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HomeMy WebLinkAbout1998-011110 - mechanical PERMIT � '� CI'fY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 _.�:��::��:�::F=::_ Crystal Bay, Minnesota 55323 Permit Number: .;'; �� � ; t!. (612) 473-7357 Date Issued: _ W_ _ SITE ADDRESS: ,ii�,:-.:�.3 �-� - r� � x . _ �t_ _����.3'v'i,.._�� _:i 1�; i ;-` . 3 . �w . . {):�,--'t i —__,—_,�—i_!f i 1� DESCRIPTION: ;;i i�:1'.�L:�'���E:���� :� ►�t xL:� f:,,���#:;�:: �M�C��'r' t•s-j;�.:= ��:I��_��;� � ���t��I i...r�:T���t�l i�������:� �;t_xt�:�€:::�".:6�° REMARKS: FEE SUMMARY: ;.%i;I_;_;H��'�t=i�'li �:-' �i�;:, �-:_:,�rJ i—r=�"r'• d•.'�`i: , [ii: '�%-i.��.... ��� _�_.____ �' �� .��1.,.(�'1_�0•+1 1�.iH'' M_...__..........� .s.axa �f•_ s y� '� ��7�..�'s_ �r.,;:s ���;�� �s _�i�f=.t T.�_:T..y1� ��!':'� . .�_ _ CONTRACTOR: _ ��:�,; ; ;_;;-,� -. OWNER: �'�.i_..��Y� i i# t,7 ,'_'? j-�t_ —''w1� i LL,,:;4 � 4,�E"te..i!� t�'_fl'��•`_� ='ti'�= j-,�E_�{,,�F��i ;h — -,i2 lt;:€r_tij 3.; �''�i i�_�_ s _ : ��� ....____ �..__.:v�+:• �w. �s `�`t:=��. ,`�`H:?�•�` f'iC'� — — -'.;�.;' �sr-;f^!t+��_` !'``'' — — — — — s'r-,'! '.. '::�1—:�.:-`# i . . . .�*r.,�-.�..� � r=• �, {,. _ _ _. � ��z: �.r. �-s_ �"#��, i:,,,s _�:;.�,�,t���'�,:��� �`�t���� ��-.;z?�_��.��-_� �'�.�?.i 1 _=�,t{�i Y ��. . . .� `. f�-._.. ?�:c._. ._._ ��'3{ '�:�..E�:`�.�''j:...�,�s._ —._�.:i s` j�G"..{.f NI+l11 �1��'1�i.:� #_!�": �#—i i—+'•_-- `�'�f_'<�"`'.I'��. i!� x� 't"i... �f ..�.��':! L_•�s ._�'._ '•:�E . . . r�=._�_ !_�i i'1 [�4� —�_. _ ___ _. j�^� L � ��,_ , ._,! �_F[}-;;.'•w r,�r;�I..�� !-��'�� =��t'3 t� i f— !�`f,t T {�_..•w�_�F'W�'�_{___ ._ _ _i:�}— �t .'c,4 �i �ts".;"lh;c� .. . � �'r»� . --�L�Yi APPLICANT-PERMITEE SIGNATURE ISSUED BY:SIGNATURE � � " �. � . ; "� !r: � S `� , , -�� , , ?���1!!�D �, �.a ,':{ CITY OF ORONO APPLICATION FOR MECHANICAI�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 DesiQns - Complete calculations, details and specifications are required for each heating, ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat gain `x. 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 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 Commerci JOB STI'E: t� � ' � Zip: Owner's Name: -r Telephone Number: Mailing Address: City: Zip: Contractor's Name: \P_,�P �,—,;,�4 �- �c. Telephone Number: yyi -<,��2 c� Mailing Address: f����Q�,�.��r i,r�: � City: r de.� �fU�r�Zip: Sr5�3-y 7 SYSTEM DESCRIPTION � � ; HEATING SYSTEMS Quantity: �S'�aa�.�� ��-�Q�,/. � Make: �e��-" cr�o�h.��- d � Model: Fuel: Flue Size: Input BTUs: ` z Output BTUs: r CFM: COOLING SYSTEMS Quantity: Make: Mod'el: Tons: . H. Power � � : x. ; , 4 � _ . .t, . . ��' . Y��d - ,.�, ;{ ''r°'"�� `;.,?',+*`� .''�""I"e`a.' ! +.�^T`� .� � '�e '°tE'�.'� ._ � '�-� yF ,�.�,,9• r.�r ��r+Y-tis �-....��-r't a,�:�"2°.r.