HomeMy WebLinkAbout1996-008659 - mechanical r� PERMIT
. CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 - .�,: r:- ;��.;
Permit Number: �'`� `�"
Crystal Bay, Minnesota 55323 �� �� �� �~ � �
Date Issued: '�'�ri°'�=°:'��'
(612) 473-7357 _i.'W. �.;�^i;�'��,
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2 i 50 Kelley Parkway) � ��
Crystal Bay, MN 55323 DE� 2 3 �y��
GEN�RAL 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. 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
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/heaC 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 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
JOB SITE: �I (�S o,rT�. S hn r e ��`���1 e. Z�P� SS3 q l ����
O��ner'sN.:r�e: ����- j_���4,�rese- TelephoneNumber: �
Mailing Address: , City: 'Lip:
Contractor'sName: K�eJ� �wTin� �-- �TelephoneNumber: qW 1 -�a��
Mailing Address: I�b�S ���a�eer__ �a:i_City: F��, PrQ�r��iA� 5 5"3y?'
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: .�.
Make: L,�n�,�,r��
Model: _ �E{ - y S'
Fuel: NA� C-v4S
Flue Size:
Input BTUs: y'��� _
Output BTUs: _ z
CFM: ``'
�y
COOLING SYSTEMS =
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Quantity: �
Make:
Model:
Tons:
H. Power
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WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on �
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Factory fireplace with flue t��
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) cfm
No. Other Fans: Locations cfm
FUEL STOI2AGE (MUST �3E APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Min' um Fee 35.00 �
/1�� ,O° x .0125 $ _ � . _
(contract price)
2. State Surcharge. ** Add the State Building Code Division �7C�
Surcharge to each permit. x .0005 $
or $.50, whichever is greater (contract price)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT PEE (Add lines 1-3 above) $ �7, �
* CONTRACT 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
customer ror tne worx done. Ii u►y material, e;yuipment, labo:, ar installation a.c fi:rr.ished by che ownPr,
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 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 S'I'ATE 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.
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The undersigned hereby appl i�s to the City for issuance of a Mechanical Permit, agrees to do ?°:�
all work in strict accurc!anc with the ordinances of the City and the regulations of the Minnesota
State Building Code, and ce ' �ies that all statements a e on this application are complete, true
and correct.
Applicant's Signature: Date: — —�co
�� � Date: �� ��
�� Approved By:
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DATE TIME
CITY OF ORONO CALLED IN �" �C - >�-
INSPECTION NOTICE SCHEDULED �``,� � .3� iC% .' ���
PERMIT N0. �� S �� COMPLETED IT_ �—
ADDRESS �/�.S� � .���-(;-`c.� /�ir=�
OWNER � ��l�d_,��,`.,,� CONTR. /�-��-�•-t 1��1
TELEPHON E NO. ���' � Z��
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� DESCRIPTION ��-L� �?��� �-:�-c-,� y .-C`—
Z[� /Lf i;_ ��
� 01 FOOTINO �1 MECH�A�N��I�C�A�L RI°+ 18IXCAV/GRADINCi/FIWNO
�Q 02 FRAMINCi 13 N�EGMRt�p[L FINAL 19 LAi�SHOREIWETLANDS
� 0.3 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE HEMOVAL
Z pq yyqLL gp. 12 WATER NOOK-UP 17 SITE INSPECTION
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= ps F�NAL 14 SEWER HOOK-UO 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTiC MAINT. 21 COMPLAINT
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w 07 DEMO—FINAL 15 SEPTiC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER FiEMOVAL
v 10 PLUMBINQ FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTGR TO MEET YOU:_YES_NO
� COMMENTS:
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d �VORKSATISFACTORY:PROCEED - PROJECTCOMPLETE
� ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONOITION WITHIN HOURS. L PHOTO TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance.473-7357
OwnerlCo a r i :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN -/3' � 7 : � v
INSPECTION N TICE SCHEDULED - � - 7 �B C�
PERMIT NO.�.S-� COMPLETED 3' � `� � � '�
ADDRESS ���S� ' ��,e�' �
OWNER /Ki4P�/U��� CONTR. 7�C.�U�
TELEPHONE NO. �f `fl ��l�
� DESCRIPTION
� 01 FOOTING CHANICALRI 18EXCAV/GRADING(FIWNG
� 02 FRAMING ��HANICAL FINAL 19 LAI�SHOREM/ETLANDS
Q 03 INSULATION WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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= 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
~ 07 DEMa—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d �IORK SATISFACTORY:PROCEED /`/PROJECT COMPLETE
� L CORRECT WORK&PROCEED -: ISSUE CERTIFICATE OF OCCUPANCY
W
� CI CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance.47�73rJ7
OwnerlContracto ;��
Inspector. � C
White Copylinspector's File Canary CopylSite Notice