HomeMy WebLinkAbout1995-007486 - repipe house, pools PF RMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 _ �«=;�;;�.i::�_:
Crystal Bay, Minnesota 55323 PermitNumber: ';;-;�'::_��,. - -
(612)473-7357 Date Issued: -� :
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICAN MITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO A.PPLICATION FOR MEC'HAiVICAL P�RMIT
Box 66 (2750 Kelley Parkway) �
Crystal Bay, MN 55323
GENERAL INFORMATION �
i, You may apply for mechanical permits by mail or in person at the City offices. Applicaiions 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 UNTII. THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi�ns - Complete calculations, details and specificaaons are required for each heating,
ventilation,humidification-dehum.idification, and air conditioning installation inciuding heat loss/heat gain
calculation, design temperatures, equipment ratings and identification as to rype, manufacturer and model.
Data shall be presented on form provided. Identification of and specifications for water heating equipment
shall also be pravided.
4, When any new construction or remodeling is involved, a separate building permit must be obtai.ned.
5, All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requiremenu.
(, 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 perm.it fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WII.L NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: New Addition �Repair Repiace ,
� Residential Commercial
JOB SI'I'E: 3�� �� �, �l�(�;`L_ %J� ' _Zip: <s�-���'/
Owner'sName: Jf}-�� Sic��NS4'�/ TelephoneNumber: 47 " g��s
Mailing Address• � ��' ;.� �tl, =S'f1c�i�� ,D� City: �''i�G�V�' Zip: s s-3�i
Contractor'sName: /TTC2 /�Y� , TelephoneNumber: 47S'�„��':�
MailingAddress� ?�-�' ��C��' l�!� City: fj/���/ Zip: �S��;y�-
SYST'EM DESCRIPTION
HEATING SYSTEMS
Quantiry: �
Make:
Model:
Fuei:
Flue Size:
Input BTUs:
Output B'I'CTs:
CFM:
COOLIlVG SYSTEMS
QuantitY. . .
Make: �
Model: �
Tons:
H. Power
_ � . �
WOOD BURNING EQUIPMENT . . -`- .�
Wood stove with flue . . �
Wood combination or add-on -- �
Factory fireplace with flue � � �
- Factory Fireplace (s) Freestanding _ Masonry -
wooa sto�e (s) Frankli.n, other �
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , mi.n. flue dia.
Total
VENTILATION
No. Kitchen Exhaust ducted recirculating ��
No. Bat�l EX�lallSt (must be ducted outside) ��
No. � Other Fans: Locaaons �� .
. Total
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAI-)
Ins�.allation Removal
Fuel oil: gallons underground i.nside outside
LP Gas: gallons
_� Other �'��'%t�� H���$<=,, >`���'�� �T� � Gas opening
. PERMIT FEE CALCULATION
l. 1.25% of Contract_Price* or Minimum Fee ($35.00)
�s�; c� x .0125 $ ;->St C c'
(contract price)
2. State Surchar�e. ** Add the State Building Code DiXisio�5 � ,�5�`
Surcharge to each permit.
(contract price)
� or $.50, whichever is greater $ 1.50
3. Posta�e and Handlin� (Only mail-in applications)
4. TOTAL PERMIT FEE (Add lines 1-3 above) �
� .,�,Q,a,���r��rrFy�lf:B C�cTynQans the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fixed costs. It is cfie amouu� fQ 3e charged"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 thac there is a dispute on the amount of the job cost,
the City may reqnest the submission of a signed copY of the actual contract-
** The STAT'E SURCHARGE is .0005 of the contra�t price under $1,000,000 or �.50 - whichever is
greater. For valuadons over $1,000,000 �all �he DeP�ent of Inspectional $ervices 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 ordinancxs of the CitY and the regula� � om le�eStrue
State Building Code, and certifies that all statements made on this app P
and correct.---,------ _ :
_ _ . ,_ ..� �;: �-r��' ��� � �,� Date: %G ���'-�s
_ Applicant's Signature' �
� _ _ , Date:
- ApprovedBy: ��- - ,