HomeMy WebLinkAbout1993-005339 - mechanical . � PEI�MIT
CITY OF ORONO PERMIT TYPE:
I 2750 Kelley Parkway • P.O. Box 815 ��;F_,��,,t;�F�:n�
Orono, Minnesota 55356-0815 Permit Number: �:��_s,�:^;.-i,_j
(612) 473-7357 Date Issued: ;_�?�_ �f;,�:';
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APPLIGANT PFRMITEE SIGNATURE � S;SUED BY:SIGNATURE -�� •
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CITY OF ORONO APPLICATION FOR NIECHANICAL PERI�IIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
(GENEIZAL lIVTOItl�1A'1'lON
1. You may apply for mechanical permits 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 cards will be sent by return mail after a review is completed. PERMITS ARE NOT VAI,ID
UNTIL YOU RECEIVE A PERM�T. WORK MUST NOT BEGIN UNTIL THE FERMI'T CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Designs - Complete calculations, details and specifications are required for each heating,
ventilation,humidifica[ion-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 furm 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 ou h-in d final). Call 473-7357. 24-hour notice required. �Urr.2..�•�
7. House Heating Test Record must be submitted before final. �U�y J� FjLt' rJ����� �.�
Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIUNS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: �/New Addition Repair Replace
_�Residential Commercial
JOB SITE: o JSS �c37C .S f/t,�C- '� Zip:
Owner's Name• / � Telephone Number:
Mailing Address: � City: � +�E-�- Zip: �C�
Contractor'sName• �' ��i ic_ ) Tele ioneNumber: -� � 7 7
MailingAddress: �' .c� City: i� >�,�Zip: ��S
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: !
Make: �
�rrad�wz,
Model: �,9e-o��,�
Fuel: 'kJ_ l'��¢S
' Flue Size: 5�'
Input BTUs: j�r-�_
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
U` �" S`'3
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�D BURNING EQUIPMENT �,,I ,,J �tlr'�
Wood stove with flue �t�'
(�` Wood combination or add-on
� Factory fireplace with flue
� Factory Fireplace (s) Freestanding Masonry
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Wood Stove (s) Franklin, other
Brand Name /�(oT���- �,d,¢„i�, � Model No. 2 c�/
Mfgr's Min., Clearances, sici�, , rear , min. flue dia.
Total
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath E�chaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
I'UEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
P + IT FEE CALCUL�'TION
1.25% of Contract Price* or Nlinimum Fee ($35.00) 2
� ���_�� x 1.25 $ :��U�
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� (contract price)
2. State Surchar�e. ** Add the State Building Code Division
�l Surcharge to each permit. x .0005 $ /, / ��
p (contract price)
� ,, 3. Posta�e and Handling (Only mail-in applications) $ I?�D
�' 4. TOTAL PERMIT FEE (Add lines 1-3 above) $
3
� * CONTTZACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
� work including materiats, 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 itetns must be added to the estimated cost
O' 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 tlie submission of a signed copy of the actual contract.
� �
�`{ � �o ** The STATE SURCHF,RGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
.�3� greater. For valuations over $1,OU0,000 call the Department of Inspectional Services for the price.
�' The undersigned hereby a�plies to the City for issuance of a Mechanical Permit, agrees to do
all work in strict aecordance with the ordinances of the City and the regulations of tlie Minnesota
State Building Code, and c.�rtifies that all statements made on this application are complete, true
and conect.
Applicant's Signature: ���%�`� t�� Date: %�/����
Approved By: Date:
DATE TIME
CITY OF ORONO CALLED IN '7- l.5-�3 Q �- �U d rT.�/
INSPECTION NOTICE SCHEDULED J7 -,[�L�3 /D�:�Q m..�
PERMIT NO. COMPLETED di l(
ADDRESS a S��-�' ��1���
OWNER G���� ��C�S-�" CONTR. �� � ����r�� ��O
TELEPHONE NO. ��:J"��f� 7
� DESCRIPTION � ���'�'�"� �'�
� 01 FOOTING 11 MECHANICALRI Saj(p(1� 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANI A�FINA� 18 EXCAV/GRADINGIFILLING
� 03 INSULATION 24�WOOD BURNER IREPLACE 19 LAKESHORE/WETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
� 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: �DC.� �A�- � �l�
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d WORK SATISFACTORY:PROCEED ;' PROJECT COMPLETE
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� ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. " pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQU�RED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContract e:
Inspector. -
White Copy/lnspector's Fil Canary CopylSite Notice