HomeMy WebLinkAbout1997-008830 - mechanical PERMIT
t CF`a Y OF ORONO PERMIT TYPE:
� 2750 Kelley Parkway- P.O. Box 66 = ;
Permit Number: ` '
Crystal Bay, Minnesota 55323 `-'�-'�M==��-��-�
(612) 47�-7357 Date Issued: i-j:_j�V-,;N;;„_�;,
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: �— . . ,— ._ _ _ _... .. -- OWNER:
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APP�ICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ��'�
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CITY OF ORONO APPLICATION FOR MEC��i���`YERMIT
Box 66 (2750 Kelley Parkway) �
Crystal Bay, MN 55323 �,��,� 1 �' ����
GENERAL INFORMATION `t�� �;r-- �RONO
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 Desi�ns - 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. 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 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. ��
'y
Please check one: New O( Addition Repair Replace <�
t;
;�C Residential Commercial
JOB SITE: � �5� (� � �.� „� Zip:
Owner's Name: �r�J ,,�u ,, Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: .j(� �.,w.�� ����4�,-��c �h� Telephone Number: y z�-Z N ,�
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Mailing Address: �g�-��i� 5�1 J����a 5�- y� w. City: /J��d, .�P�, Zip: �"S 3�4� �
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SYSTEM DESCRIPTION �
�a r«�e `,�
HEATING SYSTEMS �`'�"�� ��
�
Quantity: ( 1 ;�
,'
Make: 1_e,n��; ri ,��,j�„� �:�
N�
ModeL• G :��c�_i--%�� ���}-Sv `�
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Fuel: .��ufi� /�� 5 r��+�i��_�, �'
Flue Size: �L<,�,�L r-��1 �
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Input BTUs: SG�U�� 5c.;,v��J �
Output BTUs:
CFM: ���
COOLING SYSTEMS
Quantity: �
Make: � ��,,,,� �x
Model: (��Zq- � ,
Tons: z
H. Power -
��A--T---+� _
L� --...
: ,
,: . .. ,_a . ,,.,. ,.a�� <. r.... :. . ., r,. '.a��, ., , q � _ r��";�:�
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� ' ; WOOD BURNING EOUIPMENT
� � Wood stove with flue
Wood combination or add-on
� ' Factory fireplace with flue
r � Factory Fireplace (s) Freestanding Masonr
�` Wood Stove s y
� � Franklin, other
, Brand Name Model No.
�. � Mfgr's Min., Clearances, side , rear
� °x� ��,� , min. flue dia.
� VENTILATION
K' . No. Kitchen Exhaust ducted recirculating cfm
x#t No. Z Bath Exhaust (must be ducted outside) cfm
t� ~ No. Other Fans: Locations
� .. f al r y�� v�-F cfm
��-"� FLTEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
k9� Installation Removal
°�` Fuel oil: gallons underground inside
'� LP Gas: outside
gallons
Other
�'� Gas opening
�„
�� PERMIT FEE CALCULATION
,
�� 1• 1.25% of Contract Price* or Minimum Fee ($35.00)
�;
�:, —._1Fa LG�c;�.��� x .0125 $
7 7. c�
� (contract price) —
��:� 2. State Surchar� ** Add the State Building Code Division
�` Surcharge to each permit. $
��.,;� �-Z��. ��.� x .0005 ,3, i v
'� or $.50, whichever is greater (contract price)
�,,,..
�n. 3• Posta�e and Handlin� (Only mail-in applications) $
��.; 4. TOTAL PERMIT FEE `��
(Add lines 1-3 above) $ �U��, ,,
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted
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 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 $1,000,000 call the Department of Inspectional Services for the price.
�� The undersigned hereby applies to the City for issuance of a Mechani
� cal 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.
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�. Applicant's Signature: ��L_
Date: 3//cJ/�'j�
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� - Approved By: -
Date: 5 �� `l7
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4 R���AL I�IC+. I• jr�at — j u�cav�
K�LMES MEC'='. :.'�
qNp VIEREf,�NNTB 304 �
HEAT LOSS CALL:[JIaT�UN3 /�S o !n� G�-P •�.�• r��'o.�a
A. Con�eruetien No. �nsulatton
~ Weatheratrips �,uide How Applied
►�V�ndow� Doora Y Referre�ee O�t.Wall Int.Wall Ceilieg RooE �1oar Kind
Y<s—Cio ( ce-- u 19.�. i
�,� Room Ler+gth � Width � Heiah� '� Fl.;
Raom L.ength Width H��ght
Wiadowa and Doar��raelcagc and Area
WindoW� and Doara—Craclu e iRd 14fEi K1et„ }��iins Ne.ol 1.1n�a1 IS. Ana
�vldth H�i[nt No�DS L1nu1 fl. ArU No, of P�n• ot 9an� 1flnU Ot cr�Cx •o.ta.
�1J O�a►ttf ot vwn� ��r1111 Y�CT�CI[ �4. Ll.
i y� Z a L � .
,l z �,,�t �, s .�2 1
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Z �y � z. a� ca�f. �tu
� y� g � Coef. B�u
InfiEtration (� Z lnfiEtfation
Glass /`f O Nb �(c? Glsss
E=p. Ws11 � �'r�cp- wa1!
I�et rxp. wall � ��U Net e�p. W�11
Irst. wall Int. •+alE
Ceiling �7N z- ! �a�iir„��g _...._.
�j��r � � Flcor
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To�E &u. "�l 17 _ !; �TotaI $c�.
Rr,quir�d sq. ft_ E.d.R. or sq�. ia�• WA• Leaaer treA �. I! � Rcqni*ed Sq, fz. �..a.R. or sq. ir.s. W.A. L.eader aree
�7,j Rootn' L.�n�th VV�dth H��Sh� I� , �f,! � Room I L.ength Width ei�ht
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Window� at�d Door�---Cra�W;e :nd Arca i W'iadflws e:nd Doors�—Cr+►C1caSe aqd Ated
W1Aeh H�lib{ o�O� ieul f{. Are� „r... �R U�.� �. ut�o�n• Ityh•• o�!ttack 4r•t.
�o, ei p�n• ot pan• ll�ht■ nt tr�Ck �q. fc.
Cotf. ��y _^ l,cef. tu
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Inhlsr,tian lahltrr.ticr.; ^ _
Glau GI,�s.-- • —
�p. wall E"�'. r'`-" _
Aid txp. wa1) 1Vet c=� 'i;_ ..
Int. wal! lr,i. ���i--�, —
Ce�l�ng � �r�iir:t.
Flont I Fiar.� __
To�.l Stn. 7ata! :��u. __
Required aq. ft. �:D.R. or sq. in�. W.A. L.eadcr a�ea � �� __Req+.::r�d so _c�ED,R, or eq. :ns.W.A. Leader ares�
F►. Room Length W�eh He;ahe + ��1.'� F?x.m l Lenetn W�dth Htie�t
Windaw� ,nd Ooor�-Crat�Case and Area �I 4/�nd�-.vs and GooTs---Crackage and Area
IAth N�f[ht 1'10�aS 1.1n�af I4� Area �.:i. Hwlinc Na.�t L4n��l!t. Arsw
Nn. ot p�n• o�P�r• Il�h�• at nr�ck M.tt. Ne. vf p
•n. Ot 4an• �IRh[� of sraek �O: tt.
Coef. Beu Co�E. �tu
Itf�1�[�attan �D{1�tralion
Gl�s� Class
E� . wall E,sp. waE!
Pfet e:p.wall Net exp. ,..al1 �--._,
]nt. wall . Snt. wall
����i�� Ceiling
F1uor �laor
7ota1 Btu. To��! 8tu. ,,,�,_,_
Re uire� :r�. f�. E.D R. r�► sQ. ins. W'A, Lfad!r irca
�rquited �a- lt_ E_D.R. or �q_,iq�. W.A. Lead�r arca '�
DATE TIME �� /
CITY OF ORONO CALLED IN � : ��
INSPECTION NOgTI E SCHEDULED r���..z//i J //��z�
PERMIT NO. �")�3z� COMPLETED J "Z�–�Y7 G I
ADDRESS ��Z-`���' � .-�•C ( �' -r . `��
OWNER l >�« _ CONTR. �L���
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TELEPHONE NO. �•Z/-.�'-E/ i
� DESCRIPTION C�,�. �����
� 01 FOOTING 1 MECHANICALRI : 18EXCAV/GRADING/FIWNG
� 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
Z O5 FINAL 14 SEWER HOOK-UP O6 PROGRESS
~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
�Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �C��ORK SATISFACTORY:PROCEED
�/J�/"" : PROJECT COMPLETE
��[. CORRECT WORK 8 PROCEED
W : ISSUE CERTIFICATE OF OCCUPANCY
O C',CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERtNG PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r- pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR - CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlConiractor o si
�
Inspector. _
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED W � ��-3" ��
INSPECTION NOTICE SCHEDULED �� � 7 : �`�
PERMIT NO. ��3 n COMPLETED _��
ADDRESS / -��Q G� ,�� ��
OWNER L�.hcQ.�t��z,�,� CONTR.��� ���
TELEPHONENO. `���" � ���
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI—�\ 18 EXCAV/GRADING/FIWNG
�Q 02 FRAMING 13 MECHANICAL FINAL _ , 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
~ 07 DEMQ--SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
�Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBIN(�a RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 2a CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS•
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d�WORK SATISFACTORY:PROCEED PROJECT COMPLETE
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� L CORRECT WORK 8 PFIOCEED - ISSUE CERTIFICATE OF OCCUPANCY
W
O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,-. pHOTO TAKEN
INSPECTOR WILL RETUFN
❑STOPORDER POSTED.CALL INSPECTOR CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next in pection 24 hours in advance.473-7357
OwnerlContr n si e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�'j'3d
HOUSE HEATING TEST RECORD
ADDRESS �SS[� Cc � 1.�,�-2 �I/ APT. FLOOR CITY SUBURB
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Electrical Work By Gas Line By ITY OF
TYPE OF HEAT GA FA�HW STEAM SPACE HTR. UNIT o�CriO �
GAS DESIGN CO �L�SN�—
MAKE .'n MAKE OF BURNER
Model � A N �i`v ,Q i= Model
Serial c�,s�/`�6, c�l� 9 y Max. BTU Rating
INPUT yU.o���� MAKE OF FURNACE l�A��+ 1��7
T Modei
CONTROLS ' �
THERMOSTAT ���)f' Heat Plug Vent Size Lf ��
Valve G�J� b�Z� KIND OF LINER SIZE NONE
Limit �6 Draft Hood Regulator
Limit Setting� /7c� ° Filters Size Number
Fan Setting %,'�.i.c�d Chimney Location Inside Outside
PilotType �'%�f�,,..�. �� _ ChimneyConstruction �'� �=�� l�i'
Pilot Make
Pilot Model Smoke Bomb Wiring
Pilot Timing ,� t Draft Test Tag
L.W. Cut Off Door Pressure Lighting Inst.
Pressure ,3.S `` Percent CO2 ?� Date Tested J����/`j 7
Input CFH y[� Percent 02 7� (o Company Testing KALMES MECHANICAL INC.
Stack Temp. ?_f�.S` Percent CO O Name of Tester ,� ✓'u c P �a ��n.r�s
r,7�/7 U
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HOUSE HEATING TEST RECORD
ADDRESS f SSD l.� � l'.t,�.-C it/ APT. FLOOR CITY SUBURB
v
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Electrical Work By Gas Line By
TYPE OF HEAT GA FA',�HW STEAM SPACE HTR. UNtT HTR. OTHER
GAS DESIGN CONVERSION
MAKE �Pr N ��( MAKE OF BURNER
Model l�-��,� —5� — Z. Model
Serial 5��97 I'� v0,3 �'7 Max. BTU Rating
INPUT ���,�„� MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT �j���v Heat Plug Vent Size 2. " PV L-
Valve Lc/Q_� L zy KIND OF LtNER SIZE NONE
Limit Draft Hood Regulator
Limit Setting /�n p Filters Size Number
Fan Setting T:ti„a � Chimney Location Inside Outside
Pilot Type �'lo�¢„�.�,-� Chimney Construction Z �^10%
Pilot Make
Pilot Model Smoke Bomb Wiring
Pilot Timing z��� Draft Test Tag
L.W. Cut Off Door Pressure Lighting Inst.
Pressure��.S �� Percent COZ ].L Date Tested J"�„�9/-�1 7
Input CFH � Percent OZ _7,b Company Testing KALMES MECHANICAL, INC.
Stack Temp. /TS�F Percent CO ['� Name of Tester ��r„� � ,,��.�,.,., P 5