HomeMy WebLinkAbout1999-01155 7 - mechanical �� PERMIT
CITY OF ORONO PERMIT TYPE:
I 275�1 Kelley Parkway- P.O. Box 66 •;��_:�;;�;;:�;;:;�:;;
, Crystal Bay, Minnesota 55323 Permit Number: ,t:�� i,�..��
Date Issued:
(612)473-7357 t�ir=,: ? �_,;:°=i�=
SITE ADDRESS:
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REMARKS: �
FEE SUMMARY:
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I APPUCANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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1 �
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. Appucations will be
reviewed and a permit will be issued within 2 working days. '
2, Perm.it cards will be sen[ by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED OI1 THE JOB SITE.
3, Mechanical Designs - Complete calculations, details and specificacions are required for each heating,
ventilation, humidification-dehumidification, and air conditioning installation inciuding heat loss/heat gain
calculation, design temperatures, equipment ratings and identificacion as to type, manufacturer and model.
Da[a shall be presented on form provided. Identification of and specifications for water heating equipment
shall also be provided.
e,., When any new construction or remodeling is involved, a separate building permit must be obtai.ned.
g, All work must be done in accordance with the linifo:Yn Mechanical Code/State Building Code
requirements.
6, All work must be inspected (rough-in and final). Call 473-7357. 24-hour notice required.
�, 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
JQB SITE: ~� 0 h�1� � ��^T � Zip:
O�vner's Name: ���,c�l� �1/�w��,n Telephone Number: `11�- �3:�
Mailing Address: City: Zip:
Contractor'sName: TelephoneNumber: �y-6«c�
MailingAddress ., City: Zip:
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SYSTEM DESCRIPTION �t�,;�ti4��.;�.� _, ,..: . . _
HEATING SYSTEMS
��.?antity: __ a �—
Make: L.r;�,�,x �t�,��:� -
Model: -�_I S U I41M 30 � 3/y-�D .
Fuel: �/� G�.� /1�-� c�
Flue Size:
Input BTUs: �6 U ,���� �o;`% �.�
Output BTUs:
CFM:
COOLING SYS'I'EMS � _ _
Quantity: �
Make: - - �_� �'_ �j:� .,.�—
Model: 56� C � <<�. 5 b 1 �xo3c _
Tons: _ 3.:i 3<z
H. Power
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.WOODJBURNING 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
yENTILATION
No. Kitchen E.�haust ducted recirculati.ng ��
No. Bath Exhaust (must be ducted outside) �� �
No. Other Fans: Locations �� •
. 'T�t:�?
FU�L STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal �
Fuel oil: gallons underground i.nside outside
LP Gas: gallons '
Other Gas opening
PERMIT F'EE CALCULATION
1. 1.25%o of Contract Price* or IViinimum Fee i�35.ti0) �b5- �-
_ !' �--- x .0125 $
(contract pnce)
2. State Surchar�e. ** Add the State Buildi.ng Code Division �� ! ��
Surcharge to each permit. �U, `I 60 x .Q005 $
(contract price)
� or $.50, whichever is greater 1.50
3. Posta�e and Handlin� (Only mail-in. applications) $
4. TOTAL PERNIIT 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 fixeci cosu. I[ is the ame7unt to be cilargeci to the
� customer for the work done. If any material, equipment, laUor,or installation are furnished by the owner,
� tenant or any other party ihe reasonable market value of such items must be added to the estimated cost
or concract price for permi[ fee purposes. In the event tha[there is a dispate on the amount of the job cost,
the City may request the submission of a signed copy of the actual contiract•
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuacions over $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuanc�e of a Mecha.nical Permit+�a Melnnto da
all work in strict accordance with the ordinances oi tne �,ity�� "'� ""lica on are com lete, true
State Buildi.ng Code, and certifies that all statements made o�tb-is app P
and correct --- - -
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: � -- Date: � ( f '
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- APPlicant's Signature: ,- �1 ,� i' __
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- Date: So�
� ; Agproved By: - -� �
OATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI� r� SCHEDULED � " - � '-
PERMIT NO. COMPLETED �2 �� 3 � ?�
ADDRESS
OWNER CONTR. sU���1�%v1 �-1`
TELEPHONEN0. ���^�� 6�
� DESCRIPTION
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING ECHANICAL FIN� 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR O EET YOU: YES_NO
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W ❑WORKSATISFACTORY:PROCEED �_; PROJECTCOMPLETE
� ❑CORRECT WORK 8 PROCEED = ISSUE CERTIFICATE OF OCCUPANCY
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� �c RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V � BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � PHOTO TAKEN
INSPECTOR WILL RETURN
�, CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor on site:
Inspector.�f�'/�C�-K.- G`�Gl.✓!�
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN :� �/�'��� � �I S t.�bt
INSPECTION NOTICE SCHEDULED t� -%.5�`% / : =�Z'�-��
PERMIT NO. r/�-� �7 co LETED
ADDRESS��2�� l���t-'1 6-t;� c�
OWNER�-Ii�t��:-�u^�CONT���-��%c�--����
TELEPHONENO. f c� ��" L--/bCi "-�--.��.-�.�L.•�ru � �� .�,
� DESCRIPTION _
� 01 FOOTING �CHANIC� 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSUTATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
J
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
�NSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL tNSPECTOR �� CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next ins ction 24 hours in advance.473-7357
Owner/Contractor on ' e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO ca,��Eo iN ���� %`� ,�t�u,Yi
INSPECTION NOTI SCHEDULED /_��' - i�' ` -�
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PERMIT NO. COMPLETED
ADDRESS �G` 5 �
�L�.'�L 1C G� .� �!
OWNER�� ��r �; _-«�d c�. CONTR; �u�-'2-�i�Gr' ��
TELEPHONE NO. � � `�- ��C�'
� DESCRIPTION ..--G�.�--�:�.�'����
l� 01 FOOTING 11 MECHANI RI . 18 EXCAV/GRADING/FILLING
Q02 FRAMING 13�CAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR - CITATION ISSUED
❑ INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Cail for the next in pection 24 hours in advance.473�73�J7
OwnerlContract o it :
Inspector. � d �
White Copyllnspector's File Canary CopylSite Notice