HomeMy WebLinkAbout1994-006324 - furn/ac PERI`�IT
CITY OF ORONO ' ► PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: �`���'u��'���'�`�-
Orono, Minnesota 55356-0815 '-'i-��=,:�'�'�
(612) 473-7357 Date Issued: ��;;f��;`��
SITE ADDRESS:
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FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MEC'���1�',��'T
Box 66 (2750 Kelley Parkway) �1UG �. 1994
Crystal Bay, MN 55323
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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. Ideatitication oT 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 I3uilding 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 che 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
� Re 'dential Commercial
Lr-L�--� �: 5 S � 7l
.�UB �I�: � .� ���, P�
Owner's Name: izu.� ���,_Telephone Number: �{�/ - 7�/�s—
Mailing Address: �3 7 „ " City: ��`'�?-t��-�= Zip: s S 3 �/
Contractor'sName: ,�. -� y f � ,� . .�-c� TelephoneNumber: 5� �-�Yy/
MailingAddress: (p/�/ - S� 2 �T��� �c% City: ;'�,� �:-� Zip: _S S f�-�-�Z_
SYSTEM DESCRIPTION
HEA'�ING SYSTEMS
Quantity: 1
Make: " � .��--�
Model: ' ��
Fuel: �
Flue Size: `
Input BTUs: 7:S�o � �=%
output BTUs: �, 7, � �.% (1
�
CFM:
COOLING SYSTEMS
Quantity: /
Make: lti L'U �
Model: /3-/11 R-G> � �
Tons: �
H. Power
�
3a�
4
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WOOD BURNING EQUIPMENT
Wood 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 �xhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations ��
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 ($35.1�U)
� C'CL', c� � x .0125 $ .� 7- 5 �
(contract price)
2. State Surcharge. ** Add the State Building Code Division _G�
Surcharge to each permit. x .0005 $ �� 5
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ���'- �S ��' _
* 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 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 Cit,y 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.
' ` � �� -C��- Date: '�- �- ��9�
Applicant s Signature: � -r
Approved By: �- Date: ' �� "�`�
�v s r�c.e��
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DATE TIME
CITY OF ORONO CALLED IN �'��'L- P�
INSPECTION NOTICE SCHEDULED -7 '�
PERMIT NO. d�aa� COMPLETED �'2� lo=n�
ADDRESS �yrl�� �rr���r,T;sfrj��ie-
OWNER �rr�nnc Q�1Qv,r,�,� CONTR.���a.-,�o.- �o��. �'�_
TELEPHONE NO. ;53'7- PyQ /
� DESCRIPTION 1�er..�i v�n�• /-�-('.
� 01 FOOTING 11 MECHANICALRI 16 WELLTESTPUMP
Q 02 FRAMING �MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q OS FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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�WORK SATISFACTORY:PROCEED C PROJECT COMPLETE
W (7 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. -, pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR =CITATION ISSUED
0 INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContrac r on ' e:
Inspector.
White Copy/lnspector's File Canary CopylSite Notice