HomeMy WebLinkAbout1999-012294 - heating system k COPERMITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66
Crystal Bay, Minnesota 55323 Permit Number: CAL
(612) 249-4600 Date Issued: ;
SITE ADDRESS:
01-J5 SE4,
DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: _ i ; ;�t _ OWNER:
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APPLICANTPERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO 6122494616 08/09/99 15:485 :02/03 NO:030
CITY OF ORONp APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
CFIVh,R�.1<NF9KI►�TIL'�y
T. You may apply for mechanicalpermits by mail or,in person at the City offices. Applications will be
reviewed maid a permit will be Issued witbla.2 working days:
2. Pettmit calla will be sent by return trail after a review is completed, PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NQT pgQIN ILL ME PERMIT QIl.D IS
PSTEU aN THE 7®Il SITE
3. Morhaoicaj Dc,3ittns - Complete calculations, details and specifications are required for each heating,
ventilation,humidification-dehunu diffcation, and air conditioning installation including beat Ioss/heat gain
calculation,deaip temperatures,equiprnent ratings and identification as to typo, manufacturer and model.
Data shall be presented on town provided. Identification of and specifications for water heating equipment
shall also be provided.
4. Wben any new*instruction or remodeling is involved, a separate building permit must be obtained.
3.
All, work nitrst be done in accordance with the Uniform Mechanical Code/State Building Code
reqirements,
6, All work must be Impeded (rough-ia and final). Call 249-4600. 24-hour notice tregiilmd.
9: :...House Heating Test Record must be submitted before final.
IOII!aslitm Coit ptete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLME APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600.
Plasm chock one: . New Addition. Repair Replace
. Residential Cctnrcial
3(SB SITE: gyp;
Owner's Name-" Telephone Number:Mailing Address: Citycxz 0.4 IA- Zip-S53
Contractor's Nam:��-a ice,v E LLTe; Telephone Ninnber: X51= --3-31 �
Mailing Address:Pio,C �la City: � h., ,� -Zlp:_._SSo1ia4
SYSTEM DESCRI.1P TIbN
BEATING SY3TFMS
Quantity:
Mme., ah nl E ry.X - a PrtR.
Mbdel:
Patel: ..
Flue Size:
Input.BTUs: 3 t yc7p
output BTUs: 3 -t foo
CFM:
COOLING SYSTEMS
Quautiry: - . .
-
Modei
Tons: - — --- ---
H. Power
W 1 Tt-Y
�i2E@r f i21:n P)AR:-0-tP A( K UCCA c„i -rp-o OLctSI-A'E
CITY OF ORONO 6122494616 08/09/99 15:48 :03/03 NO:030
WQOD_�C�1yiNC E(li>7IN1vrl�l�rr
Wood stove with flue
Wood combination or add-on
Factory fireplace With flue
Factory Fireplace Es) Freestanding _r Masonry
Wood Stove (s) Franklin, other
Brand:Name _� Model No. -
Mfgr'a Nfin., Clrarances, side rear min. flue dia.
1'� LAT`�ON
No. Kitchen Exhaust ducted recirculating cfm
No. _ Bath Exhaust (must be ducted outside) cfm
No. _ Other .Fans: Locations cfm
I, STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation _ Removal
Fuel oil:
gallons _ underground inside outside
LP Gas: gallons
Other _ Gas opening
PERMIT EU CAj&UApQN
1. 1.25% of,Co=i Price' or UM W S'QOl
z x .0125 $
(contract price)
2. ,ate Sur arae, Add the State Building Code Division
Surcharge to each permit. x .0005
or $.50, whichever is greater `contract rice)
3. P l y, (Only mail-in appllcafiom) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or J013 COST meam the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fined costs. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor, or installation are furnished by the owner,
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. Io 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 S.50 - whichever is
greater. For valuations over$1,000,0oo 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 Atatements made on this application are complete, true
and correct.'
Applicant's Signature• Date: J L{�
Approved By; Date: