HomeMy WebLinkAbout1996-007783 - mechanical .•
, ` � P�RMIT
CITY OF ORONO PERMIT TYPE: �.��.�.�r�����;�t�
2750 Kelley Parkway- P.O. Box 66 Permit Number: t:,i;��;,;:;
Crystal Bay, Minnesota 55323 _
(612) 473-7357 Date Issued: i�:�;�i;�:j���,
SITE ADDRESS:
��.�t��� �i���I�TH '��N��ihE D�;
i�:N
�'. I . i�[. . 1 i;-1 �.7—�=:�.—:::?--i�t_yi��:
DESCRIPTION:
�r�::
� �I� i�:i:}t�lC,I T I+�lhl�t��"� i'i���:E Y�:€Ftt�:: t j���L�F i�. H I C:t�i�;:���.�t:��:.
REMARKS:
FEE SUMMARY:
iJF�L��AT I�iCr� �:_t,t�at;i�
�+t3t5�' �F'C �t.�e] ,�iS I
:.�Lai'Cf"tc�lt''�� _____.__ _�.�,.��t)
�+��i:•ct�. ��:i-= +���'� , tl(i
CONTRACTOR: — ���fi� 1�����• '� OWNER:
F`�At:T I�::�� :��Y:=TEM:�; �;�;�:.�;�;;��;, �t 1�;F'�-!Y ��::ATHE�;I��E
1��.�'�'�; f��.1F'Q�i� t��? ��°�ii�.� t�ft��hTH '=�Hiw�'r;E s�h
�i�:��EFi'�: t'ft� ���:7�. ����f::+h��:1 �iP� ��=�:r�'�1
�h 1'.:=;1 f�.�?`;—;;'�_�'.;?h�
� � �;
��-�� �_1��3�:.F?:=��(�i(1��,�) F-I�,lz!`-}-�1�'� f=i�i:�f.t;,:=:�:-; F't'.�'•:�'��`.-:'-�i k_1!`�4 �!_.i �'j�i�i�". E ;�'ir'. i'�L'�i�._. i l:j���E_f•.�:_r'rt:i•.�'��'=� `5
����`�!:��!�!..} f=il�+l� (�!�i�i C,�'� # {�i �'�(_! �=j,_i i-jE_i�''•'.��. ���; _�FI'{ ��-I �:i_!i'��-`�_��=;i�l!_�� ';v�I�'� =?�._i._ !M i j''f' i�ii=
L �:��;s�{P�E i i:i�;i�t�,ir���S�:F�'�� �NCy �=;1��:"f� i:iF i i i l�i�,��:;�-;::���.� r;i�!i�._!:�T�;;; � �sr;��� ����,��..!i.��:����-���`=� . �
APPLIGANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ��'•
� . ���
` ��
CITY OF ORONO APPLICATION FOR MECHAIVICAL PERMTT
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. 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 DesiQns - Complete calculations, details and specifications aze 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 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 fma1. ��
Instructions Complete all items on this application. Compute the pemut fee. Sign and date the certification. #
r�:
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357. $
Please check one: New Addition Repair Replace �
Residential Commer ial ��
.dos sITE: :�: -,�� l.'v�l'' �'vz - 9'_ zip: 5��-�3--3 ��
Owner's Na€�e: c����t�Le,�' �� /�'I���r 111.� TelephoneNumber: ���
Mailing Address: �.�i�5 �r�iti5 e ' Y City: C���'��� Zip: i�-3.�-=� �
Contractor's Name: i'i,;- f-c_i��f ,5���,���d!S Telepho eNumber: `/�-�--:��3-� ��
MailingAddress: ��;� ,/U�v�c�� �� City: -r: cz' Zip: .��✓� �� �
� D� �
SYSTEM DESCRIPTION �
�
HEATING SYSTEMS `��q
�
Quantity: �'
Make: '�
Model: ''°
'Y�
Fuel:
Flue Size:
Input BTUs: _
Output BTUs:
CFM:
f7
COOLING SYSTEMS �
,r¢
Quantity: �
Make: yv i K �
�
Model: �/y�/1��1��'�
Tons: --� 7Z�l S �
H. Power >��
�
�
, :
�+ i4
�"� '�
,:
a
i:.; ;
a:. . .. .�. .... .d, . . . . . .. .... .. . .. ... .. .. . . . . . . . . . . . . _
F'"
� •
WOOD BURNING EQUIPMENT
Wood stove with flue
VJood 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.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm �
No. Bath Exhaust (must be ducted outside) �� �
No. Other Fans: Locations cfm -`'�
��
x�
�
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) �
Installation Removal '�
Fuel oil: gallons underground inside outside §',
LP Gas: gallons `�
Other Gas opening
PERMIT F'EE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) ��
,,.,�,�-; ��_ X .oi2s � 3 �--
(contract price) '�
2. State Surcharge. ** Add the State Building Code Division > _� �
t
Surc harge t o e ach permit. �,��(;� �� x .0005 $ "�:
�:. or $.50, whichever is greater (contract price) _�
�,..
