HomeMy WebLinkAbout1996-007721 - mechanical . � PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Ke�ley Parkway- P.O. Box 66 �?L�=��?�f I t�{�L
Crystal �ay, Minnesota 55323 Permit Number. t;���f;��
(612) 473-7357 Date Issued: {�����i,�F,
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: — ������� i=��-�t. -- OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE . '��,'
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CITY OF ORONO APPLICATION FOR MECHANICAL PERNIIT �
Box 66 (2750 Kelley Parkway) :�
Crystal Bay, MN 55323 �
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GENERAL 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 wichin 2 working days.
2. Pernut 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 DesiQns - 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 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. �
ication. Com ute the ermit fee. Sign and date the certification. �
Instructions Complete all items on this appl p P �
INCOMPLETE APPLICATIONS W1LL NOT BE PROCESSED. If you have questions, call 473-7357.
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Please check one: New Addition Repair � Replace
Resi nti�l Commerci
JOB SITE: � r� Zip:
Owner's Narne• {J TelephoneNumber: � 7/ - 1 i�,�---
M a i l i n g A d d r e s s: ,pt City: �'-�f-��L t. Zip:
Contractor'sName: 2a�� TelephoneNumber: �j � -�y p/
MailingAddress: Cc /�I- �a ��GZ-c� �c- City: (',L�. :�Zip: S5�5�� z
SYSTEM DESCRIPTION �
HEATING SYSTEMS
Quantity: �
Make:
% —
Model: /�/U�„S-i�s�
Fuel: 7'L.�� G.�-�
Flue Size:
Input BTUs: i a.s� o� �
Output BTUs: j/�1�� �� e�
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
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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. -�
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VENTILATION �
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm ':�
T�T� Qther Fans: Lc.atic:�s �fn'- '
1VV.
',Y`
FUEL STORAGE (MUST 3E APPROVED BY FIRE MARSHAL)
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Installation Removal
Fuel oil: gallons underground inside outside ;:,�
LP Gas: gallons �
Other Gas opening ,;�
PERI�TIT FEE CALCULATION
1. 1.25% of Contract Price* or l�iinimum Fee ($35.00) ,
/���,;> , ? � x .0125 $ -� 5 � �� �-' �
(contract price) - • - p� �- �
2. State Surchar�e. ** Add the State Building Code Division �, ,�
Surcharge to each permit. / ���� < c �1 x .0005 $ �lJ �
or $.50, whichever is greater (concract price) `:�
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3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 �
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � 7. � v '��
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* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
;vor'.: incl>?din� material�, labnr, 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 are furnished by the owner,
tenant or any other party the reasonable market value of such items must be added to the estimated cost
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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 submission of a signed copy of the actual contract. �t�
** T'he 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. `;;
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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 conect. �, '�
Applicant's Signature: u� �-
Date:� � � �� �
Approved By: Date: "�
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED '�� �_
PERMIT NO. COMPLETED _�
ADDRESS '` " � � •
OWNER � � CONTR. '� �,� � � �
,
TELEPHONE NO. �
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL_RI� 18 EXCAV/GRADtNG/FILLING
Q 02 FRAMING �13 MECHANICAL FINAL � 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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d WORK SATISFACTORY:PROCEED -: PROJECT COMPLETE
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� ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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OO ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAL�INSPECTOR r CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the in pection 24 hours in advance.473-7357
OwnerlContract n si :
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
HOUSE HEATING TEST RECORD
ADDRESS �-��a� ��-���5�� �� APT. FLOOR CITY SUBURB ����
OCCUPANT OWNER
HEAT LOSS DATE G. INST.
SOLD BY INSTALLED BY ���-�/�,�{�' �� �-�-��
El�ehieol Wo►k By -_ �latv�S� �G t/L Gos Lin� By �
TYPE OF HEAT GA FA�HW STEAM SPACE HTR. UNIT HTR. OTHER
.��' GAS DESIGN CONVERSION
MAKE !Lm � �S� MAKE OF BURNER r'rC�,�t� ��1�16
Mod•I �,5�/a S�� Modsl
s.�,,, 9syaso3G y �x. BTU Ratiny
INPUT �ardd� MAKE OF FURNACE
Model
CONTRO�S / ��
THERMO�TAT ��� Hsat Pluy - S Vent Size �
Valve � � KIND OF LINER /��uh+�er��� SIZE�NONE
Limit � � Draft Hood Rsyularor /
Limit S�Miny Filt�rs Siz� 0��-S� � �dumbsr I
Fan Settiny � Chimn�y Location I�nsi"de � Outside
Pilot Typs � Chimnsr Construetion�y.[, ��r��
Pilot Make `��
Pilot Model Smok� B�"b Wiriny
Pilot Timiny �a �� Droft /9G� T�st Te�
L.W. Cut Off Door Pressw� Liyhtl�p Inst. �
Pros:ur� �S � P�reent COZ r/ Dats Tested Z_19-1n
Input CFH ,�17 S Percent 0 8 Company Testing
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Sfaek T�mp. .��U P�rc�nt CO d Nama of Tsat�r
Form 235