HomeMy WebLinkAbout1997-008735 - gas piping only PERMIT
CHTY OF ORONO PERMIT TYPE: �
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2750 Kelley Parkway- P.O. Box 66 �?:r_;;,.�f..i��t�:;=�,s._
Crystal Bay, Minnesota 55323 Permit Number: c;;;;.;;� .;;.�
(612)473-7357 Date Issued: :-._ ;�t,,•,,;_.�;-;-
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLIC PERMITEE SIGNATURE ISSUED BY:SIGNATUFE
CITY OF ORONO APPLICAT'ION FOR NIECHAi�1ICAL, PIIti1�IIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, � ��323
GENERAI. PIi FORi'�1ATION
1. You may apply for mechanical perm.its by mail or in person at the City offices. Applications will be
reviewed and a perm.it will be issued within 2 workin� days.
2 Permit cards will be sen[ by retum mail after a review is compleced. PERMITS ARE NOT VALID
liNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGI�1 UNTIL THE PER��IIT C,�RD IS
POSTED ON THE JOB SITE.
3. Mechanical Desians - Complete calculations, details and specifications are required for each heating,
ventilation, humidification-dehumidification, and air conditioning installation includin�heat loss/heat gain
calculation, design temperatures, equipment ratings and identification as io type, manufacturer and model.
Data shall be presented on form provided. Identification of and specifications for water heating equipment
shall also be provided.
4. �Vhen any new construction or remodelin� is involved, a separa[e buildin; 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 Hea[ing Tes[ Record must be submitted before final.
Instructions Complete all i[ems on this application. Compute [he permit fee. Sign and date the certifica[ion.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 4�3-7357.
Please check one: New �/ Addition Repair Replace
Residential Commercial
JOB SITE: '�`�l� C��Cr r T �� - Zip: �.�.�. '�:�-�
Owner'sNa€�ce• �7�/F..��S� ►�Jo���-� TelephoneNumber: � 71 -`�c����3
Mailing Address: � c� i1r �i� City: �'�,�� ,v �_ Zip: -�;��3?�
Contractor'sName: '��/����7 _ TelephoneNumber: �/7 y 8 3��:
MailingA d dress: ���< �l�}�` 5"i _ C i t y: _ X� . Zi p: s�"3=3
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantiry:
Make:
Model:
Fuel:
Flue Size:
Input BTUs: —
Output BTL`s:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model: .
Tons:
H. Power
___
WOOD BURIVP�1G EQUIPMENT
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.
VEi�tTILATION
No. Kitchen Exhaust ducted recirculatin� cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STO�GE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underjround 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)
x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
or $.50, whichever is greater (contract price)
3. Posta7e and Handlina (Only mail-in applications) $ 1.50
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 fixed 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 ocher 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 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 51,000,000 or 5.50 - whichever is
Qreater. 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 Mi.nnesota
State Buildin� Code, and certifies that all statements made on this application are complete, true
and correct. � �; �
Applicant's Si;nature: � � ,�, � ��� ,t3�L' ' Date: v� .3'�
Approved By: Date: