HomeMy WebLinkAbout1996-008185 - mechanical PERMIT
�CITY OF ORONO PERMIT TYPE:
y 2750 Kelley Parkway- P.O. Box 66 f`;���:`������{:�=?�
Permit Number: ;;;-;;�;�;;;�
Crystal Bay, Minnesota 55323 =�=
(612) 473-7357 Date Issued: t;����::;;�.��-,
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO \� APPLICATION F0J��12E�(;�A�T�AL PERMIT
Box 66 (2750 Kelley Parkway) �,� �
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may appiy 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 retum 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 Desi�ns - 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
shail atso �e p.aviL�d.
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
Residential Commercial
.TOB Sl�: �-I�,p�c,u.� �r��c�m f� X� 1 �a�: 553G I
Owner'sName: �_,�.r�l �- Kr�S �rek,m TelephoneNumber:
Mailing Address: �30 �,�.k, �rc�,�r� �,ccacl City:�r�� Zip: 5 53�i(
Contractor'sName• �- ' �- cmc� • TelephoneNumber: 941-U�ZI(
MailingAddress: I �n-�� p;n►�c�r r�l', 0 City: �dPm Pr�� n�'�Zip: 553y��1 .
znSt�.�linc�. L.en,rox �-r►�c�. GZt�c�31�+ -ibo �L.(�•��)
SYSTEM DESCRIPTION L�nox �n� GZ�ma-ti 5(.L• P.Go s�, ►�i r-Ccmd- A CUiS1-,
� Ce.�l Sv-PP�y�f�ir - ZCe.,�l '�,�nl�ti�', GUs�ny -�,r�p�c�ce ol- Coo�--t�P
HEATING SYSTEMS
Quantity: � �
Make: � P.nn oX �.PmnoX
ModeL• C, a�031y-�ooC����� C�Zyma-�IS'CL•Pc�)
Fuel: IVC',� (��GS �.'��-� ��C�.S
Flue Size:
Input BTUs: I(��GOb �5, Y�
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
�
,-�f ,� ,
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WOOD BURNING EQUIPMENT
Wocxl 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.
Total
VENTILATION
No. Kitchen E�aust ductecl 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
PFRMIT FEE CALCULATION
1. 1.25%of Contract Price* or Minimum Fee ($35.00)
� , c�(�(�.Q� x .0125 � Ga. �
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. �, l� (�C�� UO x .0005 $ �. �O _
(contract price)
or $.50, whichever is greater
3. PostagLe and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �-1 �l�
* 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 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 accord nce with the ordinances of the City and the regulations of the Minnesota
State Building Code, an ertifies that all stat e ts made on this application are complete, true
and correct. '
Applicant's Signature: Date:
A roved By: Date: �� (�/ �
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DATE_ . TIME
CITY OF ORONO ca��Eo iH '��'Y ���t= � ''"� �/y/
INSPECTION NOTICE � scHEou�Eo �-� ->�� %<-'^�' �i'/I
PERMIT NO. ` � �-�/ COMPLETED �
ADDRESS ���) ���[ ���. � _ <� .
OWNER -�.-C'_�-���-� CONTR.�_,��',c�-c'- ���
TELEPHONE NO._ ��/- S��//
� DESCRIPTION �Z ��=u-c-
� 01 FOOTINCi �1 MECHANICAL 18IXCAV/GRADINC�/FIWNCi
� 02 FRAMINO �t3ME@HRNICA�-FINAL t9 LAI�SHORE�WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
Z 05 FINAL 14 SEWER HOOK-UO O6 PROGRESS
~ 07 DEMQ—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEMO—FINAL 75 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
J 70 PLUMBINQ FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED : PROJECT COMPLETE
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� �CORRECT WORK 8 PROCEED `i ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r-� pHOTO TAKEN
INSPECTOR WILL REfURN `
O STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION REOUIRED.CALL TO ARfiANGE ACCESS.
Call for the next in pection 24 hours in advance.473-7357
OwnerlContra n sit :
Inspector.
White Copyllnspector's File Canary CopylSite NoHce