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HomeMy WebLinkAbout1996-007964 - mechanical - �` PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 ���.���,�S�:�� C stal Ba , Minnesota 55323 Permit Number: ry y Date Issued: {jt�����='�' (612)473-7357 ;_�4���,i,��, SITE ADDRESS: �1 c:�i�, :=�Ht�U Y�.��t��i�U �;D L:1t1 F' . I . td. = f%--11 f—t:_�—�.�—i�c_�17 DESCRIPTION: Flt�;i��f:E F���'L�C:Eh�E�lT 1 H�N'T I�I�; '=,Y'=;'TEM'3 F�1�L N�iTi 1�;AL �aA'=: t1H�;:E T�M�="=�'TAF: Mt�E�E:M f�GT—].:�t:� i::it����t.�T #��_�,t 7[)f) rNi='i!'?' �,�tj,ciiaiy REMARKS: FEE SUMMARY: VFiL�1�tTI�;tP�f �� , ,�i:�t; ��s� F�.-� �:�fi .i�t�� t�tA S L I i�! --------__�.��.:�i� °=�u�•char��� ______-- _��.:�$ T�3t.�1 F�= �:;,'7, d� :_;,���{.��t.a I �:;� .��!� CONTRACTOR: — HF���� �r��-�t. — OWNER: °��.1�'��I s�i=t C:�iivTh I�IC: =�5:;7;���.°��, '1 I t•1E E�I LL F�1'�1 �.��'t�1C� At�� I� z1 f_3F� '=�Ht�C�Y't�+:��?[} ��� C:�;Y°��i fi�� t�ltd ���.'�:� �_ihiJNi,i f�lttl ��:;'�i c:�.�.s:�':� �;:�;7—;�;�_=�1 �:�:;�.�71J.%1 -'!.�'z:'=�f=. T�� t�P�j:��r�':�I�;C�f�D H�R��:i' �'�.c:��!i�°,��;°=� �'E:;i•t I`=�=i I_{r� Tf=; i•1�-���=.� "f�� �N�� ;�°i;='z�'€�►VEf�l�t��?_; '���`�:�:IF.i�C? �:��C1 F����E:E'�; TC:E rt��� �;:_.i �li::�fi��:: Ii� '_:TF�;Ii;:T �_:i�:�iF°�.;.i-:��L;:� �:�I"���: �=;�...iW. �::�.;`{ s_iF' L �ih���i�l�;� ;`�I=iG I�It�t�i�::�='_� �i�9i:� '�'1'ATC ��F i1 Z t��€�:,,�i�� �;�J I?�I��!'".� �:f�=uL: �Ef;�t��i1'�C•1���;��°�; . � �Yn���i � �,� ' APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE .. c' `,�'� -, CITY OF ORONO �iPPLICATION FOR ME`��AIVICAL PERMTT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a pernvt 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, ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat gain calrulation, 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. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS �VILL NOT BE PROCESSED. If you have questions, call 473-7357. Please check one: New Addition Repair � Replace es� ential Commercj,al , JOB SrrE: / � �' �J �i�. Owner'sName: TelephoneNumber: ���/ —�; � 9 ( Mailing Address: ( G, �ity: �i2.�-,��, Zip: Contractor'sName: � Tele�honeNumber: ��'7 --��/r/ Mailing Address: �/a/ —4������'-�i City: �c:p Zip: ���`�a -Z SYSTEM DESCRIPTION HFATINC'i SYSTEMS Quantity: � Make: Model: � C� —� -�~D Fuel: �� �' Flue Size: Input BTUs: 1 S O, O d v — Output BTUs: ���o l� CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power • ���I � 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 cutside) : 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) � �OD °� x .0125 � $ 3 5 � �' v 7� (contract price) 2. State Surchar�e. ** Add the State Building Code Division Surcharge to each permit. �j �j �0 � ��' v x .0005 $ �S or $.50, whichever is greater (contract price) 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ .3 7' �f S * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pemutted work including materials, labor, proT'it, and other fixed costs. It is the anount 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 itetns 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. 