HomeMy WebLinkAbout1998-010660 - air condition/humidi �
� PERMIT
CITY OF ORONO PERMIT TYPE: - �
2750 Kelley Parkway- P.O. Box 66 �jL�-��="-"'���'�
Cr stal Ba , Minnesota 55323 Permit Number: ;i j,s_i=,=�;i
y y Date Issued: �_j;_;,�yF,,�-'s�=;
(612)473-7357
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANUPERMITEE SIGNATURE ISSUED BY:SIGNATURE_ <�-��.
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CITY OF ORONO APPLICATION�'OR MECHANICAL PERI�II7C
Box 66 (2750 Kelley Parkway) �
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical pemuts 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 cazds 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 Desi.Qns - 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. Identification of and specifications for water heating equipment
shall also be provided.
4. ��hen any new constructior or remodeling is involved, a sep�*ate bi>;l�ir� germ.i: .r1Lst be �bTaine�.
S. 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.
Please check one: New Addition Repair �Replace
� Residential Commercial
JOB SITE: �C� �� ,�,�G► e [�;� ��d Zip: 5 S 3S�
O�mer's Name: -�e�� �j c%�-�.�-c2. Telephone Number:
Mailing Address: 3c�GU �' G�-w�- City: �'���-Zip: s'S�3.S"�
Contractor's Name: � �,.�- Tele hone Number: S�7--�£��'/
Mailialn Address: G ! 3-1 ~—�!� �� City: ri j'k-w Zip: S''S'=1��-
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Ivlodel:
Fuel:
Flue Size: �
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make: s
Model: C ti- � �
Tons:
H. Power '
,{/� ���j�-GL
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WOOD BURNING E�OUIPMENT
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.
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
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
c�'
,����1.� x .0125 $ 3�
(contract price)
2. State Surcharge. '�* Add the State Building Code Division
Surcharge to each permit. �-�G� x .0005 $ ����
or $.50, whichever is greater (contract price) :
3. Posta�e and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ -3�,�v
* 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 the amount to 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 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 of the City and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application a omplete, true
and conect.
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A licant's Si ture: �G �C�t .������r�� ✓� T� ;Z--e_,
PP � � ate: �-� i�'
Approved By: Date: