HomeMy WebLinkAbout1998-010865 - mechanical �ER�IIT
CITY OF ORONO PERMIT TYPE: �=�
2750 Kelley Parkway- P.O. Box 66 "{'`�:`::�:�=`�`t:�';!"
Cr stal F3ay, Minnesota 55323 Permit Number: ..%f�_ __ _ _
(6�2) 473-7357 Date Issued: +�3:���.�.=�:`r�W�
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANUPERMITEE SIGNATURE ISSUED BY:SIGNATURE
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� CITY OF ORONO APPLICATION FOR MECHAIVICAL.PERMTr
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAI, INFOR1�iATION '
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. Pemut 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 DesiQns - Complete calculations, details and specifications are required for each heating, w
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 shalI 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 pernut 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: --�'�;;!" /r���-f'�I�-� �}l";,�^2. ��c� Zip:
Owner's Name:�� °s� �2�- L � �✓ Telephone Number: �f>- ,fis-,,:,�J
Mailing Address: 5%ySs—.J�ar�L= -,�� ��� l' Cit3'� ''��.'�%�-' Zip: `:�����
Contractor's Name: f?`,¢� ,�;�,�r/ ;,;�t�,-f� � _ Telephone Numberi �?��� �
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Mailing Address. %�����C;> �!�_��=,� , ��.� ri��_; City: ��,;�;-� Zip:�-,��'7 �1
SYSTEM DESCRIPTION
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HEATING SYSTEMS
�/'��:%�i�t-�f :��=% �—��'.�c. �'� �- i iU f� �...�,�5�,'N� r��� r fr�c :
Quantity:
Make:
Model: � �
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
;
H. Power �
:=:� .
WOOD BURNING EOUIPMENT '�
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.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
;
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)
�_�i�� C. .�'� r -_---.-; x .0125 $
(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. Posta�e and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollar 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 done. If any material, equipment, labor, or installation aze furnished by the owner,
tenant or any other party the reasonable mazket value of such items must be add�d to the estimated cost
or contract price for pernut 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 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 Departmen[ 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 thax all statements made on this application are complete, true
and correct. ;�%�' /'�,;-
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Applicant's Signature• / � - " ' Date: ;�/�- " ` ��
�,
Approved By: Date:
DATE TIME
CITY OF ORONO CALLED IN ��'I 3' o�r G�Z� �'I
INSPECTION NOTICE . � SCHEDULED `_`?=�t� + �
PERMIT NO. ��'S COMPLETED Li
ADDRESS � �� ^-�L-!%/ -2�
OWNER������'Ir] CONTR. �� `� -�/
TELEPHONENO. � y� �' � ��Io
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING AL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL 8D. 12 WATER HOOK-UP 17 SITE INSPECTION
rOS FINAL �� 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 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
D COMMENTS:
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d _ WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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� C7 CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑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.CALLTO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance.473-7357
OwnerlContr n ite:
Inspector. �
White Copylinspector's File Canary CopylSite Notice