HomeMy WebLinkAbout1993-004951 - mechanical ,
,�, � � PERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: ����������'��-
Crystal Bay, Minnesota 55323 Date Issued: {'�'��''��'�'
(612) 473-7357 i-:'L��F'�`_�:�;
SITE ADDRESS:
'����if '=,�-ft�LYWi�i rL� �;Q
.T�;
�'. I . �f. f 7—i f 7—��:_;—�.��—i 7�i��;7
DESCRIPTION:
1 �-lEr�T I hd�� '�:i�'=,i�(�°�, �t I�L. t�lFfTi i�AL ��i�:=; !�lr�F:.E LEt�hIC�k
i�1►=+#�EL �:�:�:°�:E{W�`�;`r,E-1�i;—�, iii��F�ti; �,•,�i�,i;i�er
��.IF�lf'(' ;.�i�,i�c�7t:�
i.i i i Cit Viivi�ru
. �iiin�ii,i +� �i�.�.i
1's.f;��,�'t;3;��t3 �
i�y'I GFJ� 35.�4
. �� . � � � 1ttiLt�lfV;!►t �
. . �� 1_�1U �I f
REMARKS: i�Jj?Vt1u1�� r
�1 �f# t.�tt
�tifC�. ,.L ,3,.,,,,
�_��;•rt�r_=u�;�k' YI?!�
FEE SUMMARY: n�'�`��ui: �V'vj ,�;tj ;�'u�i�
���;�_��ar i�:�4� �� , �.t�t�
��:17,j�',:
�:�t=.� ��:� �:�:�. ��y�_� r��z� jr� ____--- �� ���
s.c.�.e.
°=�u�,c�-s�;���� ------- ��.?i a T��t.�1 F�� �:=,'7 . �i?
:1ut�t.�,�t.��. `�=;� , 7i�
CONTRACTOR: — i�F�p� ��s�;{. OWNER:
��::LE�E ��i'U �� A�: ���':��.1�.'�`11 F'�i'TH'�� �i=�t�It�LD
�:�:�:y75 �'I�rxt�fEE�; ?��i�I L �'i��R:� '�:HAC�`I��:?+::}L7 RC'
E�?E�I �`�it�I�I E t�lh1 ��:;�-�. ��#=�'����A MN ��:_'�1
f,r;�i,'•'.i =.,�1,_�! :", i A ,•'i —�`t_i:=;ss
----------- �
[.;: "",.�� � �: :-"-_ { �-}J i� ;:s�i}� i:_>> _ `�.;�:. :T % - r,` �,.:� � o-,�a,:t-�-�t,•:_-r.i�.`: '
; ;ti_ .:3���:}=�::_�i ���;._s i��:_�°���`� ; ,�._�_.:�,._-..�r'�= 3=`i_- .�1I'��'::�ttii�� i�_� ;�=� ._ i�-� 3�'�ry!__ i� ,s ,,.�_ ,. .._. .._-����i°=
- - - - � .. . 1 , C�
.. .�.r ! L� 1 ���.lir' lii�:.h� � "'1 • ^,�..i: v '.7.. _ ��.._ ..} �'t
.'�t'�' r' . !-���:z.? . ...:�:�'.F�•�i � I_ �..i.� �'=.i._i_ '1:��_!t?i•�. ��'1 _. . . ._. . E _.:E_li'{i�-':._J.ri'�vf_:G �. _. � �s Fi�
�� ;�if��� �E _'•i L'_ . .�..p .,.��.- _ � � _ _ : �. •�-�f• (' i _I_ Jt�".� !��� _. . tdi'"tl' .
'.=t�:.: d!_ f_!¢ti ��'�l,f-ii� i•-i�```�..1 : F, €�1i- �'s�!�3:{`-�I f H %��_,..�i�'��i . 11 . �:�'._•a •• ''�r �}:}ti�.:_:
�
, �/R./ V
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
1 �:. �r��� �:
,.. � � � i
- '^_'"""----_ �""�
' �'i'��'� �'�i � �
:
�
s
CITY OF ORONO APPLICATION FOR MECHA1vICAL PERMTr � " `,
Box 66 (2750 Kelley Parkway) � °
Crystal Bay, MN 55323 ��vn� ` � �
��� �. 6 .� � �£
GENERAL INFORMATION � �
$ f�
1. You may apply for mechanical permits by mail or in person at t`he City offices. Applications will be � ��
reviewed and a pernut 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 PER11rHT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS 't ��
POSTED ON THE JOB SITE. y � •�
.�
3. Mechanical Designs - Complete calculations, details and specifications are required for each heating, �` �.
ventilation,humidification-dehumidification, and air conditioning installation inciuding heat loss/heat gain - �� �
calculation, design temperatures, equipment ratings and identification as to type,manufacturer and model. �� �A ^
EY�
Data shall be presented on form provided. Identification of and specifications for water heating equipment �
���
shall also be provided. �'s
4. When any new construction or remodeling is involved, a separate ouiiding pemut must be ontuned.
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. ' �
J�' 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 x Replace °`'
X Residential Commercial
,1�8 S�`�+: 2190 Shadywood Road Zlp: 55391 �
Owner's Name: R.F. Pota s Telephone Number: 4 71-7 0 3 4 >�:
Clt Orono Zl : 55391 `
Mailing Address: 2190 Shadywood Road Y� P
Contractor'sName: Kleve Heating & Air Conditioni�elephoneNumber: 941-4211 �
��;
MailingAddress: 13075 Pioneer Trail Clt3': Eden PrairieZlP: 55347 :*°'.
