HomeMy WebLinkAbout1999-011703 - air condition � , PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66
Permit Number:
Crystal Bay, Minnesota 55323 Date Issued: �` ""�"``�'i``�
(612) 473-7357 . ._ _ . _ �
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SITE ADDRESS: � �
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REMARKS:
FEE SUMMARY:
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APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE ��,
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CITY OF ORONO � APPLICATION FOR MECHANICAL PERIVIIT
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 o�ces. 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
UNTIL YOU RECENE 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 sh�ll 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 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 SIZ`E• `t'�e r . A 'c� ' �� ZiP�
Owner's Name: �";,ti�, - Telephone Number: ��.;.��{��/
RZailing Address: ; ;,�,,,.{_ City: Zip:
Contractor's Name: Telephone Nunnber: _
Mailing Address: City: Zip:
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
?�Zake:
Model:
Fuel:
Flue Size: �
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make: �
ModeL• �C,� ` iti'k ���t�/ �
Tons: _�.
H. Power '
[ � '
WOOD BURNING E�QUIPMENT
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 E�aust ducted recirculating cfm
No. Bath E�aust (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)
,���5- x .0125 $ ,Cl r, l�i
(contract price)
2. State Surchar�e. X* Add the State Building Code Division
Surcharge to each permit. x .0005 $ /. lv 5
or $.50, whichever is greater (contract price) _-
3. Posta�e and Handli� (Only mail-in applications) $ 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 chazged 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 grice 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 Ciry and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and conect.
Applicant's Signature: -�j�; ✓' Date: �'7 5�5'
r �—rrr�t—
Approved By: Date:
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED I — �'•�
PERMIT NO. �� 7�� OMPL TED �� � ��' ��%C )
ADDRESS ��� rn��"'� �> •
OWNER CONTR.S�<LT�V � �-�C
TELEPHONE NO. �3� � �-�'
� DESCRIPTION
l� 01 FOOTING 11 CAL RI1_ 18 EXCAV/GRADING/FILLING
Q02 FRAMING 13 MECHANICAL FINAL A�� 19 LAKESHORE/WETLANDS
� 03 INSULATION OOD BURNER/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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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� OWNERICONTRACTO TO MEET YOU: YES_NO
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d ❑W RK SATISFACTORY:PROCEED C PROJECT COMPLETE
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� C7 ORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
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O ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. 7 jj�// �6�G
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Call for the next inspection 24 hours in advance.���
Owner/Contractor on site:
Inspector�%�=t� C��t"� S
White Copy/lnspector's File Canary CopylSite Notice