HomeMy WebLinkAbout1999-011573 - heating/cooling PERMIT �
CITY OF ORONO PERMIT TYPE:
;,j�:,,J Kelley Parkway- P.O. Box 66 �°�`�_�;�3;��?�_;i�:i._
+� Crystal Bay, Minnesota 55323 Permit Number: �„.'�',��.;_�
�(612; 473-7357 Date Issued: _
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SITE �DDRESS:
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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 PERMTT � �.�
Box 66 (2750 Kelley Parkway) ��y �
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 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 aze 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. Ideatification 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
requiremenu. .
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 permit fee. Sign and date the certification.
� INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Y Please check one: New Addition Repair ✓ Replace
Residential Commercial
� Zip:
Owner'sName• � �` � TelephoneNumber: y'11 - ���`�
Mailing Address: City: Zip:
Contractor'sName• -�� � � TelephoneNumber: �5�1-��yc
MailingAddress: • 7�19 ('C�nrti a n oi ne vn��9�,rT�iRFi lty�— Zlp. _
�40(V RAPfDS. N!N 66433 ,__..
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantiry: I
rv1a1:�: �i uu d
Model: Ll�IZ.�=}�� _
Fuel:
Flue Size: c"
Input BTUs: �Cy0D0
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: I
Make: IZ�ai�
Model: ta���D�'�
Tons: oZ'�a
H. Power
WOOD BURNING EQUIPMENT
Woc�d 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) cfm
No. Oth�r Fans: Locations 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. 1.25% of Contract Price* or Minimum Fee ($35.00)
?Ia Q(� ,�C� x .0125 $ LI� ,��
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surchai•ge to each permit. - ,��(�,C;� x .0005 $ � , q'�
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERNIIT FEE (Add lines 1-3 above) $ Ja , ,�l�
* CONTRACT PRICE or JOB COST means the actual or estimatea 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 $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the C� for issuance of a Mechanical Permit, agrees to do
all work in strict accordance with �idina�ce City and the regulations of the Minnesota
State Building Code, and cert' es that al ements a n this applicat' are complete, true
and correct.
A licant's Signatur . / ` �� Date: CG� ��' !
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Approved By: Date: 6 '�� '��
JUN-14-1999 1��55 I�;N�EGASCO 612 �21 5550 F.06.��6
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TOTfaL P.06
D TE TIME
CITY OF ORONO CALLED IN � 9 q '�-�
INSPECTION NOTICE SCHEDULED � / 9q ��
PERMIT NO. //$?3 COMPLETED
ADDRESS -3�� I V� �`��- , W�-.
OWNER '�t�l��Sd1't CONTR.� �tirG�at1Y `/'
TELEPHONE NO. ����' 7�°�S
� DESCRIPTION �,�t r ; I����'ti-- , �vla.Csz..
lL 01 FOOTWG 11 MECH 18 EXCAV/GRADING/FILLING
� 02 FRAMING ECHANICAL FI 19 LAKESHORE/WETLANDS
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O 03 INSULATION 24 NER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED i ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. �- pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ^' CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call f c � ec 24 hours in ad .473-73�J7
OwnedCon cto si�
inspector.
White Copyllnspector's File Canary CopylSite Notice
�DA-T�E� c� TIME
SONO CALLEDIN /--;1, /—�� i rC�
,ON NOTICE SCHEDULED � •30-- y1� g`��
NO. ��� �3 COMPLETED
ADDRESS �JJ� G � �� �
OWNER CONTR. f��. �'�.G p_ _.��
TELEPHONE N0. �
� DESCRIPTION __ �2 , ��2.: �� ., �.G-f/�-d-�-��
� 01 FOOTING 11 MECHANICAL Rt 18 EXCAV/GRADING/FILLING
Q 02 FRAMING MECHANICAL FIN 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 EPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
N, 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. i PHOTOTAKEN
INSPECTOR WILL RETURN
�l CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i 'on 24 hours in advance.473-7357
OwnerlCo r ctor ite:
Inspecto
White Copyllnspector's File Canary CopylSite Notice