�`^°K: �� r p ti,. � F ,y�� + ' p y� `� `� , � f . . �i � . . � � �'�r $ �.. '� �l f" } - . n< :t j.y �if ,}� . A Y ,� R 4� , ; �: � , � J . d � { �: �w� t,,',, . . . . � . � . f � ,� 4 � � � �.. � �E E.,��"�R#���s � � 7' . � 41+,M1 . k _ . . . . . � . . .. � �.� %� y ~ � � WOOD BURNING EOUIPMENT � � � � `� Wood stove with flue � :_ ` i � , . { t , � , _ Wood combination or add-on � � � � ;; „ ' � ' f�' Factory fireplace with flue �;�;�:f � 'a�; �;� Factory Fireplace (s) Freestanding Masonry E��-' Wood Stove (s) Franklin, other i Brand Name Model No. � ,-: �r Mfgr's Min., Clearances, side , rear , min. flue dia. �_ ,; ,; . .,s ,�.� '��; VENTILATION �,�� � ' '� �� No. � Kitchen Exhaust ' ducted recirculating cfm � � - �� �' r,TM .` `"- ;i_;: No. Bath Exhaust (must b ducted outside) cfm �� � ��' � r ���Er�r_�" No. _ - Other Fans: Locations _ cfm ,�����,. `'„ � � � � � , 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 � r � � ��:'. � 1. 1.25% of Contract Price* or Minimum Fee ($35.00) � .._..__ � ���00 .`� x .0125 $ �jj� � �`° � (contract price) �� , - 2. State Surcharge. ** Add the State Building Code Division ` `� � ' � i :: Surcharge to each permit. x .0005 $ �, 2� -� ��� ° �� ;� �° �� � or $.50, whichever is greater (con�ract price) �� "''"�� ' �t �-. � � � '�` : , �� ��`�;'' 3. Posta�e and Handling (Only mail-in applications) $ 1.50 '"' ��° �' 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �7?� � � �' `� ����� ^( �J 4 � ���.;x �4 � * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted �,! �� ; ,. �:s� .Y�rk incliiriin�a materials, 1?.hpr, nrofr, and other fized costs. It is the amount to be chazged to the � �� �'* , . 'r :' customer for the work done. If any material, equipment, labor, or installation aze fumished by the owner, f� �� �`= � � '� : : . ^��, 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, � �,,t�, T rf�' the Ciry may request the submission of a signed copy of the actual contract. ,� �<: ,� �t�' ' ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is ��_ �F .•J f. . � : �' i°#' greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price. ; ,,.7'7 ��.;..��. �� •'. � , The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do ,��.,�Y� � *.'= all work in strict accordance with the ordinances of the City and the regulations of the Minnesota t.�;. �,� t State Building Code, and certifies that all statements made on this application are complete, true ��; ��` �, � � and correct. ='�'��' la.:.r ^ s�,F;�: � V �i' I Y 1 �� Applicant's Signature: � Date: �oz�1� N' � � �,; � �s Approved By: Date: '�� u M',Y ���:� �' ` ���_ ,�. �}-. n „ �+.' � i �� +" h. i 1` �c, , .�� 3 �, ;:E � : e � �. ..:� �� . . - . s r .% y , y� �; - '�. _ `�' „�8 1�. ' . ��^' . r K ` r � r : � �� ,, -, z . � .. {+r:. .�aY .. �.�„ y. ��f.e.�� �'�...13 .;` ,..� ��„ �e . Y .'p .'�. _:��, <.�4.�i��...� .yv�i�.. . �^: .•Y i. . �_ . ... 1'. .. .,_. .. .._... _r _.._ _�� .. zP ...�..�.. ,,,._.:�x.w L.t�'�.. ._T�'