HomeMy WebLinkAbout1995-007226 - mechanical �, PERMIT
C��.Y OF ORONO PERMIT TYPE:
� �750 Kelley Parkway- P.O. Box 66 - -
PermitNumber: � ' '�
Crystal Bay> Minnesota 55323 - =
(612) 473-7357 Date Issued:
SITE ADDRESS:
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REMARKS: �`
FEE SUMMARY:
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APPLICANT�PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHANICAL PER'�ZTT x
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAI, liYFORMATION �A�� 8 �.995
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
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi�ns - Complete calculations, details and specifications are 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 Unifor.n Mechanical Code/State Building Code
requirements.
6. All work must be inspected (rough-in and fina]). Call 473-7357. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Inst�uctiur� Ccmplete a:l ite:r�s on this applicatioa. Comput� the permir fee. c;�a and date the certif catior..
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: New �� Addition Repair Replace
Residential Commercial
JOB SITE• L�� � � � - j h c,� . Zip:
Owner'sName: ��E t� G�. ' N�c���.����-� br�aH��ti���r;�TelephoneNumber: ����� -I �l Z r(
Mailing Address: City: Zip.
Contractor'sName: F- c�E�,c Dc:. �-r< �,;t"E' TelephoneNumber � "�� ->�L/;
MailingAddress: ��-����� �r�;,:,,,^�e ���. ' ��, � �\� City: ��� � �, ; i �.�� Zip �j�1.� _
SYSTEM DESCRIPTION
HEATING SYSTEMS �
Quantity: �� ;!
Make: (,�rrE�tiL
M�del: �J�`�fv:�
FueL• '. i._ ,�^i�C�` • _1
Flue Size: '
Input BTUs: �7:_.�_�
Output BTUs:
CFM:
COOLING 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
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia. ;
Total
VENTILATION
No. Kitchen Exhaust ductecl recirculating cfm
No. Bath Exiiaust (must be duc�ed outside) cfm
No. Other Fans: Locations cfm
Total
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
ru�1 oi1: gallon.s undergmund inside outside
LP Gas: gallons "
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) � ��
r�� ` `''� x .0125 $ �—
�-
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge Co each permit. ,�`�'� x .0005 $ �
(contract price)
or $.50, whichever is greater
3. Postage and HandlinQ (Only mail-in applications) $ 1.50
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4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � `�--
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the pemutted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
customer for the work dor,e. If any mater;al, equip�e�t, labor, or inscaliation are furnished'cy the owne:,
tenant or any other party the reasonable market value of such items must be added to the estimated cost
or contract price for pemut fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ciry 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
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 with the ordinances of the City and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct. �
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Applicant's Signature: �Gs,,�P/�l-� �'G�yL� � 'G' Date:
Approved By: Date:
f�ATE TIME
CITY OF ORONO ��p CALLED IN / � s
INSPECTION NOTIC '�- SCHEDULED � /D:.3 �
PERMIT N0. � COMPLETED Gt �t
ADDRESS '�SS � •
OWNER �,�[����� CONTR. �
TELEPHONE NO. 'S�?.z - �7 2 7'
� DESCRIPTION
� 01 FOOTING 1 MECHANICAL RI 18 EXCAV/GRADINGJFILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORENVETLANDS
y 03 INSULATION 24/25 WOOD BURNE REPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
`� 07 DEMO-FINi4L 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
y COMMENTS:
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� .. WORKSATISFACTORY:PROCEED ��f PROJECTCOMPLETE
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W ❑CORRECT WORK 8 PROCEED �0 ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RERtRN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473�73�J7
OwnerlContractor on site:
Inspector. �
White CopyMsp�tor's File Canary CopylSfte Notice