HomeMy WebLinkAbout1993-005447 - mechanical PEI�MIT
CITY OF ORONO r ` PEl�MIT TYPE:
2750 Kelley Parkway • P.O. Box 815 �:'�'�N''�'��'�`���'�
Orono, Minnesota 55356-0815 Permit Number: t;�;��;��
(612) 473-7357 Date Issued: _ ; ;�, : :_ _
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REMARKS:
FEE SUMMARY:
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APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE C����
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CITY OF ORONO APPLICATION FOR MECHANICAL PE
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. Applica�ns 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 RECENE A PERM�T. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi�ns - Complete calculations, de[ails 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 buildi.ng 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 nntice required.
7. House Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WZLL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check : :. New Addition Repair Replace
Residential Commercial
JOB STTE: Zip:
Owner's Name: � Telephone Number:
Mailing Address• City: Zip:
Contractor'sName: V O G T H E A T I N G & A/c TelephoneNumber: 9 2 9-6 7 6 7
MailingAddress: 3 2 6 0 G 0 R H AM A V E Cl�': S T L 0 0 I S P�lp: 5 5 4 2 6
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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a / � A
WOOD BURNING EOUIPMENT
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 Exhaust (must be ducted outside) cfin
No. Ot,.�r Fans: L,�catior..s cfm
Total
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. 1.2�% of Contract Price* or Minimum Fee ($35.00)
x 1.25 $
(contract price)
2. State Surchar.:�. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
3. Posta�e 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 dollar amount charged for the permitted
�o.k inc�uding nater:als, labor, t.r��t, :.nd o*!�e: f.xed costs. It is *!�e �eunt te be charged to the
customer for the work done. If any material, equipment, labor, or installation are fumished by the owner,
tenant or any o[her 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 acr��l 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 Pemut, 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.
Applicant's Signature: Date:
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Approved By: Date: �-0�3—�-