HomeMy WebLinkAbout1995-007618 - mechannical . PERMIT
� Cs�TY OF ORONO PERMIT TYPE:
''�50 Kelley Parkway- P.O. Box 66 �- _ -�:�'`3� '` ``
rystal Bay, Minnesota 55323 Permit Number. �.;;;°;;.:-._ �-:
Date Issued: -
12) 473-7357 �I
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REMARKS: ;
FEE SUMMARY:
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CONTRACTOR: - - __ - _ — OWNER:
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APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECIIANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 � � �
GrNI?RAL INFORMATION ��V 1 3 �G�J
1. You may apply for mechanical permits by mail or in person at [he City offices. Applications will be
reviewed and a permit will be issued within 2 working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
iJNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Dcsigns - 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 identi�cation as to type, manufacturer and moclel.
Data shall be presented on form provided. Identification 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 accordancc witii ti�e Jniform Mechaii;cal Code/State Buildir.g Codc
requirements.
6. All work must bc inspected (rough-in and final). Call 473-7357. 24-hour notice rcquired.
7. Iiouse Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Compute die permit fee. Sign ancl datc the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Plcase check one: Ncw Addition Repair RePlace
Residential Commercial
JOB sITL:�%;r5` �r�=>�s�;����» ;r- -��� z�p:
`� Owner'sName: �,c �CLIA-���-t /=/I r��� - TelephoneNumber: /�/ r�"7/ l
��, Mailing Address: City: Zip:
�i Contractor'sName:<.( _ �,� �-�a �}�,�-ir� � TelephoneNumber: ��,,��' ;�2 7 Sr
n Mailing Address:��_�j � G, �-'/r n f�ity:��--�. l t�t�s_....Zip: .�'',l�- �Y„��)�
SYST�M ll�SCRIPTION
HEATING SYSTEMS
Quantity: �
Make: ,�Z1 C'`?Z-�_°'_t.- _
Model: (��i,r7 �rC' � C�
Puel: ��
Flue Size: "�"��'G
Input BTUs: ��i� �'�'`' _
Output BTUs:
CFM: j��.c:',��.,
COOLING SYSTEMS
Quantity: /
Make: -%-�t l'T�c:��.
Model: C_���k' -�1�
Tons: �
I-I. 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 Naine Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
V�NTILATION
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
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) �-..�
�/�SG'`-= x .0125 $ f �� `--=—_
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. �-/S���- ` -`' x .0005 $ E'- , ,�..Z
or $.50, whichever is greater (contract price)
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3. Posta�e and Handlin� (Only mail-in applications) � 1.50 ����
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ /� '
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* CONTRACT PRICE or JOB COST means the actual or estimated dollar amo �Sar�l�e rmitted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
customcr Tor ine work done. If:ury materiai, equipment, iabor, o;instaiiation ate Curnisl�ed Uy ihe owner,
tenant or any other party the reasonaUle 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 City may request the submission of a signed copy of the actual contract.
** The STATr SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - wi�ichever is
greater. For valuations over $1,000,000 call the Departinent 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 o inances of the City and the regulations of the Minnesota
State Building Code, and certifies that�ll statements made on this application are complete, true
and correct. '
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Applicant's Signature: - �� Date: ���v�"�j S
Approved By:
� Date: S' � �