HomeMy WebLinkAbout1994-006040 - mechanical �.. PERMIT
G�ITY OF ORONO PERMIT TYPE:
2750 Kelle Parkwa • P.O. Box 815 �?`R_�����;-��-
Y Y Permit Number: - - - -
Orono, Minnesota 55356-0815 `-""�'`-'`�`-'
(612) 473-7357 Date Issued: R_?�.i.`� :,,a:i
SITE ADDRESS:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHANICAL PIIZMTr
Box 66 (2750 Kelley Parkway) �
Crystal Bay, MN 55323 . .
GENERAL INFORMATION
1, you may apply for mechanical permiu by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued wichin 2 working days. '
2, Permit cards will be sent by return mail afcer a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POST'ED ON THE JOB SITE.
3, Mechanical Desians - Complete calculations, details and specifications are required for each heating,
ven[llation,humidification-dehumidifica[ion, and air condiuoni.ng inscallation including heat loss/heat gai.n
calcularion, design temperatures, equipment ratings and identification as to rype, manufacturer and model.
Data shall be presented on form provided. IdentificaLion of and specifications for water heating equipmen[
shall also be provided.
4, When any new construction or remodeling is involved, a separate building permit must be obtai.ned-
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.
�. 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 ,
Residen[ial Commercial .
JOB SITE: /,�'io���.,� �`',Gr...� �vF %����x�y� ��L�, Zip: .r:r���c/
Owner'sName: ���,��_ K� �=�-Q�- TelephoneNumber. '-�``1/�����
Mai.liug Address: /�z/o ��v�n�� �1���- �4vr_ __City: l��� Zip: �y�yr
Contractor'sName: .5��� TelephoneNumber:
MailingAddress: — Clh'� Zip:
SYSTEM DESCRIPTION �
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTIJs:
CFM: .
COOLING SYSTEMS
Quantity: � . '
Make: �v ��C �
Model: FisA o�t/c��.� .
Tons: . ;^ To�vs
H. Power
'� R
. .,..._ - - . . __ :. _ . . . _. . -`_
WOOD BURNING EQUIPMENT ..
� Wovd stove with flue . '
� - Wood combi.nation or add-on ._ .
� Factory fireplace with flue � � �
� - Factory Fireplace (s) Freestanding : _ Masonry •
� �wooa sto�e (s) Frankli.n, other '
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia. �
Total
VENTILATION
No. Kitchen Exhaust ducted recirculati.ng ��
No. Bath Exhaust (must be ducted outside) �� �
No. Other Fans: Locations �� �
. Total
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground i.nside outside �
L,p Gas: gallons
Other Gas opening
. PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
;j,��� x .0125 $
(contract price)
2. State Surchar�e. ** Add the State Building Code DiXisio�5 $
Surcharge to each permit.
(con[ract price)
� or $.50, whichever is greater 1.50
3. Posta�e and Handlin� (Only mail-in applications) $
4. TOTAL PERNIIT FEE (Add lines 1-3 above) �
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fized cosu. It is the amounc 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 thac there is a dispute on the amount of the job cost,
the City may request the submission of a signed coPY of the actual �°nrract-
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.SO - whichever is
greater. For valuacions over $1,000,00� call the DePart�ent of Inspectional Services for the price.
The 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 t11e regulations of the Minnesota
State Buildi.ng Code, and certifies that all statements made on this application are complete, true
� and correct.---------_ .
_ ,. _ .:._ _::� ., - � �L��� Date: �-�� — y�/
_ A licant's Signature: �-�°��z'v
PP
- . = . - Date:
' _. �. APProved By:.:�.. _-