HomeMy WebLinkAbout1995-007292 (mechanical- A/C)� PE. , IT
I' CITY OF ORONO
PERMIT TYPE: , : :.. , . . :
2750 Kelley Parkway- P.O. Box 66 . Permit Number: _ :"'
Crystal Bay, Minnesota 55323 Date Issued: - _
47 -7357
I 612 3
� )
�, SITE ADDRESS:
, ; - ; ; -;. :- :
. . .
DESCRIPTION: �
_ . i._. . .. _'Iti_ ... ! _�.��`i�!'�'._ . ._. .__... 1 .�_'�.iL.LL�_'. . . _ T•j;..';'.r -''_,i:��,�i_�'." i �..
i�
il
�
. L... . .�...
. ..' �"�.��_...
1..� _ _.
.i.::.__,._�. , ... ,
REMARKS:
FEE SUMMARY:
. , .�_ ..'r�. _. . - . , `_ . �
,_, . =: ���: - -;�€
'_.'-. ' �..=:r� ...;._c._� , � i 7 .. .1.L..
L�:3
_ .`;f-: i._ . �_,..�.�..___ .::
'�!_�i'._#-'.=i:y __........_.....�._._ - - i t::'_��.z - �.� - _ . . �`�-�
T'�'-T`-k �}-- — _. .- . ._ - .
t
C4NTRACTOR:.. _ �, ,. OWH�.F�: .
, ,�; ;: =�;._ . ._ _ _ . .. _ _ _ __ . � ,
. . '•..5:'i '_ i � , _ ��tt``EI!• - . _` f
___ . .: _ ... -._ s k �..
... . _ .-..'•.L.. _. .. '._� ' .. . _
{:,;r.:},3:_{-a:=�,-. �:- -. . " _ -_ .. <��:_. ._ .,., u .- - - _
.. . ,
_. , . _
, ..,.,: �_ F_,.:;r�_
; : :p.`j:": i."S?33
. . , , ; .' i' ' �: . .3..s'.. - �i.. �.V_._. ' .�:.,.. _; .. ..» _. . ..._. _. _ ... . . . . . . _ ._
� ' .. ,. , ? ' ' _ - _ ' ._ . . ... _ . . .
— • � . _ �_.�� . .....'.... - , .. . _.. . _ . , .
, :p: �: i ` ' I
. . S'. «• ' _ -..f_f .'. �.L_� . ..,_. ....._ _. { . ...
_ . ._ .:�:. ...�_ '. .;_t -_. . i . . ... _. ' s _ _ _ _..�. .,.. . � ._ _ _ _ , . _ .,., . . .. .
, ' ;
� - • �
n
. � , .. ._ z : '. . ..
._�: ,E._ _, . _ ..�.�.. ..: ... . . . , -.. ... ; .�» . .. ...:��:. ,,: . . �
L
� ��,L �,�a�.-�, �...C.w-
APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE
� _ . -
' 4
,•� �ir=UfV'��._._�f��
i
CITY OF ORONO APPLICATTON FOR MECHANICAL PERNIIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 A U� 1 8 -���J
._ r, �n.�r-
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City o�ces. 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 PER�tIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical DesiQns - Complete calculations, details and specifications are required for each heating,
ventilation,humidificacion-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. W�en any new conscruction or remodeiing is invoived, 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 fina]). 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
Resideatial Comn:erci�l
JOB SITE: z�� �`� a.,; -,,,��-�, .��f' ZiP: " �
Owner's Name: �A� �,,�,� + �,> -,,,,,,�� �-�_��-�.�-�-1 � Telephone Number: . - -
Mailing Address: -,�.; -�.� (� . �a-Y, ; � Cit3': �,��•� Zip: s �; �i
Contractor'sName: TelephoneNumber:
MailingAddress: a�nwFSTIwKESTREET City: Zip:
MINNEAPOLI3,MN 55108-2998 ,.
SYSTEM DESCRIPTION 6�2�8242sse ' - Y
' ,), I
i
HEATING SYSTEMS
Quantity: � -=-
Make: �.,,.,,�--1=_-
Model: � --
FueL• �-�
Flue Size:
Input BTUs: _?�,�c..�- ._ -
,
Output BTUs: /_.
CFM: ��E-,,._
»�
COOLING SYSTEMS
Quantity: �
Make: �:,, !
Model: � �`��
Tons: `>
H. Power �
�
WOOD BURNING EOUIP1�fEI�"T
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.
Total
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
Na. Qt�':�r F•ans: i.,o:,at:�:is cfm.
Total
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMI'I' FEE C�.I.C[TLATIt?i`�
1. 1.25% of Contract Price* or �finimum Fee ($35.00)
)�j 7 5 x .0125 $ ;.::� c���
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ , �:,�
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � � ,�� �;
� CONTRACT PRiCE or 30B COS[means t�.e ac�uai or estimateci doiiar amount charged for the permitted
work including materials, labor, pmfit, and other fued 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 Ciry may request the submission of a signed copy of the actual conuact.
** 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 certi e that all statements made on this application aze complete, true
and correct.
Applicant's Signature: '� Date: `.� ��-� `
Approved By: 1� � Date:�j 'iA $