HomeMy WebLinkAbout1993-005029 - mechanical PEI�MIT
CITY OF ORONO ' ' PE�RMIT TYPE: ��x;H����4:p�
2750 Keiley Parkway • P.O. Box 815 PermitNumber: '-���`'?��`�
Orono, Minnesota 55356-0815 Date Issued: `s``�1�}�'f�a�-`
(612) 473-7357
SITE ADDRESS: �_;E,;i t�l��i�TH Hh�t J�
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ���(f
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CITY OF ORONO APPLICATION FOR MECHAlVICAL PERMTr
Box 66 (2750 Kelley Parkway)
Crystal Bay, NIlv 55323 -
MAR � � �.953
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 shali be presented on form provided. Identification of and specifications for water heating equipment
shall also be provided.
4. Wher. a.�y 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 BLiiding 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 tbe permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: X New Addition Repair Replace
Resider.tial Commercial
J�B SIT�i' 1360 North Arm Drive ZIP: 55364
' Owner'sName: Wendy Johnson TelephoneNumber: 935-2575
MailingAddress: 6025 Chasewood Parkway #202 CIt3': Minnetonka Zlp: 55343
Contractor'sName: Kleve Heatinq & Air conaitioni��lephoneNumber: 941-421 1
MailingAddress: 13075 Pioneer Trail CIt3':Eden PrairieZlp: 55347
SYSTEM DESCRIPTION
H�ATING SYSTEMS
Qll1P_tl�: One _
Make: Lennox Pulse
Model: c2�Q3-ao
Fuel: L•P• Conversion ;��
Flue Size: ciass a 4�� ! ��
Input BTUs: 8 0,o 0 0 ��
Output BTUs: 7 3 (oD(�
CFM:
COOLING SYSTEMS
Quantity: one
Make: Amana
Model: AxcFo 3 0
TOriS: 2 Z ton
H. Power 2 2
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 Exhaust ducted recirculating cfm
iva. _� Bath Eu'�aust (must be dacted outside) cfm
No. _� Other Fans: Locations ��,V��� �>c�r,�,�/��`' cfm
Total
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
X LP Gas: gallons
Other � Gas opening
PERI�ZIT g'EE CALCiTLATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�((�,C�C� � C>C� _ x 1.25 $ {��C�
(contract price)
2. State Surcharge. ** Add the�tate Building Code Division
Surcharge to each permit. l C�,U()(� � C�C� x .0005 $ 5�UU
(contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � ,� 1 • 5U
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materiais, iaoor, profit, and o�er fixed costs. It is tt;e amount to be c�zrge�i 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 aznount of the job cost,
the City 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 City for issuance of a Mechanical Permit, agrees to do
all work in strict accordance ith the ordinances of the City and the regulations of the Minnesota
State Building Code, and ce ' es that all statements made on this application are complete, true
and correct.
Applicant's Signature: �'`" Date: � -(�-��j
Approved By: _ Date:
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CITY OF ORONO CALLEO IN —
INSPECTION NOTICE SCHEDULED � _//% dd
PERMIT NO. .�Do� 9 COMPLETED
ADDRESS �
OWNER � CONTR.
TELEPHONE NO. �7�' �'���
� DESCRIPTION L��-lti '�i�Z2�r` �
� 01 FOOTING 11 MECHANICAL I 6 WELLTEST PUMP
.� 0 RAM NG FINAL 18 EXCAV/GRADINCa/FILLING
y N 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 0 D. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
`� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC F�NAL
� OWNERICONTRACTOR TO MEET�YOU:_YES_NO I
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� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK h PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
O INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in dvance.473-7357
OwnerlContract ite:
Inspector.
White CopyMspector's File Can ry CopylSite Notice
�
,/ AT TIME
CITY OF ORONO CALLED IN "�►'-�
INSPECTION NOTICE SCHEDULED !3�
PERMIT NO. -�Z5 COMPLETED "l 'l
ADDRESS .3
OWNER CONTR�,
TELEPHONE NO. �S�l- �-u/
�
� DESCRIPTION
� 01 FOOTING 1 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q OS FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBINCa RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W� WORKSATISFACTOflY:PflOCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contr orpn site:
inspector. �
White Copylln or's File Canary CopylSite Notice