HomeMy WebLinkAbout1997-009837 - mechanical �. PERMIT �
• CITY OF ORONO PERMIT TYPE: � .
2750 Kelley Parkway- P.O. Box 66 `
Crystal Bay, Minnesota 55323 Permit Number: 3� ��'
(612)473-7357 Date Issu�d:' ����''�
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: � . - .. - OWNER: ' .
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APPUCANT/PERMITEE SIGNATURE I.�SSUED BY:SIGNATURE C
• � �j 1 CIT`•'^F-1�
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CITY OF ORONO APPLICATION FOR MECHANICAL PERNII'T
Box 66 (2750 Kelley Parkway) pE�, �, � �`��7,
Crystal Bay, MN 55323 �--" '
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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. Pernut cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. �VORK 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 inciuding 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
shail also be provided.
4. When any new construction or remodeling is involved, a separate buildLzg permit must be obtair_ed.
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
� Residential Commercial
Jd� �t i�: � � �� t����.Y� �l d S� f J� i`'�� Z1D:
Owner's Name: 1-k;�rri 5��Yl {'� Telephone Number:
Mailing Address: City: Zip:
Contractor'sName: N��AIR CONDITIONING TelephoneNumber:
MailingAddress: ST LOUIS PA City: Zip:
929-6767 SERVICE 929�4011
SYSTEM DESCRIPTION
HE�iTIi•TG SYSTE�S I
Quantity:
Make: ���y�r_�
Model: 3� - �o
Fuel: iU� �'S
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Flue Size:
Input BTUs: (0��� —
Output BTUs:
CFM:
COOLING SYSTEMS (
Quantiry: -
Make: I -P �'nc�C
Model: �-���4 '�3n
Tons: �' ��
H. Power -
i) ri�G�d�Q, �"� 1�v�1`l��f�ti�,
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v�I-a � �(/��n 1��, � oC/li) �/
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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 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)
�(cC�� �^ x .0125 $ ��%� -J�
(contract price)
2. State SurcharQe. ** Add the State Building Code Division � 3�
Surcharge to each permit. � c�';(' �'� x .0005 $
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) $ ���; "
* 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 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 pernut 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 $.50 - whichever is
greater. For valuations over �a1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accordance with the ordinances of the City and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct.
� � � %�Gl /'/�(,{� ��,1� Date: �����
Applicant s Signature:
Approved By: ,�
Date: L� �1 ��
Fo.m BDS ',e, .�ElJ70N ��ONJ.�S W111'� �� �� �'1�'ys •�� ��,�� _
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,!1,F.l1f. L6°SS�ALCULATiONS BUILDIN6 DEPARTMENT '�
A.S.H.V.E.
Weatherstrips Construction No. Insulation
Guide
windows Doors Reference I Out.Wall Int.Wall I Ceiling Roof Floor Kind How Applied
Yes-No Yes-No 19 �
� FL ��I Nw�-�Room�Length Zt"� Width �� Height �i � FL� ��-.,�+►-i Room�Length � Width IS Height �
Windows and Doors-Cracka e and Area Windows and Doors-Crackage and Area
W�d�h Heiqhf No.of l�neel /f. Hroe �'ST Width HeipAf No.of Lineel (1. Araa
vo. of pene o1 pena liqhts ol crect sq.It. � No. o!psne of pene lipht� of creck �Q.H.
i � �e' p �� zb S�� L ZH WE� � 2.1 z�
L i� bd ► 3z 16
L 20 SI � Z$ 20
Coef. Btu Coef. Btu
infiltration � S �� ���r Infiltration Z� � N�
Glass � 5 S ti� L�84 Glass 21 W!'� I ood
Exp.wall Z�``L. �5�1 Exp.wall 1�' q5
Net exp.wall �� u,�� s5� Net exp.wall �� ��,y �3
,, -- (�A�H �IRN --�_ �� -
Floor � - -- 35 3 11S Floor 12o s ��
Ceil. �g� L 3`Z CeiL �w L 2uo
totat Btu. �y Total Btu. • �S�
Required sq.ft.E.D.R. cr sq.ins.14A.leade�area Required sq.ft.E.D.R. or sq.ins.WA.Leader area
� FI.� (5co+�Z Room I Length i2. Width �t��z Neight q 1 FI.� b¢p� � Room�Length lc3 �dth i$ Height �
Windows and Doors-Crackage and Area Windows and Doors-Crackage and Area
Width Heiqht No.of� L�neel (t. �Aree Width Heiqht �—No.o�lineel ft. Aree
No. of Osne ot Dene liqhfs o(c�eck sq. If. No, o(pene of Da�e ' liqhts I of creck ;sq,ft.
� 2y 1 � ' � Zj ; y ' LN ' S�f � ; SH ' �I L I
--L- - -� 1 S'�l S`� i I I Zo ; ZW �
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I ; � � , ��„ I �� 9t � ��p ;
- --- -tCoef. Btu � � � -'�oef. Btu
�nfiltration Zq ' � i� Wb5 Infiltration —ti
- - �p I� 15`'i0
Glass � t3 N� IIoN Glass Io �� 5�88
Exp.wall L�i''i ' LZ� Exp.wall �t�' y3Z
Net exp.wall �g 6 u,N �,'1� Net exp.wall 3 y,H IN3y
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- �--- --- —
Floor ; �� � �p floor 3�L S �P,�o
Ceil. � �St� � L �oo Ceil. �l Z Z 1'-�'-I
- ---- - - ------ - -
iotal Btu. ,�yy� Total Btu. �d���
-- -- -- - ---- -__--- -
Required sq.ft.E.D.R. or sq.ins.WA.Leader area Required sq.ft.E.D.R. or sq.ins.WA.Leader area
i FI.� �R�wZ Room�Length �Z Width p`�z Height � FI.� �,�,�,,` Room�Length (H Width I(P Height 13�z
Windows and Doors-Crackage and Area Windows and Doors-Crackage and Area
W�tl1h Heiqhl No.of lineel (t. A.ee I Width HeipAt No.oi l�ne�l (t. Aree
rJo. ol pene o1 Dene liqht� o(c.eck }yq.if. _No. o(pane of Dene �I�phfs o1 creck tq.N.
� — --j----- ------- -�
!---- --�---- -3�i -��0 � �,__1__ 3Z'_ _`�O
- I � I (
' -- — ------ -- __.� _ :_ ! �
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t -------�-----L------t. . _ ..i -- ---- � — ---
- — --- --- .. . _
�Coef. Btu � ' � Coef. Btu
- - '
_
--,-- ___.
�nfiltration ; I _ Infiltration ; 3i � N�,p
��lass —-r----- - _ -- Glass -- --- -- ; c10 � �IE3 1920
-- -----�--._
_ --- -------
-----—-------- - ----
E xp. wall Z`�Z -�-- Exp.wall �`- (N4 I
- — - -- —-- --�--- -- _
tiet exp.wall ; Lj N�4 (d i Net exp.wall -------- lOy ! �t��r u.5�
—T------}- i000 _ �,R¢.�ncF------ -: ` I _y°oc�_.
f loor ' IoZ ! S s'�D Floor i )8 ' S �90
— ---- — -_�__ __ r ---- --- —-
�;eiL toZ L toy Ceil.. --------- -' Z �3�
- --�--- -1- - --- ��2 -
�otal Btu. �p�,S Total Btu. �9oy
�--�---
Required sq.ft.E.O.R.or sG.ins.WA.Leader area� , Required sq.ft.E.D.R.or sq.ins,WA.Leader area (
Fo�m$DS
�HF.A�'. L&�S £ALCULATIONS BUILDIN6 DEPARTMENT
' --_---- - _
Weatherstrips A.S.H.V.E. Construction No. Insulation
Guide
windows Doors eference I Out.Watl Int.Wall I Ceiling Roof Floor Kind How Applied
Yes—No Yes—No 19 •
i FL � ��„��N` Room�Length 1Z Width ��-1 Height ���'i�5 I F�• I ��� Room�Le�gth Zt"�-Width 1o``t Heightg
Windows and Doors—Cracka e and Area Windows and Doors—Crackage and Area
W�dth Heiphf No,ot Lineel it, A.ee �dtA Heiph! No.of Lineel if. /lrea
No. oi pene ol pene liphts of creck sq.ft. No. oi pene of Dane liqhtt oi creck cq,ff.
1 bt. 6'v� 'r'� y8 �o Zy SN I '�N 3S
3 2u S-I I N�-I ,��
Coef. Btu I Coef. Btu
�nfiltration � Z �S 1��p Infiltration NN 15
Glass y� Nd �Sbo Glass � 3.� N� ��p
Exp.wall Zp�' .25Z Exp.wall li''L 11�
�vet exp.wall ts'? y,�� !04( Net exp.wall �g H,y 3���
�loor Floor
Ceil. Z'-�� Z yqZ CeiL Z3� Z �-11Z
iotal Btu. �I L3 Total Btu. � • 3��
Required sq.ft.E.D.R.cr sq.ins.l'VA.Leader area Required sq.ft.E.D.R.or sq.ins.W.A.Leader area
, FI.� �-r ^ Room I Length 7o Width li Height 5 � FI.� �,�;No�E Room�Length � Widtli 2$ Neight to
Windows and Doors—Crackage and Area Windows and Doors--Crackage and Area
W�dfh Fleiqh} No9.of rLineel (t� Aree �Wi�tA—� Heiphf�—No9,oi�Lineel ft. Ares ���T
No. of pene ol psne li ht� � oi crec4 sq.ft. No. �o( ene � ol Dane t li h1s o(crsck �q.ft. �---
� �l Z b G. � ' �5 I 3 i � ' '•�Z G��' ° D I ; 1 '
2 IZ 3` � 1 Ci ' t o I � �!i 6�8" 1� I �S ; Z.p � ci Z1�
I ' ; �
- -- � i ;
_ - �- -
Coet. Btu , � j ;Coef. Btu
nfiltration �N ! �s g�o Infiltration 38 ' 13 S�O
Glass � L3 H� tlo4 Glass �� y� 1p2y
Exp.wall l�' ' i�Z Exp.wall �^ �
Net exp.wall I�� H,'� ��L Net exp.waH ju, N,4 1N1�
� - � lco0 2�t3 tE'�Oc
' - -
F loor ; ti o ,S 2.0 o Floor eoZ Z �bo�-1
Ceil. � 25o Z S+� � I�jMv+�M., 1 ��oo
iotal Btu. Zq w Total Btu. �iZt3
-- ---- -- —--- ---
Required sq.ft.E.D.R.or sq.ins.WA.Leader area Required sq.ft.E.D.R. or sq.ins.WA.Leader area
1 FI.��M► �+���j Room�Length I g Width �`�Z Height FI.� Room�Length Width Height
Windows and Doo�s—Crackage and Area Windows and Doars--Crackage and A�ea
W�dlh Heiqht No.ol Lineel it. Aree I WidtA Heip f No.of L�ne�l I1. Ares i
No. ol pene of pent li htt of creck sq.It. No. ,of pana of Dene IiQh1f ol creck sa.ft.
- —f-- —
I zo 4Z I 2H ' iL ; i
_ � 32 68� 14 ! it3 I
� Zw yt 1 13 � q ! T
�Coef. Btu--- + � ; _ Coef. Btu
--�
!nfiltration .s L ; �g gyv Infiltratian ; ' :
�,iass W� ��g Zo�N Glass � �
-�------ --- ---- --- - ----
E zp. wall 3�' : Zl g Exp.wall i
Net exp_wall ; �� y,W iojF�3 Net exp.wall j
_ l�tr�H F+rN � �� �ooc� � --_
F loor 1�1 ! S 5�3 Floor .j
Ceil.-- -- --J ��l__1-2- 234_ _ Ceil. ---
total Btu. ���,{. Total Btu.
Required sq.it.E.D.R.or sG.ins.WA Leader area , Requlred sq.ft.EO.R.or sq.ins,WA.Leader area I
DATE TIME
CITY OF ORONO CALLED IN `��-��`�'
INSPECTION NOTICE SCHEDULED ��'�' ���v
PERMIT NO. �g3� COMPLETED
ADDRESS /`�/ n .r�o�.r Q�lJ`'L. •
OWNER CONTR. �i�
TELEPHONE NO. g��i - � 7 f� 7
�
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING MECHANICAL FINA 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/2 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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. G PHOTO TAKEN
INSPECTOR WILL RETURN
C CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next in pection 24 hours in advance.473-7357
OwnerlContract r sit
Inspector.
White Copyllnspector's File Canary CopylSite Notice
r � �� � a° �°� �: � `'�{� ��7 �n� .�
HOUSE EATING TEST RECORD �� �4`
, �....: . � ,
J 1 �C
ADDRESS •1G � APT. FLOOR CI��1� SUBURB
OCCUPANT �� 'q� OwNER
HEAT LOSS DATE HTG. �NST.
SOLD BY INSTALLED BY
El�ctrieol Work Br Gos Lin• Br
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UN17 HTR. OTHER
GAS �ESIGN CONVERSION
MAKE � N �J MAKE OF BURNER
Mod�l ` Mod•I
5«iol Mox. BTU Rorinp
INPUT � MAKE OF FURNACE
Mod�l
CONTROLS �
THERMOSTAT � �� H.ot Pluy V•nt 5;:•
Volv. �� KIND OF LINER , SIZE � NONE
l.fmit Droft Hood R�Quls�or ?�� — �
Limif $�tting Filt�►s Si:• � � �Numb��
Fon S�ttinq Chimn�y Location Insid� ��_Outsid•
Pilot Typ� C �imn�y Construction
Pilor Mok•
Pilot Mod�l Smok• Bomb Wi�iny
Pilot Timinq 0►a(t T�sf Tap
L.W. Cut Oif Uow Pr�ssw• L"phfinpry Inst.
� ��
Pr�ssur� P�rc�nt CO2 Dat� T�at�d
Input CFM K P�rc�nt 02 Companr 7�stiny _ �
S�ock T�mp. P�rc�e+� CO Na�of T�at�r �'� � J�'C""