HomeMy WebLinkAbout1995-007416 - kozy heat PERMIT
, C!-�Y OF ORONO PERMIT TYPE:
2 750 Kelley Parkway- P.O. Box 66 -�;:-,-:- � . .
Crystal Bay, Minnesota 55323 PermitNumber: �:..,:;:,:_,°;_' °..�;�.-.
(612) 473-7357^ Date Issued: i
SITE ADDRESS:
,,:�;.:.�; ;��.s��s_;�r.,r ,,�,�
��;
y _. . �. . . - . � �.I— ' :_'.L�..=_(_}iii ;
DESCRIPTION: �'
�
� r��.;��.:F'i t;:w� �t:L_E f,1�;Tli':;°,-iL. �1�'.; i'sr�'t=.L� t.:.,.:,�'{. 1-�{%�,!
t`;._iS if._�... `f 1 �3V!"�4�� .:�� ' ''
1I
�
�
�
=»i
s�, ' �,� _ ,V�„_.
"� r.h'I'?',I4i ��i+iwi i:� �
�'i- �,,•� y
�p , �tii.i.'��ii:%i�•'t�ii_ _i
V!. L'L t �l e:/VtV
�� q:i��tl�'::`ff �
1LLLLVV VL'V n
Lif i�
w� ULlT . a 1J
Z' r
� i:�L l� 1 L JV a 1 J
REMARKS. 11L4i.L)�i_•�,�/j(4�1 J•J•
��:`t,�:": . � `F;}a';?
l7✓'tVVt�t L'::1:'d 1lVt f,yV�Vf
..� . 4
1 l':•1.�t.fl��t1
FEE SUMMARY:
fE ' '
{I , � "'�--'_"''. � ��_�i`� . _'.� •_. _:t:
_;:�':�_. i' �'[�'_ 1 . _ _ . ;_�[.1
—'�'�7 E—�'�"•t��=�-= � _._�.__._�_ _�a�.�s,.z
! i'�.=,_. . �. � ���., _. , [._
d
�
�
��
CONTRACTOR: -- .-- _ . _ �. .-_ - OWNER:
- �y...y( . .
?�`L+_�'�.�..� t. .�.��J'.—..!P �. _. _. _.i.�'��•3 . .. . _ _ . . _ .. _..
.w.• :L S�` � . :
:`t_!�_� ?';�';�:>'��:�V �-),'.._ I'a _ _ = i'�it..:^i�_�i-;��'i i�i"s
���'{'��4'f i�""_C. . 'i�{":< . _. ... _. ;C�t!�:i: ! - y
. .< <,
. � _ ., ... . _. . � _.�. . . . . . .. ... .. _..
'.�,+�:`f _ _ - - ' _ -
�. , . , , ._.. _, s �^ � _ _
y. {� . . , ,; _
° ` 1�'f'� �.it���..:.�� ? .N.�»� .��I'x'�.�*F %� __�.af_`�=f`•:� �'#i,.�t�'�s,»-«Ji�..��'y �t,� . .} .i;:,,.., if"�.. � %.L "''k f '�' }
_ u
�4=�":I�'��'_ :� .�; �'.s��=�'_ . _.�� ��_� �=�3_� Wf���� �� �i3`�'�''� ¢ � � .;�,�... . ;!A . E : ,,.,_^ � r �,�:�
_ _ �.
� �.������ ��..r.',_ - :��d �t .- -. _ ; T :� �'��P���:�F t�": � t�_ _. _. � - � _ -_,.. .. - - �
� }
,
i
. , �-.- _��3�
APP ANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
' . ../� ' [S't �' . .�'^� ..
� � �_� � �� � � � � � � ,����
� . ..
CITY OF ORONO APPLICATION rOR 1VI�CHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal 13ay, MN 55323
GGNERAL INFORMA'1'ION
1. You may apply for cneehanical permits Uy 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 Desi�ns - Complete calculations, details and specifications are required t'or eacli heating,
ventilation, huu�idification-dehumidification, and air conditioning installation including heat loss/heat gain
calailation, design temperatures, equipment ratings and identification as to type, manufacturer and modcl.
Data shall be presented on form provided. Identification of and specifications for water heating equipment
shall also bc providcd.
