HomeMy WebLinkAbout1996-008007 - air conditioning � PERMIT
� CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number: ���.'���+�����i:`�ts--
Crystal Bay, Minnesota 55323 i:i:�;w:i:�t:z;�%
(612)473-7357 Date Issued:
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REMARKS:
FEE SUMMARY:
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APPLI'CANT ERMITEE SIGNATURE ISSUED BY:SIGNATURE :�Y� —
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CITY OF ORONO APPLICATION FOR MECHANICAL PERNIIT
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 wi11 be
reviewed and a permit will be issued wichin 2 worlang days. �
2, Permit cards will be sent by return mail after a review is completed. PERIviITS ARE NOT VALID
UNTII.. YOU RECEIVE 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-dehum.idification, and air conditioning installation includi.ng heat loss/heat gain
calcularion, 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
shal zlso be provided.
4. When any new construction or remodeling is involved, a separate building permit must be obcain�ci•
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 submi[ted before final.
Insttvctions 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 V�/ Addition Repair Repiace
Residential Commercial
JOB STTE• ��C"�� t�2 S t� �— Zip: S ) �Y/
Owner'sName: �'�'y/�'1��' SwE'�'� TelephoneNumber. �/ir — 7 �j�
M a i l i n g A d d r e s s• ��� � `,s �i ���� City: �L �r;�<-�� Zip: S�:�r'1
Contractor'sName• �r � ���' TelephoneNumber: �{7��15�7��
MailingAddress: 5 �„x i�-ze,J'C �<, Crty; 7.;-��:< � _Zip: -- � ����:
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SYSTEM DESCRIPTION �
HEATING SYSTEMS
lltlai"iuiy: �
Make: � ��n-
Model: 3S� o
Fuel:
Flue Size:
Input B'I'LJs:
Output BTUs:
CFM:
COOLING SYSTEMS ,
Quanrity: J
Make: l��a�rr'L
Model: �s�'��'- -
Tons: 5�
H. Power
,
WOOD BURNING EQUIPMENT -�
Wood stove with flue �
Wood combination or add-on
Factory fueplace with flue � � �
- Factory Fireplace (s) Freestanding Masonry .
Wood Stove (s) Franklin, other �
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , mi.n. flue dia.
Total
VENTILATION
No. Kitchen Exhaust ducted recirculating ��
No. Bath Exhaust (must be ducted outside) cfm
IVo. Other Fans: I.:�catio�s �� �
. Total
F'UEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground i.nside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. �.25% of Contract Price* or Minimum Fee ($35.00) S�,
7G�C�1"-'- x .0125 $ ��' �
(contract price)
2. State Surchar�e. ** Add the State Building Code Division ��z
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater �--
3. PostaQe and Handlina (Only mail-in applications) $ �
4. TOTAL PERMIT FEE (Add lines 1-3 above) � �7j -�
* CONTRACT PRICE or JOB COST means tue ac�ual or estimated dolla:a�o�t C.�:S�aL fpr thP rP17n3��
work including materials, labor, profit, and other fued costs. It is the amount to be charged to the
customer for the work done. If any ma�erial, equipment, labor, or installation are furnished bY the owner,
tenant or any other parry the reasonable market value of such items must be added to the estimated cost
or contract price for perm.i[fee purposes. In the event thai 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,Q00,000 or $.50 - wfuchever is
greater. For valuations over $1,000>000 ca11 the DePartment of Inspectional $ervices 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 tb.e City and the reguiations of the Minnesota
State Building Code, and ce 'fies th�t all statem made on this application are complete, true
and correct - - � ' ' .
_ ,_ . . _ -. �_- : / �r ',,-�� Date: � // ,
_ Applicant's Signatur�:
� -- Date:
Approved By:- �� '.