6� 1.50
3. Posta�e and Handlin� (Only mail-in applications) $ �
�' 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �`�� `�'
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted n;
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 fumished by the owner,
�;- tenant or any other party the reasonable market value of such items must be added to the estimated cost �
t"' 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
f�:
�;�: greater. For valuations over $1,000,000 call the Department of Inspectional Services for the pnce.
�� 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 certifies tha all statements made on this application are complete, true „
`` and correct. �'`
�- L� Date: �� l�% `�
fi' Applicant's Signature: -
�: �
� Approved By: Date:
�;:
�;`
� , , , . < , � : . - �`��,
,.,.. , - _ , : .,, ; , _ _ .
�
, .. , .
'
;K �. - � : . ,, , � '� '
, :
� ,
,
. �
, ,
,. �u_, ;�. - , � � , . � .,. . _...� a. �__
.
,._,, � _ . .,�.._ � , .,. _ . __ .. .. ._ �
DATE TIME
CITY OF ORONO CALLED W
INSPECTION NOTICE SCHEDULED �! ' j � / � �� �
PERMIT NO. COMPLETED � — ' ' J � � `��
ADDRESS ' =Y:� ; �.' ; , ' ` .
OWNER i ' ' - f=., CONTR. `,�i . . - i
TELEPHONE NO. `�� ` � � �� �
� DESCRIPTION ' '
� 01 FOOTING `11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
� — �a�5 �,.<-� � �v.� �,.. ��t�
� �`�'-��''-
0
a
�
0
�
W
�
Q
�
z
W
�
W
�
�
d ORKSATISFACTORY:PROCEED C; PROJECTCOMPLETE
W
� ❑ CORRECT WORK&PROCEED C! ISSUE CERTIFICATE OF OCCUPANCY
W
O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �- pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �l CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContract
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
G�
DATE TIM�
CITY OF ORONO CALLED IN '��' " �- -�'�' r,�
INSPECTION NOTICE SCHEDULED 7 '�.`i'`L;', � : 3 0
PERMIT NO. I /�.,� COMPLETED _�
ADDRESS � ` �� �-� � \��
OWNER _. �✓�-�`c-�'-� �<_ .-- CONTR.� ��„�;. ���'�S' , �.
TELEPHONE NO. � '����;�� `�� `'��� �`'
� DESCRIPTION
� 01 FOOTIN� 11 MECHANIEAtRt��. 18IXCAV/GRADINCi/F�WNO
y 02 FRAMIAtCi` : 13 MECHANICAL FINAL � 19 LAI�SHOREJWETLANDS
Q �:�/��/,��q'�1t��Tl6�1� 24l25 WOOD BURNEH/FIREPLACE 34 TREE REMOVAL
Q ��W WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
= 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
� 07 DEM�SITE 27 SEPTiC MAINT. 2t COMPLAINT
v
W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBIN(3 RI 23 SEPTIC FINAL 35 HARD COVEH REMOVAL
� 10 PLUMBINQ FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
>
�
O
�
W
�
Q
�
Z
W
�
W
�
�
�d WORK SATISFACTORY:PROCEED
�OJECT COMPLETE
W ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
�NSPECTOR WILL REfURN
O STOP ORDER POSTED.CALL INSPECTOR
G CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next nspection 24 hours in advance.473-7357
OwnerlContrac on i e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice