DATE TI(v1
CITY OF ORONO CALLED IN /� " � � ,� "�'� �
INSPECTION NOTICE 7 � SCHEDULED /.�� -/�-�S �'�`.c�
PERMIT NO. �-' J `�� � COMPLETED
ADDRES L �
OWNER CONT -l�,
TELEPHONE NO.
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� DESCRIPTION
� 01 FOOTING ��L MECHANICAL RI � 18 EXCAV/GRADING/FI LING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WET NDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECI�ION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 23 SEPTIC FINAL 35 HARD COVER REM VAL
J 10 PL NG FINAL 36 FOUNDATION/REM VAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO � I
� COMMENTS:
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� ❑CORRECT WORK R PROCEED f, ISSUE CERTIFICATE OF OCC pANCY
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OC CORRECT WORK,CALL FOR REINSPECTION TEMPORARV' I
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. — pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ` CITATION ISSUED ,
❑ INSPECTION REQUIRED.CAL�TO ARRANG ACCESS.
Call for the xt in ec ion 2 hours in advance.473-7357
OwnerlContractor dn s .
Inspector. G
White Copyllnspector's File Can y CopylSite Notice
DATE IME
CITY OF ORONO CALLED IN I��3� �� I
INSPECTION NOTICE ,., SCHEDULED � � % rt
PERMIT NO. � � ��� COMPLETED �
ADDRESS y�-.� �' ��'� �Gf
OWNER /�I/���' /��iZ�^z�-r���w CONTR. �f-2�z��s-azr�r.� � ��
TELEPHONE NO. � ��' �� / :� C �
� DESCRIPTION �/i�u'�'u'r�c%�- ����'���
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING ILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WE NDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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 D O-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER RE OVAL
J 10 P NG FINAL 36 FOUNDATION/RE OVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� ❑ RECT WORK&PROCEED i: iSSUE CERTIFICATE OF OCCU ANCY
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� CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN
INSPECTOR WILL RETURN - '
❑STOP ORDER POSTED.CAL�INSPECTOR � CITATION ISSUED
C INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspec ion 24 hours in advance.473-73�J7
OwnerlContractor on i e-
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIM
CITY OF ORONO CALLED IN -% �`
INSPECTION NOTICE SCHEDULED -`'��/"L- / - � ' �
PERMIT N0. �`����"� COMPLETED �_
ADDRESS � � � � �� �_=�-%�< ��-
OWNER, ,��� :,_1-z���-�- � CONTR. �"';7> . . ��
TELEPHONE NO. � �� �� � / � �" �>'
� DESCRIPTION ",v-' %�-��.__
� 07 FOOTINCi �' �1"�IECHANICAL R'`� 18IXCAV/GRADINCi WNO
� 02 FRAMING ` 13 MECHANICAL FINAL 19 LAi�SHORENV NDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
Z p5 FlNAL 14 SEWER HOOK-UO O6 PFiOGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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W 07 DEMO—FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REM VAL
� 10 PLUMBINCi FINAL 36 FOUNDATION REM VAL
� OWNER/CONTRACT�R TO MEET YOU:_YES_NO
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0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILLRETURN
❑STOP OROER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i f spection 24 hours in advance.473-7357
OwnedContractor i :
Inspector. '
White Copyllospector's File Canary CopylSite Notice
v
DAT TI E
CITY OF ORONO CALLED IN
INSPECTION NOTICE � SCHEDULED '�j � J � ! %
PERMIT N0. �� -� COMPLE ED �_
ADDRESS � ^�� � 5 � j
OWNER � CONTR.
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTINO 11 MECHANICAL RI 18IXCAV/GRADIN /FIWNQ
�Q 02 FRAMINd �IECHANICAL FINAI 19 LAI�SHOREJW DS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVA
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTI
Q
= 05 FINAL 14 SEWER HOOK-UO O6 PRO(iRESS
~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
Q 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING Fil 23 SEPTIC FlNAL 35 HARD COVER MOVAL
� 10 PLUMBINQ FINAL 36 FOUNDATION MOVAL
Z OWNER/CONTRACTOR TO MEET YOU:x YES_NO
� COMMENTS:
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� BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITH�N HOURS. r- pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑ CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
\
Call for the ext ins ction 24 hours in advance.473-735
OwnedContra t �on site
Inspector. �'!�
White Copyllnspector's File Canary CopylSite Notice