HomeMy WebLinkAbout1999-0111 - mechanical �� ���ERMIT
� CITY OF ORONO PERNIIT TYPE:
� 2750 Kelley Parkway- P.O. Box 66 Permit Number:
Crystal Bay, Minnesota 55323 _ ... ._ .. _. ...
(612) 473-7357 Date Issued: . _ ._ . Y _
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SITE ADDRESS:
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DESCRIPTION:
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APPLICANT%PERMITEE SIGNATUR� ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHANICAL PERNIlT
Box 66 (2750 Kelley Parkway) �-
Crystal Bay, MN 55323 �;� I�3a� `��`� .�' ,
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the Ciry offices. Applications will be
reviewed and a permit 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 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 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 invoived, a separate building permit musc be obcained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements. .
6. Al! 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 permit fee. Sign and date the certification.
• INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
V Please check one: New Addition Repair ✓ Replace
' ' : ` Residential Commercial
- JOB SITE: _ _ Zip:
Owner'sName• TelephoneNumber: �-.�']��3"�77
Mailing Address: SQ,,I(YL� City: Zip:
Contractor'sName: t�EPE►YQABLE itiS�,����� k(R �!�/�.LITY_ /�t&lephoneNumber: "� —
MailingAddress: 26�9 Cool� RaE���s BOU��v�� Zip:
Ct?Ol� FiAf�fDB> t�RI� Fb43� _
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantiry: � �
Make: R���.�lL.-
Model: ��
Fuel:
Flue Size:
Input BTUs: � �1�.`� —
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons: -
H. Power
. ; q•� �
. �
WOOD BURNING EQUIPMENT
Wocxi 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 cfrn
No. Bath Exhaust (must be ducted outside) cfrn
No. Other Fans: Locations ci�n
� 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. 1.25% of Contract Price* or Minimum Fee ($35.00)
�U q ,o� X .oi2s � �8.94
(contract price)
2. State Surcharge. ** Add the State Building Code Division /-
Surchai•ge to each permit. �, e �q �0� x .0005 $ { ��P
(contract price)
or $.50, whichever is greater
3. PostaQe and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERNIIT FEE (Add lines 1-3 above) $ �c��
* CQNTR.ACT PIL:CE ar.►�R C�J�T!*�ew^.s the ac��a! or Pstimated �iollar amount chargPd for the nem�itted
work including materials, labor, profit, and other fixed cosu. 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 pemut fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ciry 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 regu ions of the Minnesota
State Building Code, and certifi that all statemen made on this app ' a ion are complete, true
and correct. e �°"�� ,A.�"
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Applicant's Signature: �� �-� `�l__` Date: ��- —
Approved By: n �, Date: b � �