HomeMy WebLinkAbout1997-008765 - mechanical PERMIT �
CITY OF ORONO PERMIT TYPE:
� �75� Kelley Parkway- P.O. Box 66 Permit Number: ` '�! `�-
Crystal Bay, Minnesota 55323 Date Issued: �.''-''�`�`:-:!;ry
(612)473-7357 e��,�,':'�'i;i:=;i''
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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A LICA /PERMITE I NATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MEC�IANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, NIN 55323
GrNL'RAL IM�ORMA'1'InN
1. You may apply Cor nicchanical permits by mail or in person at tl�e City ofFices. 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
POS`fED ON THE JOB SITE.
3. Mcchanical Desi�;ns - CompleCe calculations, details and specifica[ions are required for each hcating,
vcntilation, humidification-dehumidiCication, and air conditioning installation including hcat loss/hcat gain
calculatioii, desigii temperatures, equipment ratings and identification as to type, manufacturer and modcl.
Data shall bc prescntcd on tbrm provided. Identiiication of and specifications for waten c�ating equi�mcnt
shall also bc providcd.
4. When any ncw 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 Codc
rcquircments.
6. All work must be inspected (rough-in ��d final). Call 473-7357. 24-hour notice requircd.
7. I�ouse Heati�ig Tcst Record must be submitted before Flllfll.
Instructions Complete all items on this application. Compute tl�e permit fee. Sign an�l datc the certification.
TNCOMPLETG APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check OI1L': NCW L/ddition Repair Replace
Residential Commercial
JOB siTE: �-��L�ii �r��11 ��m '�l R_ � ��,° I� zip:
Owner's Naa�ie:_�• ,• r r �> ��{�i � tia,� Telephone Number:
Mailing Address: r�: �`r? �/�;���-4� �42m �E � City: /7°;.%��,��( Zip:
Contractor'sName: �, ��f�IC �. ,� ��f� TelephoneNumber: �t�3 �� � /�
MailingAddress: i�1%1�-�,�'��l�i V�'�r'Y�j ��"�'. City: �� fl/+�t� Zip: �'.S'3 ��,
-7^
SYST�M DESCRIPTION
HEATING SYSTEMS
Quantily: .�
Make:
Model:
Puel:
I�lue Size:
Input BTUs: _
Output BTUs:
CFM: _
COOLING SYSTLMS
Quantity:
Make:
Model:
Tons:
H. Power
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WOOD BURNING �QUIPMENT
Wood stove with flue
Wood combination or add-on
Pactory 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.
V�NTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. ;� I3ath Exhaust (must be ductecl outside) ��t� cfm � _ .
No. Other Fans: Locations cfm
FUEL STORAG� (MU5T B� APPROVED BY FIRE M�\RSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other ��r, �,�� � $� �= � Gas opening
PERMIT F�E CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) �
=�- � ��� . ��= x .0125 $ �
�(contract price) `�
2. State Surcharge. ** Add ttie State Building Code Division a�
Surcharge to each permit. x .0005 $
or $.50, whichever is greater (concract price) #'
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 _
4. TO"TAL PERMIT rEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST mcans thc actual or estimatcd dollar amount chargcd for thc permittcd
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to ttie
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 �dded to thc estimated cost
or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost,
thc City may request the submission of a signed copy of the actual contract.
** Thc STnTG SURCIiARGE is .0005 of thc contract �ricc undcr $1,000,000 or $.50 - whichcvcr is
grcater. For valuations over $I,000,000 call tlic Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Meclianical Permit, agrees tc� do
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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Applicant's Signature: � Date: `� �%' 1 —`% �
Approved By: Date: