HomeMy WebLinkAbout1998-011027 - mechanical PERMIT
CITY OF ORONO PERMIT TYPE: -- - �� �- - �
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2750 Kelley Parkwayl- P.O. Box 66 � �
�Crystal�Bay, Minnesoka 55323 PermitNumber: ;_f� �;��;
(612)473-7357 I I Date Issued: -� � : ;�- i,;_;
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SITE ADDRESS:
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APPLICANT/PERMITEE�IGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHANICAi;PERNIIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERP,L 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 retum mail after a review is completed. PERMITS ARE NOT VALID
t�NTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
� — :'`�STED ON THE JOB SITE.
3. '�iechanical Desiens - Complete calculations, details and specifications are required for each heating,
�entilation, humidification-dehumidification, and air conditioning installa[ion 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 pernut 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 pemut 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
�_ Reside t' Commercial
JOB srrE: E � - n �, z�p: .�s ���
Owner's Name: Telephone Number:
Mailing Address: 3 �� 3 'yZ. �'--r. City. �. Zip: S'S'3 y�
Contractor's Name: �( �- . Telephone Number: y�9-�yrP 3
Mailing Address: ,� � s�� City: �:.� Zip: 5-3'3s g
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: (
Make: C�.�u,
Model: GC�C o 7O�'XJo
Fuel: -�,`{, c�ceo
Flue Size: S "
Input BTUs: 7 0,d n� �9 i V '
� Output BTUs: 6�. ,e� v
�� CFM: ( 3 �-s,
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�'' COOLING SYSTEMS
Quantity: r
Make: �
Model: � �g ?-`//� �,B
Tons: �
H. Power �
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...i. .. T... � a�.�.:.�_. . . .a. 2npc.:�::.. . .. . . . ... . ...
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� WOOD BURNING EOUIPMENT �
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Firepl<<ce (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearanc��s, side , rear , min. flue dia.
VENTILATION
No. �_ Kitchen Exhaust � ducted recirculating cfin
No. Bath Exhaust (must be ducted outside) cfm
No. _(_ Other F'ans: Locations ��, cfm
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FUEL STORAGE (MUST ]BE 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 Minimum Fee ($35.00)
� Yoa .�"— X .oi2s $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
or $.50, whichever is greater (contract price)
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FE� (Add lines 1-3 above) $
* 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 for the work done. If any material, equipment, labor, or installation aze fumished by the owner,
tenant or any other party die 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 :�ubmission 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
greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accordance ��ith the ordinances of the City and the regulations of the Minnesota
State Building Code, and certi�ies that all statements made on this application are complete, true
and correct.
Applicant's Signature: ��z..ck� �t Date: ( j�� d�9 8
Approved By: �+�� �� , Date� �% Z �
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Job #: Cr Hta Ci g
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HEAT T hdG E L!I F'!''IE:i'�!T GC70L I iVG EQU I Fh1E:NT �
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Heating Input � Cr Btuh S�nsit�l� Coolin� U Bt�.�h
H�at:i n� Output ' Ci �St�.�(� L��t�r�t �:ool i rty C> Bt�th
Heati no Temp f;i s� ' U �iea F Tatal COOI. 1 i'i� i.) Btuh
�ictual HE�tino Fa� 7'�1 CFt•i F1ctu�l C►�alin� Fan 7�:f CFI�1
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S�,�tc� 7her-mostat �I��:�tJC:a�al Lr�ad S�nsi i�l e H��at Fi<:�ti o 8�
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� DATE ,.,r IME
CITY OF ORONO ��O� CALLED IN �1 a�-1f,t ll -'3���t�
INSPECTION NOT E � SCHEDULED r�•,� 3� �'�t�.�.si
PERMIT N0. �+--�COMPLETED u �
ADDRESS �
OWNER CONTR. �--[- / . �[ /� •�
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
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Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 1 a 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:
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d ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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� ❑ CORRECT WORK&PROCEED L ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS.
INSPECTOR WILL RETURN C' PHOTO TAKEN
❑STOP ORDER POSTED_CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali for the next i spection 24 hours in advance.473-73�J7
OwnerlContractor ' e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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