HomeMy WebLinkAbout1993-005762 (mech) P�RMI�'
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: '�_���''�`��`'�`-'�'`-
Orono, Minnesota 55356-0815 `-'`-''�'�='�
(612) 473-7357 Date Issued: , � :_�.., ;,�,._,
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AP / MITEE SIGNATURE � ISSUED BY:SIGNATURE �
CITY OF ORONO APPLICA ON FOR MECHAIVICAL PERNIIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in per on at the City offices. Applications will be
reviewed and a permit will be issued within 2 working ays.
2. Permit cards will be sent by retum mail after a review s completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST N T BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE. '
3. Mechanical DesiQns - Complete calculations, details an specifications aze required for each heating,
ventilation,humidification-dehumidification, and air condi ioning installation including heat loss/heat gain
calculation, design temperatures, equipment ratings and id ntification as to type, manufacturer and model.
Data shall be presented 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 form Mechanical Code/State Building Code
requirements.
6. All work must be inspected (rough-in and final). Call 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 he 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
Residential Commerci
JOB SITE• ',�.-� - . i� Zip:
Owner'sName: v % �,..��� TelephoneNumber:
Mailing Address: City: Zip. `
Contractor'sName• _ � , �=� �`— C��� 3- ,.TelephoneNumber: , ���- 3"?�i 7
MailingAddress• - C ��i � 3�_� s �� City:���'„� :_���7«1..= ZiP: � ����3 f'�
SYSTEM DESCRIPTION ��Y
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HEATING SYSTEMS `�
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM: -
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power _
li
WOOD BURNING EOUIPMENT
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. `�,f�%Z
.��c 5� ' a. �
Mfgr's Min.�eara�ces, side ' t ��, rear��, min. flue dia. // "
Total
VENTILATION
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
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
,1,��'�' .. x .0125 $
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-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 chazged for the pemutted
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 fumished 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 Pernut, agrees to do
all work in strict accordance with the ordinances of the City and the regulations of the Minnesota
State Building Code, and certi�es that all statements made on this application are complete, true
and correct. ,
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Applicant'sSignature: �- �� ' �_-� Date: � -�� �
Approved By: Date:
DATE z TI E
CITY OF ORONO CALLED IN ����"�—yJ
INSPECTION NOTICE SCHEDULED //- '2 � t ` r�'
PERMIT NO. � ���' "� COMPLETED T_
ADDRESS y��-S ��t,���.-�-<t`-�
OWNER C�'�.�u��� 1�ialc���=� CONTR. -� .-�-L� , C�-�-��
TELEPHONE NO.
� DESCRIPTION ��L
� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICA�FINAL 18 EXCAV/GRADING/FI LING
� 03 INSULATION 24�YVOOD BURNER IREPLACE ' 19 LAKESHORE/WETLA DS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
`� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 P�UMBiNG FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMME S:
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� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑ CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCU ANCY
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� j CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. L, PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR " CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73rJ7
OwnerlContractor o�` ez
Inspector.
White Copyllnspector's File Canary CopylSite Notice