HomeMy WebLinkAbout1995-006866 - furn/ac P�RMIT
CITY OF ORONO '� '
2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE:
Crystal Bay, Minnesota 55323 Permit Number: - "' -�
(612) 473-7357 Date Issued: -
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: -� . : , _. �.�:_�}-j�. -- OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
� . .
CITY OF ORONO APPLICATION �1��AL PERMTT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical pemuts by mail or in person at the City offices. Applications will be
reviewed and a pemut will be issued within 2 working days.
2. Permit 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,
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. Ideatification 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 certificatior�o
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: New � Addition Repair Replace
Residential Commercial
JOB SITE: ygd R�SSeII AVe. �P�
Owner's Name: N;�K ; cc, r�e►'1-��e�" Telephone Number: :
Mailing Address: s�,.,1� City: Zip: _ �
Contractor'sName: ,�/e�P l��ec,+i � TelephoneNumber: � �{I - j--1 a I 1 3
MailingAddress: �3 0 �1 S h� i r')(1 e e r Tr. City: ,��!e n 1�rli �r��Zip: S-��y '�
SYSTEM DESCRIP"TION
HEATING SYSTEMS
Quantity: �
Make: L e n r�0 X
Model: G�t�Q y/s- I�o
Fuel: N�.+• Gc�S
Flue Size:
Input BTUs: ►DO, DD6
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make: �en nD �.(
Model: ���(� - U l�'
Tons: 3 %
H. Power
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WOOD BURNING EQUIPMElVT �
Wood stove with flue �
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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.
Total
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VENTILATION �
No. Kitchen Exhaust ducted recirculating cfm �
No. Bath E�aust (must be ducted outside) cfm
cfm `'�
No. Other Fans: Locations ,,,
Totai -_
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
��
:�Installation Removal z
Fuel oil: gallons underground inside outside �
LP Gas: gallons
Other Gas opening �
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minim�m Fee ($35.00)
�-� Dpp . OQ x .0125 $ (� � . ��
(contract price) �
2. State Surchar� ** Add the State Building Code Division �
Surcharge to each permit. $��D . C�C� x .0005 $ o'?. �� ;ti
(contract price) �
or $.50, whichever is greater "�
3. Postage and Handlin� (Only mail-in applications) $ 1.50 �
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€�, 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ C�Co• �d
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'��`' � C�ti`�'icACT P�ICE or JJS COST.:.e�s tt:e ac:ual or Pstimated dollar a�ount charged for the permitted �
��� work inciuding materials, labor, profit, and other fixed costs. It is the amount to be charged to the
F;., �
��; customer for the work done. If any material, equipment, labor,or installation are fumished 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 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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c�` The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do �
�'' all work in strict accordance with the ardinances of the City and the regulations of the Minnesota �
��x State Building Code, and certifies that all statements made on this application are complete, true ;�
a�, �'
� and conect. .
���
�5 � Date: �
�_ Applicant's Signatur . �
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Approved By: Date: �
n � �- � c Y �
Narrez V-�L'� "� r ' ` I�ddr�a Pl�n# Daa �� �► `�Ot
Total Heat Loss - � ^ sTOU) BLU I11 UL HEAT lOSB GLCULATIONs
_ �� P ( AII windOws At d0ors arr wptbN�tripp�d
FI. L Room � Lqth. � �"wen. 3�• •• Nt. •• FI. Room � Latb, • ••Wth. • •• Mt. '
Witlth M�pht No.01 lirrNft. yy;�A M�i�f Ne.o/ LirMMN.
No. pf p�e� o/PM� 1 H of e�ek q.ft. No. 01 Y� ot Wn� 4 ef enek q.M.
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I _ � �'ldoors � "1 �r Coel. B7U ���� Cod. BTU
Infiltptbn WieOowt � � � l!J � r� I�IHtntbn Window� 36
In/iltntion W/Ooon i � 11 ' � �} Z In/iltntion W/Ooas 118
iMiltrtlion SfOoon -� ' � � J �j t I�Ntntion S/Ooon ��
Eao.WNI �`-J�� Erp.WNI
cl..�oow. ^ ' Gw.a 000.. 3s-�t
JO" %y i :�
IWt E�.WNI �+j,� � 6 7 C�2 i �..i N�t E■a.WNI 0 7
�a 6 � _� 4 �
c.�r,M z4 35 au�� s a,
v�oo, �
DU 7� 0 C� F� '3
TwN etu. q y �' ToW Btu.
1. Room � LOth. Q • ••Wth. �' " Ht. r� ' F1. Roan LOth. • ••yVth • •, Ht. '
No WidtN N�f/n No.of Li ft. Ma No yy{� NN�At No.ol L1nN1 t. m
W yrw oi 1 q ol enek p.ft. of ppr ol p�n� 1 b Of p�ek q.}t.
