HomeMy WebLinkAbout1995-006924 - furnace PF�' 'VIIT
CITY OF ORONO •" - �
PERMIT TYPE: _ _ _ _
2750 Kelley Parkway- P.O. Box 66 � - :±��:i;��`=_�i:�
Crystal Bay, Minnesota 55323 Permit Number. _ ;,�,:-.�:::;,
(612) 473-7357 Date Issued: - - - � �-
SITE ADDRESS:
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DESCRIPTION:
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CONTRACTOR: � '' �° ' ` - � '�•'
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APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE �
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CITY OF ORONO APPLICATION FOR�1'�A�tI�AL PERMTT
Box 66 (2750 Kelley Parkway) p'
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.
2. Permit cards will be sent 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 ON THE JOB SITE.
3. Mechanical Designs - Complete calculations, details and specifications aze required for each heating,
ventilation,humidification-dehumidification, and air conditioning installation including heat loss/heat gain
calculation, design temperatures, equipment ratings and identification as to type, manufacturer and model.
Data shall be presented on form provided. Ideatification of and specifications for water heating equipment
shall also be provided.
4. When any new construction or remodeiing is involved, a separate ouiiding permic must be obtaineu.
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 pernut 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
3CiB SI3�,: -'3 ;:i<s' ��'L}'�� Tf�l_ -�� ��? �fp; �SS.3`f"l
Owner's Name• ��} /VELS�N Telephone Number: --�7/ �� �SS�9.�
Mailing Address: 3 3 3 s �/�Y57ftL .73/�� f�� City: �L itr��T/i Zip: ,,,���3�%/
Contractor'sName: �?j T T��' /�C TelephoneNumber: �7�- �s5�$
MailingAddress: r��i; 'j C�C��R ,1)� City: ��j-}�1�� Zip: �` f� 3�
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: �
Make: G.fIRR l��
Model: .S"�-T 11h 0 f1�
Fuel: �/�}T
Flue Size: !�'�
Input BTUs: _��%,�l� � ���L'�
Output BTUs: �:�UG U � �zC e'�
CFM: /•�C C�
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
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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.
Total
VENTII.ATION
No. Kitchen Exhaust ducted recirculating cfm
No, Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfri
Total
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 Minimum Fee ($3�.00)
%�i�5 , ��G x .0125 $ _�S, C�C
(contract price)
2. State SurcharQe. ** Add the State Building Code Division �G
Surcharge to each permit. I S �S,C� x .0005 $
(contract price)
or $.50, whichever is greater
3. Post�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ '7 `��
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the per;nitted
work including materials, labor, profit, 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 Ciry 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
grea[er. 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 conect.
Applicant's Signature: �,���' Date: � '�� -l�
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� Date: "t �
Approved By: �
DATE TIME
CITY OF ORONO CALLED IN 7 GJ
INSPECTION NOTIC SCHEDULED �-�� /ZJ �30
PERMIT NO. � � COMPLETED � _1,�_
ADDRESS ` "" � .�.- . a-�- ' ��
OWNER �J ' �./ CONTR. `
TELEPHONE NO. ���- �S i �
� DESCRIPTION • ' �.�..��
l� 01 FOOTING 11 MECHANICAL RI % 18 EXCAV/GRADING/FILLING
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Q 02 FRAMING MECHANICAL_ F�N<t� 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/F�REPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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d WORKSATISFACTORY:PROCEED �� PROJECTCOMPLETE
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� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i pection 24 hours in advance.473-73�J7
OwnerlContr on s e
Inspector.
White Copyllnspector's File Canary Copy/Site Notice