HomeMy WebLinkAbout1995-007154 - ac ,, PERMIT
�''�' �;ITY OF ORONO PERMIT TYPE: _ _ . .
2750 Kelley Parkway- P.O. Box 66 _ _�-� `�- -.� --
Crystal Bay, Minnesota 55323 PermitNumber: : :�`y`�=,':� � �
�12)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 MEC��I�A�, PERNIIT
Box 66 (2750 Kelley Parkway)
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 wi[hin 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 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 a�so be provided.
4. When any new construction or remodeling is involved, a separate building pemut must be obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/�tate Building Coae
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 ihis application. Compute the permit 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
JOB sITE: 3(n2d ��lee.r� ��treet zip: 5`����
Ow�er's Name: Li►1da � 1 A 1�'tx�'�'1�t1'1 __Telephone Number:
Mailing Address: 3�20 �i(PP�t'1 �St'r22� _City: Q r d r�o Zip:
Contractor'sName: K C TelephoneNumber: q�� �-y u
MailingAddress: 130"15 Pi h2� ►-� City: F�12Y1�it,t1'c:¢Zip: �53�f�7
SYSTEM DESCRIPTION
HEATING SYSTEMS
�uantity: -
Make:
Model: _
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS . • •
Quantity: � �
Make: �e�x�-
Model: IQ(�COyZ
Tons: 3`/2
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
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Eachaust (must be ducted outside) cfm
�o. Other Fans: Locations _ cfrn
_ �i'otal
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 ivlinimum Fee ($35.00)
,��� 2� Q� x .0125 � '���C��
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. �� I � 2�J0.�� x .0005 $ � , (03
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ,3�, � 3
* 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 ehe amouut :o be charged to the
customer for the work done. If any material, equipment, labor, or installation are fumished 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 pernut 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
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 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 correct.
A licant's Signature: � � ` `�-�-� Date: `]—
PP
A roved B : Date: �� �� �
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HO�JSE �IEATING tES7 R�CORD
ADORESS � � t� ���E--;!� ��r APt. �LOOR CITY SU9UR8 G �� Z'
OC Ctl P A H 1 Lc.i >l � J��' � `_, ON'N E R �tJ �� � ��
IIFAt LOSS bATE N C� INfT. ;1�� ��-� 7
SbLO RY ,� +'"r-•�'���l� INSTALLEb �'f
EI.�►,i�ei w,.k B� � Ce• Un• 9r - -
TrPE oF HE�T G� F�t Nw STEAM SPACE HTR. UNIT NTR. OTHER
CAS OESIGN coNv��yl1'���
MAKE MUKE OF SURNER
M1ed.1 -- Gt C�� C- C�� - Ab d.l
S«tel � �/ � IA�r. B?U R�IIn�
iNPUt _ �/`Cd G`'C�C) MAKE Of fURNACE �'`'��-'
A1s1•I � � ' v
CONTROLS
THERAIOST T H•a� pluo .�. V•nr 31��
Velv• �/ " KINb OF LINER SIZE NONE
L���► � E' � broh Nse1 RNvloror
LiT�� S�nlno ' G Fllr«� Slu ►1un�b�•
Fsn S�+1I�• �. 4' � �`� C�In�n�r Leeellen In��l� � lsid,
P�ter Tr� _ �� r �S_ "� O�In�r.�r Censhvrll�� .� � /�� c�s� /� G; —
PIle1 Mek• ��-�L / ' - f�-
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Pller Tirnin� � D►eH y�'� t � C'F �- ?��1 1��
L.w. Cor o�r -- be« P.•..w. Lt�l,���� I�.r.
Pr���ur• -� ` P�re�n/CO? �� f f beN T��I�d �� �" — � �
I�pv� CFN � P�.e�n� p1 �•/ Ce,�.�r T•.r��� � ,
Stae4 t�rnp. ,� P«c�nl CO Ne� �1 T���M
ATE TIME
CITY OF ORONO CALLED IN � �-��
INSPECTION NOTICE SCHEDULED �' / :> �`j �n c
PERMIT NO. �/S� COMPLETED �_ �.�_
ADDRESS- � �.� ¢��� -� '
OWNE���.�i2r-u % CONTR. �� �c�
TELEPHONENO. � � - ��-��
� DESCRIPTION
� 01 FOOTING 11 ME�}iA� 18 EXCAV/GRADING/FILLING
Q 02 FRAMING �MECHANICA�L F�INAL . 19 LAKESHORE/WETLANDS
� 03 INSULATION ��24/25 WOOCSBQANER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J -1 BING FINAL 36 FOUNOATION/REMOVAL
OWN CONTRACTOR TO MEET YOU:�YES_NO
c., COMMENTS•
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W ❑WORKSATISFACTORY:PROCEED C pROJECTCOMPLETE
� ❑ CORRECT N�ORK R PROCEED C' ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,-, pHOTO TAKEN
INSPECTOR WILL RETURN
❑ OP ORDER POSTED.CALL INSPECTOR r`- CITATION ISSUED
INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN ����
INSPECTION NO�ICE SCHEDULED � S �� // '- �% �'
PERMIT NO. � �=� � COMPLETED � �C
ADDRESS,.�''�n�� ���- �C�
OWNEF����2-��.� CONTR,. _ �i��-�%
TELEPHONE NO. _/ ��� ��—' //
� DESCRIPTION ����c,%
� 01 FOOTING 11 MECNANICAL,LI__-a 18 EXCAV/GRADING/FILLING
Q 02 FRAMING �'13 MECHANICAL FINAL 19 LAKESHORE/N/ETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q O5 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
= 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 SATISFACTORY:PROCEED �PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED �I�SUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,--, pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR - CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for th ins .ee�io 2�hours in advance.473-73�J7
OwnerlContractor on
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Inspector. �
White Copyllnspector's File anary CopylSite Notice