HomeMy WebLinkAbout1997-008676 - gas heating systems . { � � PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 +°;�;i�:��•;��i'_:f�.�-�
Crystal Bay, Minnesota 55323 Permit Number: ..;r,;:;;-,��--;
(612) 473-7357 Date Issued: ,, , . - T
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SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE �f ,.
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CITY OF ORONO APPLICATION FOR MECHA1vICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFO1tMATION �-
1. You may apply for mechanical permits by mail or in person at the City offices. App�ons w�l ���'
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 Designs - Complete calculations, details and specifications are required for each heating,
ventilation, humidification-dehumiditication, 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 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 permit 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
��ntial � Commercial
JOB SITE:_ � � 1.,� � ��� �',��z.T.�� Zip:
Owner's N..:tze:�,� _ ,�, TelephoneNumber: ���,� - �i� �3
Mailing Address: City: Lip:
Contractor's Name: �� � ��zt��-f�t� TelephoneNumber: � -� 7-- � Y�/
MailingAddress: � /� / —�� ����L�2.0 City: ' Zip: ,S 5 5��- ��
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: /
Make: _�t�
ModeL• /IJ�-� 5 -/c�D
Fuel: ' �
Flue Size:
Input BTUs: � lJ DU </ _
Output BTUs: ____,�����
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.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STOFcAGE (MUST RE 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 ($ S.00Z _
��� �� , x .0125 $ �� � � U
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. �S(� �'�, L� � x .0005 $ � �
or $.50, which�ver is greater (contract price)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT PEE (Add lines 1-3 above) . $ �� 7• � S��
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
customer ior the work done. If any material, equipment, labor, or installation are fuinished 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. 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 S"CATE 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 appl i�� to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accur�ance 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.
Applicant's Signature: � ' Date: /- � - `>.�
Approved By: � Date: � � ,
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HEAT LOSS CALCULATIONS DEPARTMENT Of BUILDINGS
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Weatherstrips A��Hd' � Construction No. Insu!ation
Windows Doors Reference Out. Wall Int.Wall Ceiling Roof Floor Kind How Applied
1`ee�o I Ye�—No 19_ �
FI.I Room�Length Width Q Height � FI.� Room Length Width Height
Windows an�! Doors—Crackage and Area Windows and Door�—Craelcage and Area
��'Idth Hei�ht No of Llntal ft. Art� R'Idt� Hei�At No.r( Llneal fl. Are•
rjo nf Danr of Dane li�ht� ot crack �V ft. No. ot Dans of Dane Il�nt� of cracic �p ft.
� v � �
�U
2.v � �'7 '
Z � / a Coef. Bcu Coef. Bcu
In6ltrotion �O(J G ,�`� Infiltration _
Glass Glaes _
Fxp. wall ZX � Exp. wall ---
Net exp. wall f � �� 7 Plet e:p. wall _
�nt. wall Int. wall
Ceiling O IO �,{�� Ceiling --!
Floor Uf,�"f/ " Floor
Total Btu. Total Btu.
Requir�d sq. ft. E.D.R. or sq. ins. W.A. l.eader area Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area
Fl.� Room� L.ength Width Height FI.I Room I L.ength Width Height
Windows and Doorr—Cracicage and Area Windowe and Doors—Crackage and Area
Wldth Hel�ht No.of Llncal ft. Are• Wldth Hel[ht No.ot Llne�l ft. Aro•
Nn. ut pane ot Dane Il�ht■ o[erack �Q. tt. po. ol Dans of D��• IlLht• ot er�ck �Q ft.
2 L � Z z
Coef. Btu Coef. tu
In6ltration In6ltration
Glaas Glas�
Eup. wall Ezp, wall
Net e:p. wall Net e:p. wall
lnt. wall Int. wall
L��ling Ceiling
Floor Floor
Total Btu. ��Total Btu.
Required sq. ft. E.D.R. or aq. ina. W.A. L.eader area Required aq. ft. E.D.R. or �q. ins. W.A. Leader area
Fl. Room �L,ength Width Height I Fl.� Room I L.ength Width Height
Windows and Doors—Crackage and Area Windows and I)oon---Crackage and Area
WIdtA Htl�ht No. o[ Lln�al (t. Area Wldlh HN�At No.Of Llnul/t. Ar�•
No ot D��• a�Dans Ilsht• of craek �Q. !t. No. of p�n• ot D�n• Il�hl� ot craek �Q. tt.
Coef. Btu Coef. Btu
lnl�ltration Infiltration
Glaia Glua
E:p. wall Esp. wall
N�t �zp. wall Net exp. wall
Int. wall 1nt. wall
Ceil�ng Ceiling
Floor Floor
Total Btu. Total Btu.
Required �q. ft. E.D.R. or �q. ins. W.A. Leader are� Required �q. ft. E.D.R. or sQ. in�. WA. l.eader area
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DATE TIME
CITY OF ORONO CALLED IN � `' "
INSPECTION NOTICE / SCHEDULED �/7/%�/ /�' `�� c='
PERMIT NO. -'��% �� u, COMPLETED ��_ �-
ADDRESS /_� �C� � ` �
� � .� .��_:�.
OWNER �u=t� CONTR. '��i��<-
TELEPHONE O. '`7� 7� ' 'I�� =>
� DESCRIPTION ��c:��i, ��- �:�,-�a`' - �� �_���� � � ,
� Oi FOOTINO 11 MECHANICAL HF' � 18IXCAV/dRADIN(�/FIWNO
y 02 FRAMINd 13 MECHANICAL F' 19 LAI�SHORE/WETIANDS
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� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 yyq�y gp, 12 WATER HOOK-UP 17 SITE INSPECTION
Q ps F�� 14 SEWER HOOK-UO O6 PROGRESS
2
� 07 DEMa–SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEM�FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBIN(i RI 23 SEPTiC FINAL 35 HARD COVER HEMOVAL
J 10 PL INa FINAL / 36 FOUNDATION REMOVAL
Z WNER ONTRACTOR TO MEET YOU:�/YES_NO
� MENTS:
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d �WORK SATISFACTORY:PROCEED PROJECT COMPLETE
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� ❑CORRECT WORK&PROCEED G ISSUE CEFiTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN r CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for th t in pection 24 hours in advance.473-7357
OwnerlContracto sit :
inspector.
White Copyllnspector's Fite Canary CopylSite Notice
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HOUSE HEATING TEST RECORD -
ADDRESS -3� �`��� GI``� C` APT. FLOOR CITY SUBURB dr��
OCCUPANT �%�' �rt � �'!'k��u- OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY � U� INSTALLED BY�.��«z �� �"
El�ctrical Work By ��'r�-%v'.,t �l� � Gas Lin• By
TYPE OF HEAT GA FA�HW STEAM SPACE HTR. UNIT HTR. OTHER
i �,(� GAS DESIGN CONVERSION
MAKE 7 �``'',� �-""� MAKE OF BURNER
Mod�l �J`/ S//(��%�� Model
S�riol � �G�,/G 7��r � Max. BTU Ratiny
INPUT �����Oo MAKE OF FURNACE
Modsl
CONTROLS / �/ ;i "
THERMOSTAT�Hsat PIu9 ' S V�nt Sizs � '
Valv �w KIND OF LINER SIZE NONE
Limit y w Draft Hood ReyvlaTor
Limit S�ttiny � Filtsrs Size ���dS�'� ►��umb�r��
Fan Ssttiny /�, �` c Chimn�y Loeation (nsid��_Outsid�
Pilot Type �"� ✓u� Chimnsy Construction ���E�
Pilot Make �`
Pilot Modsl Smokt Bomb Wiriny
Pilot Timing �^� S`� Draft ��' T�st Tap
L.W. Cut Off Door Pressur• Liyhtiny Inst.
� �'S Date T�ated �J-�
Prossur� 3`S P�rcent COZ
Input CFH �U� P�rc�nt 0� � Company Testing � �
Stack T�mp. -���� P�rc�nt CO � Name of Tester
Form 235