HomeMy WebLinkAbout1997-009045 (mechanical-a/c) •. PERMIT
�lITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 = `.;�� i ;_:{:w
Crystal Bay, Minnesota 55323 Permit Number: :i,;;�,;�
(612) 473-7357 Date Issued: _ _
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICAT'ION FOR I��IECHAi�tICAL PER��IIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, �IN 55323
GENER.AL Pi]FORI�iATION
1. You may apply for mechanical permits by mail or in person at the Ciry offices. Applications will be
reviewed and a permit will be issued within 2 working days.
2. Permit cards will be sent by re[um mail after a review is completed. PERMITS ARE NOT VALID
tiNTIL YOU RECEIVE A PERMIT. WORK N1UST NOT BEGI�t UNTIL THE PER��fIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical DesiQns - Complete calculations, details and specifications are required for each heating,
ventilation, humidification-dehumidification, and air conditionin�installation including heat loss/heat gain
calculation, design temperatures, equipment ratings and identification as [o rype, manufacturer and model.
Data shall be presented on form provided. Identification of and specifications for water heatin; equipmenc
shall also be provided.
4. �Vhen any new construction or remodelin; is invoived, a separate buildin; permit must be obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/Scate Building Code
requirements.
6. All work must be inspected (rough-in and final). Call 473-7357. 24-hour notice required.
7. House Heatin� Test Record must be submitted before final.
Instructions Complete all items on this applica[ion. Compute the permit fee. Sijn 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
JOB SITTE: �`7�+,rJ �'���2�°.���,r��� Zip:
Owner's Na�ce: . � Telephone Number: �.���/. �'/5�
Mailing Address:��.��� City: Zip:
Contractor'sName: TelephoneNumber:
MailingAddress: City: Zip:
SYSTEM DESCRIP'TION
HEATING SYSTEMS
Quantiry:
Make:
Model:
Fuel:
Flue Size:
Inpu[ BTUs: —
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make:
Model:
Tons: -�
H. Power
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WOOD BURNING EQiTIP�NT
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.
Mf�r's Min., Clearances, side , rear , min. flue dia.
VENTILATION
No. Kitchen Exhaust ducted recirculati.ng cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: �allons underground inside outside
LP Gas: gallons
Other Gas opening
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PERMTT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�.,�1S�� x .0125 $ �i.S.GI�
(contract price)
2. State Surcharge. *�` Add the State Building Code Division
Surcharge to each permit. x .0005 $ /� �E�
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � 7, r1�=
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profi[, and other fized costs. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor, or installation are fumisbed 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[he amoun[of the job cost,
the Ciry may request the submission of a signed copy of the actual contract.
** The STATE SURCHARGE is .000� of the contract price under $1,000,000 or 5.50 - whichever is
sreater. For valuations over �1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the Ciry for issuance of a Mechanical Permit, agrees to do
all work in strict accordance with the ordinances of the City and the reb lations of the Mi.nnesota
S[ate Building Code, and certifies that all statements made on this application are complete, true
and correct.
Applicant's Si�nature!��� � , Date: �����-4 7
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Approved By: Date: