HomeMy WebLinkAbout1994-005929 - ductwork only PERMIT
CITY OF ORONO • - * PERMIT TYPE: '�°L::ti.:t��';=�u"=;F:L
2750 Kelley Parkway • P.O. Box 815 Permit Number: °�''-`�=' �'�=���'
Orono, Minnesota 55356-0815 Date Issued: -�'���` ���''' �'�
(612) 473-7357
SITE ADDRESS: - . .— —
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�Y7�L��,� .�-32 C� �
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
�' ������ �� �
('iTY OF ORONO - APPLICATION FOR MECHA1vICAL PE:��
Box 66 (2750 Kelley Parkway) ���. '�� �
Crystal Bay, MN 55323 � --
GENERAL INFORMATION
1. You may apply 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 b}� retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERIv�FT. 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,humidification-dehumidification, and air conditioning installation in�luding 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. 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
_ � . ,
._ . . � � � :
�_
JOB SITE: ;=�'e,`�'L'--`\ �`. -��.�> -�_ �;�_ `_� ,. ��p. �� ._�3 >
Owner'sName: �:_�-�������_ L�-5,�� =4.: � TelephoneNumber: -�� ;::;�-y�''�'�,
Mailing Address ��: .: �. �-�'` ��>�--- , , City: � _ Zip;�_��-��_���
�� ,
Contractor'sName'��c,.�,� ������_ �� '�- - TelephoneNumber , ;.a -\L��l��
MailingAddress:�����> �. ���� �,- �,, _ ,� �:� City: � Zip.<� � �;�,-��;. '�
SYST'EM DESCRII'TION
._,, �
. '` �, , _ ti- F
HEATING SYSTEMS �:�'_,_.�._�`.-�-�-'� ;�� � � � , ��� � •-�'��-��-�� , �� �\�`��..
.
Quantity•
.
. .-
Make: t ��ti ;- .; i `�ti. a :.��,° :�-. � _ ;; ;� �� ,., ;,
Model: ��' � �
Fuel:
� Flue Size:
Input B'I'Us:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
r ;.
WOOD BURNING EQ�MEN—T
Wood stove with flue
� Wood combination or add-on
Factory fuePlace with flue Masonry
Fire lace (s) � Freestanding _
Factory P Franklin, o�er
— Wood Stove (s) — ModelNo.
BrandName , rear _� �• flue dia.
Mfgr's Min•, Clearances, sid� _ To�r_
vEN'I'ILATION recirculating ��
Kitchen Exhaust _ ducted _ ��
No. _ — cfm
No. _____ Ba� E�aust (must be ducted outside —
No. _ Other Fans: Locations Total__.
L STORAGE (MUST BE APPROVED BY FIRE MA�SHAL)
�E Removal ou._:ide
Installation _ underground _ inside _
— Fuel oil: _ Sallons _
— LP Gas: _ gallons _ Gas opening
— Other
,-.r,,� � T �rr,ATION
Y��Cl'VYi'f r�.,� .,�'1. �.,�
1, 1.25% of Contract Price* or �viin�um �ee (��S•�� X 1.25 � � �� ' � �� } —
(contract price
Code Division _
2, State Surchar�e. ** Add the State Building X _pp05 $ �
Surcharge to each permit•
(contract price) $ - 1.50
mail-in applications) �
3. p��ra¢e and Handlin� (��Y 6.��: .;_ -_� � � ��
Add lines 1-3 above) � ;.
4. TOTAL PERMIT FEE ( _ ---__
ed for the permitted
or estimated dollar amount charg ed to the
* CONTRACT P�CE or JOB COST means tlie actual �e owner,
materials, labor, profit, and other fized costs. It is the amount to be charg
work including material, equipment, labor,or installation are furnished by
customer for the work done. If any ob�ost,
tenant or any other party
the reasonable market value of such items must be added to the estimat �S
r contract price for permit fee purposes. In the event that there is a dispute on the amount of the J
u;e �;ty *T�ay request the submission of a signed coPY °f�e actual contract•
rice under $1,�,� �r �•50 - w�chever is
5 of the contract p rice.
** The STATE SURCHARGE is •� ��1 �e Department of Inspectional Seraices for the P
greater. For valuations over $1,000,00� agrees to do
a lies to the City for issuance of a Mechanical Permit,
The undersigned hereby pP lete, tnie
all work in s
uict accordance with the ordinances of the City and th aregu a�n a°f omP�eso
State Building Code, and certifies that all statements made on PP
and correct. ,
_ � -��\ � . - Date: �,_ �� J-`.- ',, \
. , .,
P,pplicant's SignatuIe:
�� \��. .,_ _ ;..
Date:
ppproved By: