HomeMy WebLinkAbout1998-010344 - duct work alterations PERMIT �
_ C*r�Y OF ORONO PERMIT TYPE:
� 2750 Kelley Parkway- P.O. Box 66 E'I�'SV.I"�i—i€��j.i:�;�
Crystal Bay, Minnesota 55323 Permit Number: ;_;��.;:;��
(612)473-7357 Date Issued: ^ _ : Y'
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SITE ADDRESS:
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APPLICANT%PERMITEE SIGNATURE SSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHANICAL PERNIIT
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. 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 RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Designs - 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. 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
requirements.
6. All work must be inspected (rough-in and final). 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.
Please check one: New �Addition Repair Replace
� Residential ,�C ercial
Jos srrE• �� � � � �C��-;r^ � z�p:
Owner'sName• � � '� TelephoneNumber:
Mailing Address: City: Zip:
Contractor'sName: VOGT HEATING�AIR Gt�NDlTlUN � TelephoneNumber:
MailingAddress: GORHAM AVE. Clty: Zip:
SALES 929-67fi7 SERYICF 979-d0i�
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: �' � � u �G��')'1") � `� ����� ���
Make: ��,�, ; � �.
Model: �
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
�
WOOD BURNING EQiJIPMENT
Wocxl 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. Fiath Exnaust (must be ducted outside) cf�n
No. Other 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
PEItMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) �� �
�;��`�� � "— x .0125 $ ->J� �'�-'
(contract price)
2. State Surcharge. ** Add the State Building Code Division �
Surcharge to each permit. �� C.��� i ��— x .0005 $ � �' --�
(contract price)
or $.50, whichever is greater
3. �osta�e and Handlin� (Gnly n3ai1-iri a�,�iications} $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ��;'� f��
* 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 to the
customer for the work done. If any material, equipment, labor, or installation aze fumished 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 Ciry 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.
� ✓ (��t : V�������{������ Date: � �J�
Applicant s Signature: �� -
Approved By: Date:
� p.��L1 ,�C13 4�
HOUSE EATING TEST RECORD
ADDRESS � r ? � ���r S "' L�� ���� APT. FLOOR CITY SUBURB �����
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST. � /v�
SOLD BY INSTALLED BY N ' � �
El�chical Work By Gos Lin� By �
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
„ ,�j AS ESIGN CONVERSION
MAKE �`�Q MAKE OF BURNER
Mod•1 " ' AAod�l —
S�rial Max. BTU Rotiny
INPUT � MAKE OF FURNACE
� AAed•I _
- CONTROLS '�
.�
THERMOSTAT �at Pluq V•nt Sis._
Volv. KIND OF LINER � SIZE � L NON
Limit � �.�'%�'`� L� Droh Hood �k�Z R�puloror
Limit S�ttiny 7 � Filt�rs Si:• Numb�r
Fan S�ttiny �� ' �' C7�fmn�y Loeotion I�sid� Oufsid•
Pilot Typ� `�'�1 ���� Chimn�r Ca�struetion /Jf � /lt i
Pilot Mak. �
Pilor Mod•I ��— Smok• Bomb - w����9
Pilor Timin9 +�-��g� D►afr � T•at 7aq
L.W. Cut Ofi Door Pr�asw� Li htiny Inst.
Pr�swr� � P�ro�nt CO2 � � Dol� T�st�d '��—
�
Input CFH �� P•►e•nt 0 Compony T�atiny
2
Stock T•�np. V P.re�nt CO n� Non�.of T•s��r V`
DATE TIME
CITY OF ORONO CALLED IN �ls�'
INSPECTION NOTICE SCHEDULED "7/� /U � �%��
PERMIT NO. � �� COMPLETED �_
ADDRESS �f�-� '
OWNER CONTR. ���
TELEPHONE NO. �D��1-C� 7 fc 7
� DESCRIPTION -'C' .,.-�c+e-�
� 01 FOOTING ECHANICAL RI 18 EXCAV/GRADING/RLLING
Q 02 FRAM�NG 13 INAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPL4CE 34 TREE REMOVAL
Z04 WAL�BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORK SATISFACTORY:PROCEED � PROJECT COMPLETE
W ❑CORRECT WORK R PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �_ pHOTO TAKEN
INSPECTOR WILL RETURN - CITATION ISSUED
�STOP ORDER POSTED.CA�L INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the nex inspection 24 hours in advance.473-7357
Owner/Contra or n i :
Inspector. -
White Copyllnspector's Fil Canary CopylSite Notice