HomeMy WebLinkAbout1996-008170 - mechanical � PERMIT
��'� OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 ��:�;_�-���_4 T i:�"�€
Permit Number: �_;{.,;;� ;,,
�-ystal Bay, Minnesota 55323 Date Issued:
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2)473-7357
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APPLICANUPERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY O�' ORONQ APPLICATION FOR MECHAIVICAL PERMIT
Box 66 (2750 Kelley Parkway) , -� ,
Crystal Bay, MN 55323 �'�1,
GI'sNERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a permi[ will be issued within 2 working days.
2. Pennit cards will be sent by return 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 TI(E JOB SITE.
3. Mcchanical Desi�ns - Complete calculations, details and specifications are required for each heating,
ventilation, humidification-dehumiditication, 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. Wlien 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 final). Call 473-7357. 24-hour notice required.
7. Iiouse IIeating Test Record must be submitted before final.
Instructions Complcte all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLGTE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please ch�ck one: New _� Addition � Repair Replace
� Residential Commercial
JOB SITC: �3�.� �j _ �� - �. C Zip: ��`�.�3 2�
Owner's Narne: G:��5 _ c 5 � Telephone Number:
' , Mailing Address: �,S',S 1�v:.��1GiC� City: C:�,�,,� �� Zip: �-,���, Z 3
� Contractor'sName: �',r-��c��>; I�ln� c� �,����n�, _TelephoneNumber: y�b �j2e�j
� MailingAddress: 1 c�C� �.<<�Cc� ��,�>�� � � . City: ��C��L�u�� Zip: `�53;31 _
SYSTEM DESCRIPTION ��(_�L,4� `�j ft-��-�- (���'S
�IEATING SYSTEMS
Quantity:
Make:
Model:
Fuel: ------
I�lue Size:
Input BTUs: _ _
Output BTt1s:
CI�M:
COOI.ING SYSTEMS
Quantity:
Make:
Model:
7'ons:
II. Power
�
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WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Preestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FU�L STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fue: oil: gallons undergroun�i inside o�:tside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
l. 1.25% of Contract Price* or Minimum Fee ($35.00) ��.�
�
=j C�`'� x .0125 $ �
(contract price)
2. State Surcl�arge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ � ���
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ��] . �;C�
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged ro the
customer for the work done. If any material, equipment, labor, or installation are furnished by the owner,
tcnant or any other pariy tl�e reasonablc market value of such i.ems 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.
Tl�e 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 statements made on this application are complete, true
and correct.
Applicant's Sign Date: (�^
Approved By: Date:
�
CITY OF ORONO CAILED IN � DATE �T�
INSPECTION NOTI E SCHEDULED ' -3 �'h
�b ��G'?��
PERMIT NO. COMPLETE T�_
ADDRESS � �
OWNER �-O ONTR �
TELEPHONE NO. �70 ' �av �
� DESCRIPTION
� 01 FOOTiNO ►LL�AECMANICAL R�j i8 DCCAV/ORADINQ/FIWNQ
y 02 FRAMINO 13 MECHANICAL FlNAL 19 LAI�SHOREIVNETLANDS
p 03 INSULATION 24/2S WOOD BURNEFUFIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
� OS FINAL 14 SEWER HOOK-W O6 PROGRESS
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v 07 DEMO-�fTE 27 SEP71C MAINT. 21 COMPWNT
W 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBIN�RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
v 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YQU:_YES_NO
y COMMENTS:
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d RK SATISFACTORY:PROCEED � PROJECT COMPLETE
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� CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORHECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOHE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next'ns tion 24 hours in advance.473-7357
Owne ct sit
Inspector:
White CapyBnspector's File Canary Copy/Sib Notio