HomeMy WebLinkAbout1996-007864 - mechanical — �-T— —
PERMIT
�CITY OF ORONO PERMIT TYPE:
��50 Kelley Parkway- P.O. Box 66 t*IES:l��i�l.C:�L
Crystal Bay, Minnesota 55323
Permit Number: ;:;�;�;_,�„�
(612)473-7357 Date Issued: ���;;�,�1 N�f.
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: — AF���I i c���t. — OWNER:
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� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHANICAL PIItMIT
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 o�ces. 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 DesiQns - 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 shail be presented on form provided. Identification 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 pemut 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 SITE. '' � ' Zip: �
� �� Telephone Number: `=i� ti - I C� � �
Owner's Na€r�e: ��.� .-� � � �
Mailing Address:�C�3 (� � 1kInG l�r� City: L+k����r,_�;,�;F�_ Zip: �°-�� _ � l-� �
Contractor'sName: F"� 5�� C'�r ner Tele�honeNumber: 1,-��T ?�(�I ,�
MailingAddress: ti�CX� N Fc��r��� °+�> i�- City: Zip:� �,51��j �
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantiry:
Make:
Model:
Fuel:
Flue Size:
Input BTUs: .— '`�
Output BTUs: *~
CFM:
COOLING SYSTEMS
Quantiry: �;�
Make: ;.s�
ModeL•
Tons:
H. Power
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,£ ���i^w�v��'�•'''9 yr^""" �*.�,'a+ro . � .� ..�,.' kT '
a. s y }.,a , . � a'�
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WOOD BURNING EOUIPMEN'T
Wood stove with flue
Wood combination or add-on
�z �� �( Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name � ����� �-��-���f �r min i �F�IC;�P�ra Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
�_�c>,�����1��.tr��-- j-`=,�-i�,
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfin
No. Other Fans: Locations cfm
FUEL STORAGE (N1UST BE APPROVED BY FIRE MAP.SHAL)
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)
� y- < x .ol2s $�3 . �C�
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
or $.50, whichever is greater (contract price)
3. Postage and Handlin� (Only mail-in applications) $ 1.50 J�:
4. TOTAL PERMIT FEE (Add lines 1-3 above) $—�r��—' �'��
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* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted
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 pemut 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.
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� ** 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 City for issuance of a Mechanical Permit, agrees to do
4" 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.
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, � � � �_ Date: '
�,. Applicant s Signature:, � �� -
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�r Approved By: Date:
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DATE`� TIME
CiTY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �02 �
PERMIT N0. 7��� COMPLETED � =�
ADDRESS � �� ��
OWNER /.��1.�`-/�rv`� �'D�t ' CONTR. C.-d�
TELEPHONE NO. �o ,� "o����
� DESCRIPTION -L ' �� � 7?'L.Q.c-N .
� 01 FOOTIN� 11 MECHANI 18IXCAV/(3RADIN(�/FlWNO
y 02 FRAMINO 13 MECHANI 19 LAI�SMORE1WETlJWDS
Q 03 INSULATION 24/25 WOOD BURN REPLACE 34 TAEE REMOVAL
Z p4 WqLL Bp. 12 WATER HOOK-UP 17 SITE INSPECTION
e p5 FlNAL 14 SEWER HOOK-UO O6 PRO(iRESS
�
J 07 DEM�SITE 27 SEP71C MAINT. 21 COMPWNT
W p7 pEMa—FlNqL 15 SEP11C INSTALL 22 FOLLOW-UP
= 08 PLUMBIN�RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
v 10 PWM&NQ FlNAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YE8_NO
y COMMENTS:
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W . WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE CONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne ' ti 24 hours in advsnce.473-7357
OwnerlContract on e•
Inspector: %
Whit�CopyAespecto►'s Flk Cansry CopyfSih Notiw