HomeMy WebLinkAbout1996-008208 (mechanical) 1 � PERMIT
CITY OF ORONO PERMIT TYPE:
�750 Kelley Parkway- P.O. Box 66 tsiFC:?-�c:���T�;�I
�rystal Bay, Minnesota 55323 Permit Number: t ti f;-;:;_;;;
612) 473-7357 Date Issued: �;.,�._„��,��:,
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APPLICANTPERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHAIVICAL PERMrT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical pemuts 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 RECENE 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 mociei.
Data shall be presented on form provided. Identification of and specifications for water heating equipment
shall also be provided.
4. When any new construction or remodeling is involved, a sepazate building pemut 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
JOB SITE:� )�-�`-i ,� �C.L_�� , ���� Zip'
Owner's Na�e: >- ;� - � ��- � Telephone Number � � _�,��_
Mailing Address:�i,r, , L. �� � City: -•� , i; , ;� 'jZip. ��
Contractor'sName: � Tele honeNumber: '' - ` "
��, �.-���d�' _ ( t�� n�:a P � - --
MailingAddress: �:�:��;��,� i��l �-c;_ir�,3��� I ���� City: ,` 'i� ip'�� '_' ' � 1 �
SYSTEM DESCRIPTION
HEATIid� J 1 S 1 E1V1�
Quantity: �
Make: )--k�:�-� I� � L�IC
ModeL• `��L- =5t,-1�-�
Fuel:
Flue Size:
Input BTUs: ":'i�i`�f; - —
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
��-��.G`�
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WOOD BURNING EQUIPMEN'I'
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.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (mus[ be ducted outsidej cl�n
No. Other Fans: Locations cfm
FUEL ST0�2AGE (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%o of Contract Price* or Minimum Fee ($35.00)
�- .� IC " ���-� X .oi2s �
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
or $.50, whichever is greater (contract price)
3. Posta�e and Handling (Only mail-in applications) $ l. 0 _ _
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 fxed cosis. It ;s the a�-nount to b� ch:rge� :o 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 S.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 certifies that all statements made on this application are complete, true
and correct.
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Applicant's Signature: ' ��� � -;)- Date: �- ? 1 ` i c-�
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Approved By: � Date:
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DATE TIME
CiTY OF ORONO CALLED IN _ � ��
INSPECTION NO�ICE SCHEDULED %V' =��-:
PERMIT NO. ` connP� o
ADDRESS � � � j . �
OWNER ���-�.��_��/ CONTR. - � : •
TELEPHONE NO. �.�=�' ' 3��%`�
� DESCRIPTION ���r,<,'1���• "' /'��
� Ot FOOTINCi 11 MECHANICAL RI 18IXCAV/GRADIN�/FIWNd
� 02 FRAMINO 13 MECHANICAL FINAL 19 LAI�SHORElWETLANDS
Q 03 INSULATION 24/25 WOOD BUR R/FIREPLAC 34 TFiEE REMOVAL
Z 04 WALL B0. 12 WATER HOOK-U 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
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� 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
2 09 PLUMBING RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
v 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED
W ^ PROJECT COMPLETE
� L CORiiECT WORK 8 PROCEED �; ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONOITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next i spection 24 hours in advance.473-7357
OwnerlContract o si :
Inspector. -'
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