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/doon CoM. BTU /doon CoN. BTU
�Mue..tlonwiMow. �r^C � Cl J S :� ��H�e„rionw�naorw �
Innhrnion w/Ooon 718 �nnitrnion WJOoon 7 7i
InliltntiOn SlDoOn �� Intiltntion SlOoon 71
Ew.WMI '� � Exp.WNI
G4r i Ooon �_� � a Gbu 6 Ooon ��
w.�e.a.wri 7 i Y 4�¢ �S�L Nn EaD.WNl 4s��
•� I,_;y , .-.,,� �
CNlino y� � Z 3 �J� .;,i GiOnp 4
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:�ew �3��g F�oor 3 6
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Tocd Btu. �• 'o '( TotN Btu.
FI. Room I Lpth. . ••WM. , ,• Ht. ' FI, fioom I lpth. • .•WM. . ., Nt. '
No. Wdt� M�iyht No.ol LirnNft. An� ' Width H�qAt . No.of Lfn�dit. Ar»
ot paa o1 OM� i' ts of cytk q.tt. No. ol p�n� o�pwr 1' tf o1 enek q.}t.
'0ows
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�d,,,, CoN. BTU ��n co.�. aTu
Inliltntion Windpw� � InliltnNo�Window� �
I��iltrstion W/Daat 118 Infiltntion WlDoat 1 te
IMiltrstion S/Ooon 71 Inliltntion S/Doon 71
E Ro.Wau E:P.WNI
Guw!Ooon ,648 Gln�6 Doon ��I
N��Eip.WNI 6 � N�t Eap.WNl � 7
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M 4 6
CNIi Z 3 Gilirq 4 6
Fbor 7 3 OS F�oor 7�106
Toni 9�u. I I Tot�l 9tu.
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DATE J TIME
CITY OF ORONO CALLED IN ��� — l�'�-�
INSPECTION NOTICE SCHEDULED ji`-/� �f 3�
PERMIT NO. ���'� COMPLETED �t /�
ADDRESS `��� �C��-C�� l.t-���
OWNER �il.�c.i"�/���:-� CONTR. �i�����` /`��3_
TELEPHONENO. ��� �� �
� DESCRIPTION
lL 01 FOOTING 11 ICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FI,�� 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 2 �4QOff'Bi7R10EFi7FfF{€PLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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d WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
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� ❑ CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. r, pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �= CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor te:
Inspector. r1�-�
White Copyllnspector's File Canary CopylSite Notice
��� � �.
� � NOUSE IIEATING TEST RECORD �, .N� ,
R � ::_,;,1 �v�� � � � �,�,; ; �
ADORESS ApT. fLOOR CI?Y SUBURB
� OCCUPANI `..�r ' ' �. ON�NER
� HFAT LOSS bATE NTC. IN:T. ' � "
SOLb RY U""� INSIAL�.ED 9Y �`�I t' `.J=
Ei�eMieoi �Ne.4 B� r��� Csa� Lin• 9r �--} ��l"'C.
TYPE OF HEAT GA FA,�r� Hw STEAIA SPACE HTR. UNIT HTit. OTHER
NAKE ��/�J/�,J XAS OESICN COHVERSION
AUKE OF SURNER _ �3 '�,��JS
A1eA�I ,� '. t.�C �
Ab d.l
S«iel ;;, �'� � �`J+ � � _`._t ,_? Ai{�r. BTU Re�leN _
INPUT � ��.�� �5�,(„) MAKE OF FURNACE
Mo1•I �`
CONTROLS .� ��
THERMOSTAT �"'J ►{�a� p�w y V�nl 31t���
Volr• �" ''� � .1 t KINb OF LINE� SIZE NONE
Lt�..n _ �/"'C j�"r^'r. � ` brah HeeA�<— �a,,,Ryulsror
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Lin+�l S�Mfno �� FIIIM� SIl�^-"`V n }-�� ►lun�b�► 1�:_l-�',,_.
fen S�rfin'� �1^'\c. � Q�in�n�r Leestlen I��I Ovt�ld•
P�le� Trp. __� '�1 't C:�:� y <:. O�Imr.�r Cen�hvrll�n ��� '�`
Pilef A4ek• ti a�
Pite� Abd•I Q i Sw�e4• Be�nb wlNn� �y�-
Pilet TlminO ��" .� `�'+ r .^ � O►ell T��1 te� '�--.'"
l.M�. Col OI( be« i'►��tw• ll�hfln� In�l. �''
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Pr���u.• `.,: . P�re��l CQ� Os►� T��1�A „-, . _' :
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