HomeMy WebLinkAbout1996-007779 - mechanical , PERMIT
� CITY OF ORONO PERMIT TYPE: {�
2750 Kelley Parkway - P.O. Box 66 �''F�Fi•I !��..N��.�i�L
Permit Number: i yi��';
Crystal Bay, Minnesota 55323 _ _ � ' �y
(612)473-7357 Date Issued: ��_;;� �:���;t,
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: — �1F��'y �-��'i��-• "" OWNER:
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APPLICANUPERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORO�O APPLIC:�TION FOR�1ECH�tiZCAL. PERtiIIT
Box 66 (27�0 Kelley Par�.�vaY)
Crystal Bay, Z�L�t ��323
GENER�L Lti�F�R-P�'TI�`v � P erson at the Ci offices. A lications will be
1. you rnay ap Iy for me..nanical e:mits by mail`or�r�a da s � PP
revie�.ved and a permi[ wiil be issued within o y '
? permit cards will be sent by return mail aner a review is completed. PER'�1ITS ARE NOT V�L.ID
ti�ITIL YOU RECEIVE A PERytIT. �VORK �tUST NOT BEGIN UNTIL THE PER�IIT C.�RD IS
POSTED ON THE JOB SITE.
3, vtechanical DesiQns - Compiete calculations, de[aiis and specifications are required for each heating,
ventila[ion, humidifica[ion-dehumidification, and air conditioning installation includin�heat losslheat�ain
calcslation, design temperatures, equipment ratings and identification as to type, manufacturer and model.
Daca shall be presenced on form provided. Identification of and specifications for water heatinQ equipmen[
shall also be provided.
,}. Whea any new conscruction or remodeling is involved, a separate building perm.it must be obtained.
�. All work must be done in accordance wich the Uniform Mechanical Code/S[ate Buiiding Code
reauirements.
6, r�ll work must Test Record mus bes bmited befo elfna1.73'7 24-hour notice required.
�, House Heaung
Instructions Complete all items on this apPT�BtE PROCE SED�I Pyo�have quest onsacall 4 3e7357fication.
INCOMPLETE APPLICATIONS WILL NO
� New Addi[ion Repair Replace
Please check one: Commercial
Residential Zip:
Jos srrE: _ _� ;-��/�� _� d�
p�vner's�tarn=e- TelephoneNumber:
i�lailing?�ddress: City: Zip:
TelephoneNumber:
Contractor'sName: , f �'rc� ��c Cit �li� Zip: S��C,�
l�lailingAddress: ''"`-`> � �f y' �
SYSTEtiI DESCRIPTION
HEATIi`�G SYSTEMS
Quantiry:
Make:
Modei:
Fuel:
Flue Size:
Input BTtis:
Outpuc BTUs: —
CFM:
COOLL'`�'G SYSTEy1S
Quantiry:
Make:
Model:
Tons:
H, power
z .
�VOOD BtiR.�'G EQL1IPl�fEN'T
`�ood stove with flue
Wood combination or add-on
�(_ Factory fireplace with flue
Factory Fireplace (s) � Freestanding Masonry
�_ �ood Stove (s) Franklin, other
�,i�,., ��� Model No. :�f l�5 " G V-3rv
Brand Name , �',d ,�L 9'- /Z� ��
�1far's ti1in., Clearances, side , rear , min. flue dia.
VENTIL�TION
;.lo. Kitchen Exhaust ducted recirculatin� cfrn
No, Bath Exhaust (must be ducted outside) ��
No. Other Fans: Locations
cfm
FUEL STOR�.GE (MUST 3E APPROVED BY FIRE MARSHAL)
Installation Removal
Fue1 oil: gallons underground inside outside
LP Gas: Qallons
Other Gas opening
PERIYIIT FEE CALCULATION
1. 1.25 90 of Contract Price* or Minimum Fee ($35.001� 0125 �
c�
�Gr��-�
(contract price)
2. State Surcharae_ ** Add the State Buildin; Code Division
Surchar�e to each permit. x .000� $
or 5.50, whichever is greater (concract price)
3. Postaae and Handlina (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 permicted
wor}; includin� materials, labor, profit, and other fixed costs. Ic is che amount to be chareed to the
cuscomer for the work done. If any material, equipment, labor, or installation are furnished by che owner,
tenanc or any other parry the reasonable market value of such items must be added to the estimated cost
or con[ract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ciry may request che submission of a signed copy of the actuai contract.
** The STATE SURCHARGE is .000� oi the contract price unde: 51,000,000 or S.50 - whichever is
oreacer. For valuations over 51,000,000 call the Department of L^.spectional Services for the price.
The undersianed hereby applies to the Ciry for issuance of a �Sechanical Permit, a�rees to do
all work in suict accordance with the ordinances of the City and the regulations of the Minnesota
State Building Code, and certifies that all statements made on th.is application are complete, tnle
and correct.
ppplicant's Signature:
��� � Date: .-'-' � � �
Approved By:
Date:
DATE TIME
CITY OF ORONO - CALLED IN
INSPECTION NOTICE _, � ��1 SCHEDULED � =-„-t'� +A� �='
PERMIT NO. 1 COMP�ETED
ADDRESS ��J L`,'" ;;"�.�'t:::,�: . � :�'
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANOS
y 03 INSULATION �241�5 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
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Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 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�WORKSATISFACTORY:PROCEED � PROJECTCOMPLETE
� �f� CORRECT WORK&PROCEED = ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ,- pH0T0 TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP OROER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContrac�o ';ite:
i �
Inspector.
Whfte Copyllnspector's File Canary CopylSite Notice