HomeMy WebLinkAbout1997-009738 - mechanical PERMIT
�CI�'17 OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66
Crystal Bay, Minnesota 55323 Permit Number: .
(612) 473-7357 Date Issued: _
SITE ADDRESS: a
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: - � � ' OWN.ER:
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APPUCANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE Cq�2,� SCHEDULED �2-�S-97 ci� 30
PERMIT N0. I •� COMPLETED �Z' �S 'C7� � =3 J
ADDRESS �l3aS C�f-4(PPL.Wr4 LAII��,
OWNER���<< F��rz�2 CONTR.
TELEPHONE NO.
� DESCRIPTION ��2n/'AC,�; C,1-E-,4�G b�i
� 01 FOOTINO 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
�Q 02 FRAMING �ECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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= 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER FiEMOVAL
� 10 PLUMBING FINAL 2$CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNEFi/COl1##!�TO MEET YOU: /LYES_NO
� COMMENTS:
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��WORK SATISFACTORY:PROCEED /�ROJECT COMPLETE
❑ CORRECT WORK 8 PROCEED ��_. ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑COFiRECT UNSAFE CONDITION WITHIN HOURS. -- pH0T0 TAKEN
INSPECTOR WILL RETURN
❑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
OwnerlContract o si -
Inspector.
White C pyllnspector's File Canary CopylSite Notice
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CITY OF ORONO APPLICATION FOR MECHAlVICAL PERMTT
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. Q�T� -�r�,���
2. Pemut cards will be sent by retum mail after a review is completed. PLKMITS �� + �ALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIIa+'��I�E 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 fo 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 sepazate building pernut 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 � --� �
, �� ,�� �,� Zip �'`">'��%�>
JOB SITE• -�������.? � � I���� f� d ��",
Owner's Na�e: �;�-� I� '�' �t �I'�3 Telephone Number: % �'��� '� �� ��"�S�G•
Mailing Address � % `� ��i,�;`.��vc1 j,��+�"�Z� City: .% ; :; ,� , ZlP �-,�;���,-�ilv
Contractor'sName. ��I�t Y�'- -�Gt=t1 i''� T R �- TelephoneNumber: '���'Z (c�: .:
, � . City: -� '�<- aa�.�:P :Zip �'_
MailingAddress • %�► i/Y1,,� i,�� ��� ?'� �{ ` �`'�Z�
SYSTEM DESCRIPTION
HEATING SYSTEMS I
Quantity:
Make: � �� � r_I{�; Y
Model: �� ��.����`L� F�i��.
Fuel: i� �, � C4 5
Flue Size: � II
Input BTUs: � �% —
Output BTUs: ' ' ��
CFM: �� ���-,
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
�n�
1 .
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WOOD BURNING 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.
VENTILATION
No. Kitchen E�aust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
�o. Other Fans: Locatior.s ��
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 Minimu Fee 35.00 '7t`
�,�;.�, . I �,� _ x .0125 $ � -� �' �.\
(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 Handlin� (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 inciLding :::aterials, labor, nr�fit, 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. , �q,, � , �� � � � / � � �
, ` Date:��� �I � �� � �
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Applicant s Signature:
Approved By:
Date: �� � J�
�..� � •• , .;��'-..^"�a�. —��':
1 `.- w"`..� .f
HOUSE HEATING TEST RECORD ���
ADDRESS �- APT. FLOOR CITY SUBURB
OCCUPA�lT OWNER
HEAT LOSS_�_DATE HTG. INST.
SOLD BY INSTALLED BY
Electricol Work By Gas Lins By ;*.;i^'�
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE MAKEOFBURNER
Mod•I Modsl
Seriol Max. BTU Rating _
INPUT MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT Heat Pluq Vent Si:e
Volve KIND OF LINER SIZE NONE
Limit Draft Hood Repulator
Limit $ettiny Filters Size Number
Fon Setting Chimney Location Inside Outside
Pilot Type Chimney Construcfion
Pilot Make
Pilot Model Smoke Bomb M�i►in9
Pilot Timing Draft _ _.--_ Test Tap
L.W. Cut Off Door P�essu�e. Lighting Inst.
Pressure F Percent C0� Dote Tested
Input CFH— Peresnt 0� Company Testing --
Stock Temp. Percent CO Name oF Tester
Form 235
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