4. Whcn any new construction or remodcling is involved, a scparate building permit must be obtaincd.
5. All work must bc done in accordance with the Unifornl Mecha�iical Code/State Buildin�; Codc
rcyuirements.
6. All work must be inspected (rough-in and final). Call 473-7357. 24-hour notice rec�uircd.
�. tiot�s� �ie�c►„� Test Record must Ue submitted before final.
tustructions Completc all items on this application. Compute the permit fee. Sign and date thc certificatioii.
WCOMPLEI'C APPLICATIONS WILL NO"C BE PROCESSED. If you have qucstions, call 473-7357.
Please chcck onc: New Addition Repair Replace
Residential Commer ial
Jol; srrL: Z� B�' — �1��� s�a ,� —� �i� Z�p� �3 3/
Owner'sNanie:��2.�t�`— Wl►4�F �e�aJ TelephoneNumber: �7/ — �6 5 7
Mailing Address: ��� City: 'Lip:
Contractor'sName;�L�-���r2�-��,o� /�2��/���Cc��✓�el oneNumUer:�3.3 ZS—� /
MailingAddress:z 7c=c —�— ��i2-✓1�-1 City ���� Zip: .�S/i 3
SYSTEM D�SCRIPTION
HEATING SYSTEMS /
Quantity:
Make: l:o zy �o�
Model: 5//
Fuel: /�''A�.
Plue Size: C7�—r��n�������'��
Iilput I31'Us: z��o-� � . —
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons: '
H. Power �
:(i'
� . . . . .. . 1�. .. . . ... . .. . . . . . . .. . . . . . . . . .. . .. . . . .
�� ,��,���,".,�'.P,*r.`-.� '�3�', � -'"�r^rs ...s�;•—v 4. . �'-�r'� . � �
�-
� � ' €.
y;
WOOD BURNING EQUIPMEN'I'
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 , inin. flue dia.
VL+'NTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
rUI:L STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
P�RMIT F�� CALCULATION
l. 1.25% of Contract Price* or Minimum ree ($35.00)
7� oo � E�� x .0125 $
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to eacli permit. x .0005 $ �
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 _
4. TOTAL P�RMIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chargcd for the permitted
work including materials, labor, profit, and other Cixcd costs. It is the amount to be charged to the
customer for the work done. If any material, equipmcnt, labor, or installation are furnished by the owner,
tcnant or any other party the reasonable market value of such items must be added to the estimated cost
or contract pricc for permit fee purposes. In the event tliat there is a dispute on the amount of the job cost,
the City may request the submission of a signcd copy of the actual contract.
** '('he STA`I'E SURCHARGE is .0005 of the contract pricc under $I,000,000 or $.50 - whichcver 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 th all stateme � m e on this application are complete, true
and correct. � ; �
� _ /�
Applicant'sSignattire. � Date: lD S��
,
Approved By: '� Date:
�� ,: ,,
��:�� ��,�,��_.,.�:,..��,._,.:_�_,�..,y�_��:�.,��r�,�,;�_,.�__.. , .� .Y_�_..... , . .�.__ . .._,�.. ....�.�,�__.....�_�....__
v'�
DATE TIME
CITY OF ORONO CALLED IN _��Q,��`�"
INSPECTION NOTICE SCHEDULED /0�3/ -r'�'S /%3Z�
PERMIT NO. 'I'�/ COMPLETED Ll �
ADDRESS �
OWNER CONTR. � �io
TELEPHONE NO. �'� 'r`r7�-��o S�
� DESCRIPTIO�I
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURN FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 OEMO-FINAL' 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 1 MBING FINAL 36 FOUNDATION/REMOVAL
OWNE CONTRIACTOR TO MEET YOU: YES_NO
� MENT9:
�
W
a ;
J
O
�.
�
O
k
W
�
Q
�
2
W
�
W
�
�
d
W WORK SAjYSFACTORY:PROCEED PROJECT COMPLETE
� ORRECT WVORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY
W
� ❑CORREC7 WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECt UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSF�ECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUtRED.CALLTO ARRANGE ACCESS.
�all for th n t inspection 2a hours in advance.473-7357
OwnerlCo t ar si :
Inspectl�r.
White Copylinspector' File Canary CopylSite Notice
1