HomeMy WebLinkAbout1996-008051 - unit heater .�- PERMIT
S �ITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 ���4��'�``Y�#-•���_�-
Crystal Bay, Minnesota 55323 Permit Number: i;�:i;:�r.::��1
(612) 473-7357 Date Issued: {y�=,;i�;��;r,
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT,PERMITEESIGNATURE ISSUEDBY:SIGNATURE _ .
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CITY OF ORONO APPLICATION FOR NIEC���C,AL PIIt�'�IIT
Box 66 (2750 Kelley Parkway)
JUN � �
Crystal Bay, �IN 55323
GENERAL 1NFOR��IATION
1. You may apply for mechanical perm.its by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within 2 working days.
2. Pernu� cards will be sent by retum mail afrer a review is completed. PERMITS ARE IVOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGN UNTIL THE PERVIIT Cr1RD IS
POSTED ON THE 70B SITE.
3. Mechanical Desi�ns - Complete calculations, details and specifications are required for each heating,
ventila[ion, hum.idification-dehum.idification, and air conditioning installation including hea[loss/heat gain
calculation, design temperatures, equipment ra[ings and identification as [o type, manufacturer and modei.
Data shall be presented on form provided. Identification of and specifications for water heating equipment
shall also be provided.
4. �Vhen any new construction or remodelin� is involved, a separate buildin� permit must be obtained.
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 Heatin� Tes[ Record must be submitted before final.
Instructions Complete all items on this application. Compute che perm.it fee. Sijn 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
JOB SrrE: U�0 De.bor� � flr. Zip: .�5 �� �
Owner's Na�e: �la $��:c� � Telephone Number: y 7�- ��$ S
Mailing Address: y�-o t�b�f�.'� �r City: Q ru r�c: Zip: J�S��-�3
Contractor'sName: �b�l / f3 f C- ��c . TelephoneNumber: �7 y.k 3(�l�
MailingAddress: ,�6 6 �..�a-�-��- �S ��- City: Exc e�s,�t Zip. S�� 3 3%
SYSTEM DESCRIP'TION � U��� He��.e� {�,� Gar��.� Al�ec�.
HEATING SYSTEMS
Quantity: � —
Make: f� �D P
Model: G u N,y 5�
Fuel: L. f'.
Flue Size: � "
Input BTUs: Y� oo� —
Output BTL's: '� (Q,.6��
CFM: �...�_
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
. 2
WOOD BURNPIG EQUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Rlood Stove (s) Franklin, other
Brand Name Model No.
Mfo's Min., Clearances, side , rear , min. flue dia.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
a
PERMTT F'EE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($3�.00)
/��e�; x .0125 $ �S� cl�
(contract price)
2. State SurcharQe. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ i 5 L
or $.50, whichever is greater (contract price)
3. Posta�e and Handlina (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 3 "7, 0 G
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fixed costs. It is che amount to be charged to the
customer for the work done. If any material, equipment, Iabor, or instaliation are furnished by the owner,
tenant or any o[her party the reasonable market value of such items must be added to the estimated cost
or contract price for pemut fee purposes. In the event that there is a dispute on the amount of the job cost,
che City may request the submission of a signed copy of che actual contract.
** The STATE SURCHARGE is .0005 of the contract price under S1,000,000 or 5.50 - whichever is
sreater. 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 reb lations of the Mi.nnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct.
Applicant's Si;nature: Date: �� ��o
A roved B : , Date: -- � ' ��Q
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