HomeMy WebLinkAbout1996-008502 - mechanical � _ _
PERMIT
CITY OF ORONO PERMIT TYPE:
�750 Kelley Parkway- P.O. Box 66 t��.t..:t-�F���,.�- :��':
Crystal Bay, Minnesota 55323 Permit Number: �a{a=_��i�-:
(612) 473-7357 Date Issued: � i�:r i�.,;,,_;;
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 ME�;�NIC�AI. 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 return 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 Desi�ns - 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 cons[ruction 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. ��i �.
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 Commercial
JOB SI1'E:_ 1t�5� ) l,mG �lrld� t� v-e.r1v� � � .� Y�t_��'t�, Zip: �`�3� �
Owner's N.:r�e: (p,�� Q iLh �r•�(�c� TelephoneNumber: �}1�-c���
Mailing Address: 1�S`�v �U mcL �--�c�(a, �-ue City: "�.4_t;n�,� Zip: �3��
Contractor'sName: Ctllt(1M,(1Sif�P dJfi�,�1 CI� TelephoneNumber: ��q-((�a(;
MailingAddress: �051 I �t.t�tl la- � City: %(.,j�(c 1-�i�t(i� Zip: =-��,'�����1 '�;
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SYSTEM DESCRIPTION `
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HEATING SYSTEMS �
Quantity:
Make: N Cat `�)'C--,l�
ModeL• ,��1
Fuel:
Flue Size:
Input BTUs: �3F� �`�L� _ _
Output BTUs: � ,_
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
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.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm �
No. Bath Exhaust (must be ducted outside) cfm �
No. Other Fans: Locations cfm
FUEL STORAGE (MUST ?iE 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)
�,C7''7� �?�-� x .0125 $ �,�.`�-C�L �
(contract price) ''
2. State Surcharge. ** Add the State Building Code Division =�
Surcharge to each permit. �, c��; �_"z_ x .0005 $ /, UZ1 wi
or $.50, whichever is greater (contract price) �
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT rEE (Add lines 1-3 above) $ <�37,-5�C
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the ��
custome;for the work done. If any material, equipmeat, labor, o:installation are fi:rnished by the own�r,
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,
[hc City may request [he submission of a signed copy of the actual contract.
** The S'1'ATE 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 appl ic� to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accurc!ance with the ordinances of the City and the regulations o�the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct.
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Applicant'sSignature: G�' '�� ,�- ,l.�C ''�Z��..- Date: �J
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Approved By: � �;� �l�(�,/t,l�Q� Date: L` ��
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