;:;�
Eyyf
SY5TEM DESCRIPTION
��s
HEATING SYSTEMS
QU1IItlt}�: One ��"
;5
Make: Lennox Forced Air Furnace r;',
Model: G20Q5/6E-150-1 >
Natural Gas ��
FUel. �'a
• �
Flue Size: �,
Input BTUs: �so,000 BTu�s ' ,v,�;
Output BTUs: �a 0.DDo 3'fu's �
x,
CFM: �
�:
COOLING SYSTEMS � �
Quantity: �
:,
Make: '�"
Model:
Tons:
H. Power
`,._�
,�
¢;
. . �:
. - . � .. . . . 4 . 3
�
� . � . .. . . ' �'. .' . �. '�� -� �. . �
' 4
�
�
. . . .. �. .. . .. -s� «.. �..,ct�..'.,,..m.. .,. '. ,...�esiYie...,_.e..,s ��h
� � :� �-=�:�f --fi-- �1A �
F
4L' �
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
i
Brand Name Model No.
ti � Mfgr's Min., Clearances, sidez , rear , min. flue dia.
�-�� Total
VENTILATION
No. Kitchen E�aust ducted recirculating cfm
� No. Bath E�aust (must be ducted outside) cfm
� �T�, !J4}le� F;rg: T nrntinnc rfm
` TOtal
•.��
;�_
��
'� FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
� .
� Installation Removal
� Fuel oil: gallons underground inside outside
�j:,;� LP Gas: gallons
°"�� x Other Natural Gas - reconnect Gas opening
� � PERMIT FEE CALCULATION
a 1. 1.25% of Contract Price* or Minimum Fee ($35.00)
' �
$1 ,400.00 X 1.25 � 35.00
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
� : Surcharge to each permit. � ,4 0 0.o o x .0005 $ .�o
,#; i (contract price)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
��- ; 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 3�.z o
gr�
�.
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, nrofit, and other fixed costs. It is the amount to be chazged 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 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 11 statements made on this application are complete, true
and correct. ' l ,
/
` Applicant's Signature: /� Date: 2-�2-93
� �
� Approved By: . Date: �-/� � 3
, °.
�� � :..� � . �
HO�JSE NEATING TEST R�CORO
ADORESS �N'�J��(sJ�-.� �IZ' ��t//�1//�i�.�'anT. fLOCR CITY SUdURB �/
OCCUPANI �-�/ �7�Tj-,�-j c''�,ONMER�>il� �-�-��-S
HFAt IOSS OATE NTG. IN:T. � � LG� � �
sa.b Rr ;��-��� INSTALLED gY �� �---
EI�eNical 1re�k 8� � � �� Gs� Lln� dy - �-�L"�
tTPE OF HEI1T GA FA NM STEAN SPACE HTR. UNIT NTR. OTNER
CAS DESICN CONVERSION
NAKE G�''v'v�' KE OF SURNER
Med�l Z.G� � , y — � - Med�
S«Isl i.�����l}-C��'/Si��� ��-- Mb�. 8TU Retln�
INPUT ��-5�.;•��`��' MAKE OF PURNAGE
IrM/�I
CONTROIS
THERIAOSTAT����%�d H•el PIu� V•M Sta• �� �
Vel��—/3��Z-T 5 i��✓✓ KIHD OF IINER �� � SItE - �� NONE
j,t�ir S�"'T x���'� brah HseA �✓�'T� RHvlerer
LiTct S�»Ino l�G'`' Fih«� Ste• 4�'`���/ Nun�b�►
Fen S�Nin� 'Tr���L� O�{�n�r Lee�tisn I�n�id��, Ovt�fd•
a��,► tro. S�t•�1� C1�In�Mr Cen�hvNl�� �� `����
P{Isl Mek• _ ��S L �Cili,�"�Z�_��%J✓�N �
Pile� Med�l ����t-` S�e4• Be�b wl.�n�
Pilef Tln�in� _ � 0►ell ?��1 ?��
l.M'. Cvf 011 "� �eM pr���a� --�'-- LI�t+11n� (n�l.
Pr��wr• � ° ��� P�rc�nf Cp� x OeN T��t�A l"���J �J"``
Irbv� CFH ✓s�� PNe�nl 0 �='•� Ce�y.ny T•.►tn� �1"'�✓�
S►ee4 t�mp. —_��� P«e�nl CO� �� Ne�w �1 T��f�► '���-� �� `