HomeMy WebLinkAbout1998-009931 - mechanical , � �+ PERMIT
` CITY OF ORONO PERMIT TYPE: ����:�;��s���:;�i
2750 Kelley Parkway- P.O. Box 66 Permit Number: i ii�i°�'�:��.
Crystal Bay, Minnesota 55323 t 7�-��{;,:�
(612) 473-7357 Date Issued: _ _ /'�`�
SITE ADDRESS:
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FEE SUMMARY:
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APPLICANT/PERMITEESIGNATURE ISSUEDBY:SIGNATURE ,�[.y.['��
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal I3ay, MN 55323 � �»�
GENERAL INFORMATION �
1. You may apply for mechanical permits by mail or in person at the Ciry offices. A�plications will be
revie�ved and a permit will be issued within 2 working days.
2. Pcrmit cards will be sent by return mail after a review is completed. PERMI7'S ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON TI-IE JOB SITE.
3. Mechanical Dcsi�;ns - Complete calculations, details and specifications arc reyuired for each heating,
ventilation, humidification-dehumidification, and air conditioning installation including heat loss/hcat 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 equipmen�
sl�all alse he Pr�:ided.
4. When a�iy new constn�ction or remodeling is involved, a separate building permit must bc obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Codc
rcquiremcnts.
6. All work must be inspected (rough-in and final). Call 473-7357. 24-hour notice requircd.
7. Iiouse Heating Test Record must be submitted before final.
Inslructions Complete all items on this application. Compute tl�e permit fee. Sign and datc the ccrtification.
INCOMPLETI: APPLICA"CIONS WILL NO'I' BE PROCESSED. If you have qucstions, call 473-7357.
Piease check one: New " Addition 12epair Replace
� Residential Commercial
J013 SITF.: . �� .-_. � � � � �",i ,: �� r ��-.�"�; Zip: � �_-_�-�
Owner's Name: � - / ,,� ; � � Telephone Number:
Mailing Address: City: Zip:
Contractor'sName: ;,. ; . � ,�, . . : ; i ����t� . :,. ,�TelephoneNumber: - ; ; _=, 7
MailingAddress: ,�_. � City: ? Zip: - -� .�';
SYSTEM DESCRIPTION
I-IEATING SYSTEMS
Quantity: �
Make: /3�j��
Model:
I�uel: ��
�
��lue Size: t 2FLG1" 1'�
Input BTUs: /�r�. �� _
Output BTUs: 4'3,� ��
CFM:
COOLING SYSTLMS
Quantity:
Makc:
Model: —
Tons:
H. Power
�
WOOD BURNING �QUIPM�NT
Wood stove with flue
Wood combination or add-on
Pacrot-y 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 �xhaust ducted recirculating cfm
No. Bath Exliaus[ �must b�, ducted o;�tside) ci�ir.
No. Other Fans: Locations cfin
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuei oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION '
1. 1.25% of Contract Price* or Minimum Fee ($35.00) � `� ` " �`
��(%Of, c-i' x .0125 $
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to eac}i permit. x .0005 $
or $.50, whichever is greater (concracc price)
� ' 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
�.., —
�.� 4. TOTAL PERMIT FEE (Add lines 1-3 above) $
' CON'TRAi,i i i I�E ar JCL CO�T n:car,s thc ac;uat !)I'rcfim�f�r] �lnll�r amrnii�t chargccl for ihc permittcd
work including materials, labor, profit, and other fixed costs. It is thc amount to be chargcd to thc
customer for the work done. If any material, equipmen[, labor, or installation are furnished by the owner,
tenant or any othcr party the reasonable market value of such items must be added ro 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 requcst the submission of a signed copy of[he actual contract.
** The STnTE SURCIIARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
grcater. ror valuations over $1,000,000 call dic Department of Inspectional Scrvices for the price.
The unclersigne� hereby applies to the City for issuance of a Mechanical Pertnit, 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 that a ' tatements made on this application are complete, true
,
and correct.
Applicant'sSignature: Date: / � �d �
.
Approved By: Date: e�/��/�_