HomeMy WebLinkAbout2001-P04674 - mechanical � ~ �' ���c� �i� �-./t,i /l
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 � �t��
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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 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 Desiens - Complete calculations, details and specifications are required for each heating,
ven;:!ation, 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 permit must be obtained.
5. All work :nust be done in accordance with the Uniform Mechanical Code/State Building Code requirements.
6. All work must be inspected (rough-in and final). Call 249-4600. 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 249-4600.
Please check one: New Addition Repair � Replace
r.�' Residential Commercial
JOB SITE: J `�'` J r ' ) '<. i r Zip: � ' ;:�
Owner's Name: L'V� � c_� Telephone Number:
Mailing Address: ►,�'I D � I_�A�-�7�1�GG i.; r �'s City: i_i: r��_ Zip: - :;�_ �
Contractor's Name: ;��:���,g-��_P_ �r_�`�t Telephone Number ���L���j� )C y �/
Mailin Address: ' - ` '
g `,�<1 t,� u��.�4��r����i;�r��1 ��-4.� City:�`;N'ti,�, �ir°,�3;�,r_Zip: .�-_S _� �r �;�
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: I
Make: t,ti iZ�yJ}��--r�
Model: p Z/� �
Fuel: ,�; G, .
Flue Size: �; 'i
Input BTUs: � ��i pp c� �
Output BTUs: ; �� � �c C�
,;
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
�-�-��;�..�. ..,� �, . , � �: �
FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE 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 ($35.00)
—��,�G� (;(-:� x .0125 $ �S�� `� � �
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. �(��; l- x .0005 $ -� � ��
or $.50, whichever is greater (contract price)
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3. Postage and Handlin� (Only mail-in applications) $ ��,�9"
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �`'j j 'l%`
* CONTRACT PRICE or JOB CI�ST means the actual or estimatPd dol!ar amount charged for ihe permitted
work including materials, labor, 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 or contract
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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.
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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
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� State Building Code, and certifies that all statements made on this application are complete, true
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�- and correct.
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��`�� Applicant's Signature: � ���c-�.� � � Date: �� � �� G'
Approved By: Date:
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HEAT:�:OSS,CALCULATIONS _ , , ' -� _ . - _ :� �
1Veathcratrips ', A , . Conatruction No. ' Insnlation ,
- Guide �
indow:: i Doora Refuence 'Out.Wall [nt.VNall Ceiling Roof F1oor Kind How Applied
.�o,;.. I_, cs— 0 19_..'
:Fl. , � � ; : Room L.ength " (� Width " Height % � FI.� Room Leagth Width �Ieight
Windowa and Doors—Cracicage and Arw Windows and Doora—Crac�age and Area
Widtu Hel�ht No.of Llaeal t� Atr� Wldth S�1[bt No.ot Llnul tL Aroa
7a--=. ot Dane � ot Dan� Ii.hl� of erack �Y.tb • �} � No. ot D�ne ot Dans Il�hta ot crack W:[l.
� , � � ' '
.� �i 1� / '" ' I f i ;
i. F �1 f,;� C, (/V . ' i i ' ,
� b �t 7
� �i U Cocf. Btu . Coef. Btu
(nfittration : � . ' ' Infiltration
ulaaa�-+-�-�_ � C,lasa
r�cp.wal� � � Exp.wall
Vet exp:wall IVet eacp.wall
(nt.:wall .�_ _ � ' ' ' ' ' Int.waU
loor'1`i ;_, i Floor
Ceil:...�_i._�..-: ._,.._ . . Ceil.
