HomeMy WebLinkAbout1999-012181 - mechanical PERMIT
CITY OF ORONO PERMIT TYPE:
2754,J.telley Parkway - P.O. Box 66 - �-�
Cr.ystal Bay, Minnesota 55323 Permit Number: __ _ _
{612) 249-4600 Date Issued: _ __ -
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �—f�
$1
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f CITY OF ORONO APPLICATION FOR MECHANICAI;PERNIIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 �
t�q�
GENERAL INFORMATION �
i. You may apply for mechanical pemuts by mail or in person at the City o�ces. Application"s°w��'�"t�e
reviewed and a permit will be issued within 2 working days.
2. Pemut 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 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 sepazate building pemut 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 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
Jos srrE: � c�,�, ���s � z;P: 553 6 �
Owner's Name: , 2 cz.,� Telephone Number: �f 7 Z- J 6 9�6
Mailing Addt'ess: l`� �R t�l a sZ i�� !{ 2.�i �Q.�Cit3'� O (ZU `+�'Zip: 5 �36�{
Contractor's Name:`�1�5����;� �L ��E�Tr�,��Telephone Number: 7 2y--� `)T
Mailing Address: ��S t� E- r�[ 5` S� S� ,i� A Cit3'� '(��1,,.� Zip: ���(f��
SYSTEM DESCRIPTION
HEATING SYSTEMS 1
Quantity:
Make: `�.�.��
Model: � �Q .�to��Rvc�
Fuel: ��� _C,n�,
Flue Size:
Input BTUs: (? U d ��
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power �
� . � � � ..-. . . .. � .. .. .. . . . .... � .A
��j .. �. � - ��. , , - � ,. � .x . . y- f j
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. . . F.� '�\ . .. . �� � . '
1
� WOOD BURNING EOUIPMENT � -
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue ;�K
Factory Fireplace (s) Freestanding Masonry a,
h�
Wood Stove (s) Franklin, other ;�'
Brand Name Model No. �
Mfgr's Min., Clearances, side , rear , min. flue dia. _;�
,..; VENTILATION h
��: No. Kitchen Exhaust ducted recirculating cfm }'
� No. Bath Exhaust (must be ducted outside) cfm ��
���
;;;`
No. Other Fans: Locations cfm
���' FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
"f Installation Removal �`
�� Fuel oil: gallons underground inside outside
-�-- LP Gas: gallons
�:
Other Gas opening �
d '�
����: PERMIT FEE CALCULATION
`,„,�; 1. 1.25% of Contract Price* or Minimum Fee 35.00 �,'
��° � C� �7 - cv x .0125 $ 3�j- c� �
(contract price)
�`, 2. State Surcharge. ** Add the State Building C�e Division p, /�, s
}Y Surcharge to each permit. ( �7� '�`�`� x .0005 $ � v� �
�" or $.50, whichever is greater (contract price) '��
3. Postage and Handling (Only mail-in applications) $ 1.50
� .
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 37 ' `-f�
� �
* CONTR.ACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
`�` work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
K-;�
�;;. customer for the work done. If any material, equipment, labor, or installation are fumished by the owner, _
=.;;,;; tenant or any other party the reasonabie 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,
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 with the ordinances of the City and the regulations of the Minnesota
State Building Code, and ce ifies that all statements made on this application are complete, true
� w� and correct.
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Applicant's Signature: � � Date:
r�` Approved By: � Date: �'�� '�
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