HomeMy WebLinkAbout1996-007719 - mechanical PERMIT
,� C�TY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 t•��:t;.:�-��"��i�,�::F,i_.
Crystal Bay, Minnesota 55323 Permit Number: �;;;;�;;:�_:.�
(612) 473-7357 Date Issued: _�jY,���.;,��
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLICANT;PERMITEE SIGNATURE ISSUED BY:SIGNATURE ��C�;
"* �;F�f,�/ `=/
J AN ;° 6 1g96
CITY OF ORONO APPLICATION FOR MECHANICAL PERMTI'
_. ___ __ . _ .�
Box 66 (2750 Kelley Parkway) "`-�-
Crystal Bay, MN 55323 � � �-6 ��
-� � �� i `�-�q � _ �
GENERAL INFORMATI
ON �._�-_....�_. � __. __. .f
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 DesiQns - Complete calculations, details and specifications are 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 remodeling is involved, a separate building 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 Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Compute the pemut fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
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Please check one: New Addition Repair 1.� Replace
�_ Residential Commercial
JOB SITE• ' __� �_-�' Zip: r �j-��>��
Owner's Name: �, �,� , ` L � � Telephone Number:
Mailing Address: -�-� r-Y��� City: Zip:
Contractor'sName: TelephoneNumber: �'">� ��� - � I 1�(c
MailingAddress: � City: Zip:
SYSTEM DESCRIPTION ��Y���N����
HEATING SYSTEMS
Quantity: �
Make: �.�_-.3�.�.. �; �j��
Model: �.�ti����z��i>yC�i��`�
Fuel: /�.'.`���.,��-3I
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: -------
Make:
Model:
Tons:
H. Power
/ i ,
_ . .- � _. -
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C�:,���___ � ; �-a ► � . I � ��
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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
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
�o, Ba:h Exhaust (must �e �ucted outsi�?) cfm
No, Other Fans: Locations ��
. Total
FLJEL 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 ($35.00) �
�;,I� i `5��, ��.Z; x .0125 $ _�� y
� (contract price)
2. State Surchar�, ** Add the State Bu�tldin� �9s�e.Divisi�a �„
C_��-�
Surcharge to each permit. -� ��' �:^,;��`' x .Q�� $ �.
(contract price) �
or �.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in appiicati�nsj $ 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 pemutted
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 pemut 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.
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. 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 oi the�iry and ine reguiations cf the�S�esou.
State Building Code, and certifies that all statements made on this application are complete, true
and conect. �--__,
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� � Date: f - -' - ���1
, � �
Applicant's Signa '��- �--�Z�
Approved By: � Date: