HomeMy WebLinkAbout1993-005780 - remove oil tank �* PE1�1l�IIT �
� CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 f-;�=;��:-�:t;:�s:;�.
Orono, Minnesota 55356-0815 Permit Number: _-��j_;•._
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(612) 473-7357 Date Issued: � �
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SITE ADDRESS:
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A LI ANT PERMITEE SIGNATURE )RE `�'�� '
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CITY OF ORONO APPLICATION FOR MECHAIVICAL PERMTT
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 pernut 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 rtOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Designs - 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. 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 fina�). 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
� Resisiential Commercial /
c7�*�. //�/ �%''< �(
.J�B .711 i`.: -� �� 'i j F—h���E- /�Cb !�/ 7ilp: i� i
Owner's Name• �«,L � � ,� ,��� , f Telephone Number: y 7 's - ,'S/S
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Mailing Address: City: Zip:
Contractor'sName: � ,- / r,����-,�� ��_- �r TelephoneNumber: <��; -��3C f
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MailingAddress:..�y�. ,�_�� d' City 3� C-
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
FueL•
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
ModeL•
Tons:
H. Power '
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WOOD ING E UIPMENT
ood stove with flue
Woo combination or add-on
Factory eplace with flue
Factory Fire ace (s) Freesta g 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 Exhaust (must be ducted outs ) cfm
o. Other Fans: Locations cfm
otal
FUEL STORAGE (MUST �APPROVED BY FIRE MARSHAL)
Installat' �/ Removal
Fuel oil: gallons i�erground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
/�lC� x .0125 $
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0045 $
(contract price)
or $.50, whichever is greater
3. Post�Le and Handlin� (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 dollaz 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 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 STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,OOO,Q00 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 ements made9p this application are complete, true
and correct. �`� .
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. �
, . � �� Date: �����i - ��
Applicant s Signature:
Approved By: ��� Date: >/ ' l f� i�
DATE TIME
CITY OF ORONO CALLED W 1�--3D- J�
INSPECTION NOTICE h SCHEDULED � /-3��`t3
PERMIT NO. 7 ��J COMPLETED /I"� �O
ADDRESS ��S wEST ��2i�p,q��
OWNER CONTR. ��-'RR� Soln�tsa/J
TELEPHONE NO.
� DESCRIPTION
� Ot FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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Q 05 FINAL 13 METER SET�iURN ON 17 SITE INSPECTION
� 07 DEMO-SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO-FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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