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 correct. Applicant's Signature: Date: 5 ��� `�!� A roved By: � Date: �� �� � rr � . � �-� o � �� HEAT LOSS CALCULATIONS DEPARTMENT OF BUIL GS Weathcrstrip� A' ' 'V' ' Construction No. Insulstion Cuide Windows Doors Reference Out.Wall Int.Wall Ceiling Roof Floor Kind How Applied 1`es--�o I Yes—No 19_ � FI.I Room Length Width Height FI.� Room Length Width Height Windows anJ Doora—Crackage and Area Windows and Doors—C�ackage and Area K'�d�h HeiiAt No.of Llneal ft. Area µ'IJ�A HeiLAI No.�� Lln��l fl. Are• No. nf pane of Dane li�ht� ot crack �p tl. No. et Dan• of Dane ttint• ot eraeY p. tt. 3-� G-�- d � L�F- l l /�t' SG� / 3 l; � co�E. B�� co�E. s�� Inbltration � 1n61tration Glass � d Glass Exp. wall � Exp. wall �-- Net exp. wall y (�et e:p. wall Int. wall Int. wal) , Ceil�ng li Ceiling __�, Floor � Floor Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area Required sq. fc. E.D.R. or sq. ins. W.A. L.eader area _ Fl.� Room� Length Width Height FI.I Room I Length Width Height _ Window: and Doors—Crackage and Area Windows and Doors—Crac�age and Area Wldth Hel�ht Ho.o[ Llneal f(. Area WIdtA He1�At No.ot Llne�l ft. Are• Nn. ot Di�e ot o��s II�At� ot erack �0•ft. No. o!Dan• ot D��• Il�ht• ot crack �p tt. ya (t /S uC 3 1 �� . ( l JS "� Coef. Btu f. tu In6ltration Infiltration Glass Glai� Ezp. wal) Eup. wall Net esp. wall Net e:p. wall lnt. wall Int. wall (:eding Ceiling Floor Floor Total Btu. �Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader arca Fl. Room �Length Width Height � Fl.� Room(Length Width Height Windows aod Doors—Crackage and Area Windowt and [)oor�-Crackage and Area WIdtA Hel�nt No.oL Lln�al tl. Area Wldlh H�I�ht No.ot Lln��l tt. A��• No ot D�n• ot D��• Il�ht• ot cr�ek �Q.tt. No. ot p�n• ot pan• Iliht• ot eraek �a.tt. / ,U Coef. Beu Coef. Btu ln��ltration Infiltration Gla�� Gla�• Exp. wall Esp.wall Net c:p. wall Net e:p. wall Int. wall � Int.wall Ceiling Cei�ing Floor Floor Total Btu. Total Btu. Required �q. ft. E.D.R. or �q. ins. RI.A. L,eader area Required �q. ft. E.D.R. or sQ. in�. WA. Leader area HOUSE HEATING TEST RECORD �'7 9�� v ADDRESS �u � %� /C APT. FLOOR CITY SUBURB ����'?�'� OCCUPANT _i l` �irn e OWNER HEAT LOSS DATE HTG. INST. SOLD BY c— INSTALLED BY �c-[��, ����� GN ->y-�? El�ctricol Work By ��!/l�s''"` ���' l� Gas Lin• By / TYPE OF HEAT GA FA�HW STEAM SPACE HTR. UNIT HTR. OTHER .� GAS DESIGN CONVERSION MAKE ,�/n� ����� MAKE OF BURNER �—:. Modsl ��C,s'���/{.f`Gl Model ' Sxial �'1G�L7I��/ 7 Max. BTU Ratiny r��� INPUT ��`d�-�� MAKE OF FURNACE Modsl /, ' /CONTRO�S / � /� THERMOSTAT� Heat Plug —� Vent Size S Volvs -�� KIND OF LINER SIZE NONE� Limit y'� Droft Hood RsyulaTor Limit S�ttiny � Fi It�rs Size����5��� N mber � Fan Settiny �n'- Chimn�y Loeation Inside��j0utsid• Pilot Type y �-�- Chimney Construction ��1+53 /J Pilot Make �G/ Pilot Model Smoke Bomb�� Wiriny� Pilot Timing �'� S-��_ Draft GD°`f% T�st Tay ✓� L.W. Cut Off Door Pressure Liyhtiny Inst. � / .5-- e'�. ) _ � " Prossuro ,3'� P�reentCO2 Dote Tested Input CFH �S� Percent OZ Company Testing r $tack Temp. �3� P�rcent CO Name of Tester � � Form 235