HomeMy WebLinkAbout1995-007337 - mechanical �'ERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 t�;__:;-��"::<,;l.=�:;��;i_
Crystal�ay,�Minnesota 55323 Permit Number: •- - -
;�.,�-�-�._;.,..:
(612) 473-7357 Date Issued: _
SITE ADDRESS:
_ . ... _ t�:� ._ _ _P 1.���i i�'j 3 . .....
S;-
. . - � ,.. . .-. . . . :���. -,
DESCRIPTION:
; ; - �, _...=.=; -
; :: : ::
. _ _. _. . . . _ - ;. , , , �,; ;
. _ .. ._.. .... .. .. .,._ _ ..' ! 3 t'_��"
.. ...._ ._.._ .-Li..- _.L� i k�li� _ , l�'� �"�' '
� L�1 t u.'1�L".�t:1
i.' ,�t;t: "�...
REMARKS:
FEE SUMMARY: � '=-'�.:� �- �
j �`.t...i. � . . �
. . . ...� ' ..�:t .�•� . .
• Tf T�_ . . ... .,.
i7i�, '
M _..�._ i'_?'' ;:}� . �.3'_' i`?:''i i� ��`: -`•1 . '':" , .
��� ,.:_� ., - .
•_��:: +_:�i•'�i�'��rr '�� �-��' 4�-a':.:_�; _ _..__..._.___. _ . . �+�
_...�._.._._._._. _ _ _ t�._..-n
.�,�.{i�E�.e�3 T..-i y -.•4' . �'�
CONTRACTOR: . ; :�. �. ; : ;-._.-:': _ OWNER:
. . . _.._ .. � .._ _ . .. _ . _ _ , .._ ___
- ��<<.._z•- � - ,- -,•- ,r�.
.. .. _. .. �. _ . . :-;r:. . _. _ . . _ _ _ .;f;°�:_.:_s =`!;,�;•i I ,r`,'[;
;-:;;,�.! :�:;:c:�;"i:�: -;;,.; _ - - - - =�: - - -
.
•_.:+��_�:•: � �-*.� ._ ..:•_ i •" ' f . ._ _ ��.:. . ..
?...� S} ..� „ .. . . i � . .� :.' � � y,•�:;-, � �. �, f
. ..._... ... �.�,. .,.. ,,. .. f;...a .�.i�.'.v.�._ ? _ _, ..._.� :.i . �.� F E.. ._:....... _. . ... . . . } .. a. . 't: �:..3' �' t
. :_yx �.V.. . . � ... .., � . _ . . . . .. . ..
. i� ,a. . � _. : '� •.� ... ... F . i -] F � , . �... a r _.f':.
.. e :.. ..._...L� �. .. . . ..._ . _ .. . .�...... ...' .. . '•.� . �. . �_�' . _ , _ . _..., .. .. .. . ._ . . . . ,..._..._ ... .. ' . _..
a E
�.';� � � � � { 3'} { �:� ,�.�,,�.� . '_ __ .._ .
� ._: :.., ,�.��.. ... .�-... ..,: . ,� .'_.... _ �. ...� r ,..'.:. � . �... �� i,�,z. .� ..._._ ... , i .. _ .. .._ . _. ... . , .... ........ . -. __ • �
` , Q ..,, `JC.f'/ /✓d[/r� �
�C.// \.
J —
APPLICANT;PERMITEE SIGNATURE ISSUED BY:SIGNATURE
+ �� ��
� � �� �
� I
� .
CITY OF ORONO APPLICATION FOR M��CAL PERMTT
Box 66 (2750 Kelley Parkway) � y
Crystal Bay, MN 55323 � � 19e�Q
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 cazds will be sent by return 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 DesiQns - 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 model.
Data shall be presented on form provided. Identification of and specifications for water heating equipment
shali also be provided.
4. When any new construction or remodeling is involved, a sepazate building permit must be obtained.
5. All work must be done in accordance with the Uniform Mecnauicau Cude/5tate Bui:ding �o1e
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.
Instrurtions Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT SE PROCESSED. If you have questions, call 473-7357.
Please check one: ' New Addition Repair /� Replace
Residenti�l_ Commercial
JOB SITE: �C B� � 'c�`f��� t� I►'1��1 (�C �i C'a Zip:�` �{1 �
Owner's Name: �, �• - � i - Telephone Number: � — �-� — �� �
Mailing Address: L - ' � � .�i CitTele,oneNumbe r•�� 7- Z:,` �=
Contractor sName: � � - � '� P S
MailingAddress: �'�[ l °' 'I�. �{ City: '� i�. "'��ZiP:�L�Z3
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: ` i
Make: C � 1� C"1
Model: _�ry�i�� -k L
Fuel: N�l � ��Ct.' -
� Flue Size:
Input BTUs: ,�l',�t�;�-
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power -�
y� .
l�.�
i�,r t
.J.��^?
__ � �
. .
WOOD BURNING EOUIPMEN'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.
Total
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations ��
T�ta!
FUEL STORAGE (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°� of Contract Price* or Minimum Fee ($35.00) �`
(„=� l ! , �:_�( .� x 1.25 $ �_� � � '�-
(contract price)
2. State Surcharge_ ** Add the State Building Code Division , � `l
Surcharge to each permit. 1 <���I, C�C, x .0005 $
(contract price)
- 3. Postag,e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 3-7 � � `�
* CQNTRACT 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 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 $.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. _
/ � ��� -
Applicant's Signature`— E�- _ ' Date: / / � i `�
Approved By: Date:
,,,, �� .
,,
,:.
,�;� a:�*
DATE TIME
CITY OF ORONO CALLED IN " ��' �Q�
INSPECTION NOTICE SCHEDULED /�'�2 -9 SL �d: 3Z�2�..
PERMIT N0. � �✓�� COMPLET �.-
ADDRESS �
OWNER C N R B-d"L�
TELEPHONENO. �57� �� �O
� DESCRIPTION
� 01 FOOTING 11 MECHANI RI 18 EXCAV/GRADINa/FILLINO
� 02 FRAMING ECHANICAL FINAL 19 LAI�SHORE/WETIANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z pq yy,q�,�gp, 12 WATER HOOK-UP 17 SITE INSPECTION
Q 14 SEWER HOOK-UO 06 PROGRESS
= 05 FINAL
� 07 DEMO—SITE 27 SEPTiC MAINT. 21 COMPLAINT
v
�Q 07 DEMO—FINAL 15 SEPTiC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBIN�FINAL 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
�
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
� �
d �WORKSATISFACTORY:PROCEEO �_,PROJECTCOMPLETE
� �[: CORRECT WORK R PROCEED ISSUE CERTIFICATE OF OCCUPANCY
O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR ^ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContr o n si e
Inspector.
White Copyllnspector's File Canary CopylSite Notice