HomeMy WebLinkAbout1995-007576 - mechanical � PERMIT
�ITY` OF ORONO PERMIT TYPE:
2750 Kel ley Parkway- P.O. Box 66 _ _�'��"`�` '`�`
Permit Number: _'�.�3:�.:;Y'. �`"..
Crystal Bay, Minnesota 55323 - - - � -
(612)473-7357 Date Issued:
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: , ' ::. : -;.: ; OWNER:
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APPLICANT�PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MLCHANICAL PERMIT
I3ox 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
G�NI�RAL 1NFORMATION
1. You may apply for mechanical permits by mail or in person at the City oftices. Applications will be
revic�ved and a permit will be issued within 2 working days.
2. Permit cards will be sent Uy return mail atter a review is completed. PERMITS ARE NOT VA1_,ID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTGD ON THG JOB SITE.
3. Mcchanical Desi�� - Complete calculations, details and specifications are required for each heating,
vcntilation, humidiCication-dehumidification, and air conditioning installation inclucling hcat lossll�cat bain
calculation, design temperatures, equipment ratings and identification as to type, manufacturer and modcl.
Dnta shall be presented on form provided. Identification of and specifications for water heating equipmciit
shall also be provided.
4. Whcn any new constn�ction or remodeling is involved, a separate building permit must be obtained.
5. All work nwst be done in accordance with the Uniform Mechanical Code/State Building Code
rcquircmcnts.
E). AI� WOI'I� 111US1 �)C IRS�CCIC(� �C011�ll-lll and linal). Call 473-7357. 24-hour noticc rcquired.
7. llouse I(eating Test Record must be submit[ed bcfore final.
Instruclions Complete all iteins on this application. Compute the permil fce. Sign and date the certification.
INCOMPL�"I'E APPLICATIONS WILL NOT BE PROCESSED. If you have qucstions, call 473-7357.
Please check one: � New Addition Repair Replace
✓ �tesidential Commercial " �} ��/
.ro� sIT�: -���--�-�.���—��' S�`,:� ��,�vf� ��`'r' z;�:
Owner's Name: ��� 1 % �, ,-�-�,�� �, Telephone Nuinber:
Mailing Add►•ess: ��:�� �� � e, � City: !�„�;�-��'�t=�, Zip: _�5�9
Contractor'sName: ¢ � _,,-� � ,1- TelephoneNumber: – `�.� -��v
MailingAddress: ��i�; � /��y����-���� �;:� CitY /,''�':; ��%���"�_ Zip:
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SYST�M DESCRIPTION
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IIEATING SYSTEMS - ���n�'�� �-�� ����'� .I �
Quantity: �>� �Sh�='�
Make:
Model:
Fuel:
Flue Size:
Input BTUS: _
Outpul BTUs:
CFM: —
COOLING SYST�MS
Luantity:
Makc;:
Model:
Tons:
�I. Power
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WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on
Pactory 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.
V�NTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (rnust be ductcd outside) cfm
No. Other Pans: Locations cfin
I+U�L STORAG� (MUST nE APPROV�D �3Y FIRE MARSII�IL)
Installation Removal
Puel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
P�RMIT F�E CALCULATION
1. 1.25°Io of Contract Price* or Minimum Fee ($35.00)
���j ���'-,�';; ��r, x �.0125 $ � 5 �;,
(contract price)
2. State Surcharge. ** Add the State Building Code Division „ , �
Sui-char-ge to each permit. x .0005 $ �• ` S `
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTf1L PERMIT FEE (Add lines 1-3 above) $ � � �S`��
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including matcrials, labor, profit, and other fixed costs. It is the 8I110UI1I l0 be chargcd to the
customer for thc work done. If any matcrial, equipment, labor, or installation are furnished by the owner,
tenant or any other party the reasonable market value of such items �nust bc added ro thc estimated cost
or contract price for pennit 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.
** "I'he STnTE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
grca[cr. For valuations over $1,000,000 call the Deparhnent of Inspectional Scrvices for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees ro do
all work i�i strict accordatice with the ordinances of the City and the regulations of the Minnesota
State Building Code, and certifies tliat all statements made on this a�plication are complete, true
and correct.
Applicant's Signature: � � �c ���'ii .�G� Date: �� �7 /�
Approved By: — Date: �( �� ��
DATE � TIME
CITY OF ORONO CALLED IN a8��i'S p�}
INSPECTION NOTICE - �(� SCHEDULED ��9��-� ; �' G•/h,
PERMIT NO. � �OMPLETED
ADDRESS _ - �_� ...� � _ �. �5 �,�,5 . ot
- 9 , � . 1 � C;i-
OWNER � � C NTR. /C�.ri7 �� S
TELEPHONE NO. � � 3' �'�d-1
� DESCRIPTIO �����{ ��t �
� 01 FOOTING '��MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICA�FINAL 19 LAKESHORE/WETLANDS
� 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 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 SATISFACTOFIY:PROCEED �� PROJECT COMPLETE
W ❑ CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
f 1 CORRECT UNSAFE CONDITION WITHIN HOURS. �- pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STQP ORDER POSTED.CALL INSPECTOR I CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance.473-73rJ7
OwnerlContracto si
Inspector. '
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