Total Btu.� ' } � � • Total Btu. -
�uired aq. ft. E.D.R.or aq. ins.WA.Leader area Required aq. #t.E.D.R.or sq.ina.W.A. Leader area
Fl,�;.�...��.._,__,_. . Room Length - Wiclth Height Fl.� Room�Length Width Height
; Windows and Doora--Crac�age and Area � ' Windorvs aad Doors--Crac�age and Area
Width Hef�ht No.of Lla�al tt. Ar�a : . Wldth Helsht No.ot Lln�al ft. Aro�
Nd"'`� ot pans .`ot pane Ilshts ot onck p.tt. � ' � Na ol Dane o!paa� U�hb ot crack p.tG
/� } : --i -
� .1��._ !.3 l.� � L � � '. s.. ;
' 3 -�- � �� � �
_� i.. { .�! . � � i . � ' . . . . �,
�... ;�� � ��,, Coef. Bcu f. tu
Inbltration.--.-�-- • Inhltration
Glasa � ? � : � , Glaas _
Exp.wall-�-.___..-- � F�cp.wall
NC�CCp.wail � . ' Net exp.�vall
Int.waU;-�4-- _.� � Int.wall
Floor I _.i..� ..._i ,
Floor '��•
Ceil:r ,_ 2_ Ceil.
Total Btu.�._-, - Total Btu.
Required sq. ft. E.D.R.or aq. ins.WA.Leader area Required aq. ft. E.D.R.or sq.uia.W.A. l.eader ares
�FI. ? � ? ' . Room �Length Width Heeght F1,� Room I Length Width HeiBht
.�Windowa and Doors—Crackage and Area Winduws and Doors—Crac{cage and Area
Wl�th HeiRht No.ot Llneal[4 Aroa Width Helaht No.o[ Llneal tt. Aroa
N0. '. o!D��• �of Dans II[hb ot crack p.tt. . . . � No. ot Dan� ot,pan� 11[ht� ot crack �Q.tQ
_'jf� ' � 1.--� t
! ' 3 f� � :
t., ,_ ;. ,
� , ; Coef. Btu Coef. Btu
Infiltration 53Z� t-�` 1 I1 U! lnhltration
Glas��- ,_,_t_ _, �: (,� ,, � _ � Glass
Eup.wall i ��%� ��) ;.-��ll,F F� '= ;� Exp.well
Net exp:wall ;- ' -+ • �,;r.� i.�� 7;� -J '• �� Net exp.waU
Int.wall : Int.watl
Floor,-.�_C...,_..,.., : . n !'L � ', a"�� . Floor
, ,. .<, .
Ceil...�...i..�. ,.A., ' _ . : - (> d ' . ���
Total B.u. '���� Total Btu.
�P�.,,;,,.,1 ;;, ;�. F,(1 R. r,r�rt, ins. �T�A. 1�rat�•� �re� � i Rec�e'ircd sq. ft. E.b.R.,or sq. ins.W.A.l eader area
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N ICE SCHEDULED ��
PERMIT NO. COMPLETED
ADDRESS ���n c�J�c� �C.�•
OWNER CONTR.r-�C��� CC�-r�2 �,a�'.
TELEPHONE NO.__ _'7.S\o� �7 l �Cj��
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� DESCRIPTION /
LL 01 FOOTING 11 MEC ANICAL 18 EXCAV/GRADING/FILLING
� 02 FRAMING HANICAL FINAL 19 LAKESHORE/WETLANDS
y
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 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
v 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC I L 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTORTOMEETYOU: _NO
� COMMENTS:
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� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W O CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnedContractor on site:
Inspector. � -✓�'� ��ej.et�
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO ' ! CALLED IN
INSPECTION NOTI E ✓ SCHEDULED lU-�7 � -Gb. /
PERMIT NO. COMPLEfED
ADDRESS�l/L'�' `SS r��t%��1���='c��S� �-��
OWNER CONTR. ��-�..:a`��_,rp
TELEPHONE NO. �'f� d �S� �y:� ��'
� DESCRIPTION ��G�f
'�_�
� 01 FOOTING 11 Iv�FGkiAW 18 EXCAV/GRADING/FILLING
Q 02 FRAMING • 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 BURNER/FIREPLACE 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
`� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:� YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
�CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe ' s tion 24 hours in advance. (952� 249-460�
OwnerlContra site:
inspector.
White Copylinspector's File Canary CopylSfte Notice