HomeMy WebLinkAbout1994-006701 - mechanical PERMIT
�ITY,�OF ORONO PERMIT TYPE: -.: ;- - -
2 50 Kelley Parkway- P.O. Box 66 �_"_`-:::-'`':`�`='- �y�-
Crystal Bay, Minnesota 55323 PermitNumber: �_,�;;:-:��,_;.�.
(612)473-7357 Date Issued: ::;;z,
SITE ADDRESS:
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FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICAT`ION FOR IV�H�1'�fiCC��EItMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical pernuts 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 return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERII�IT. WORK 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 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 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 Itecord 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
JOB SITE: �:<�"� ; _i�� , i�, Zip: ; `��5`;�:
Owner's Name•� ,�� � ,� �� , � TelephoneNumber: �i ��--- c.�,j
Mailing Address: ; ,; .��r;����� ,;�.� ,��. City: � �,.,�� Zip: 5,� ,<
Contractor'sName• , TelephoneNumber:
MailingAddress: • d,o wEST�cE STREET Clty: Zip:
MINNEAPOUS,MN 5540��
SYSTEM DESCRIPTION 6�2-a�a-2s5s
HEATING SYSTEMS
Quantity: l
Make: �. /
Model: �;c.�
Fuel: :�.�.,,,- �
`� Flue Size:
O\ Input BTUs: , , �
� Output BTUs: ; � ��
� CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
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WOOD BURNING EOUIPMENT
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.
Total
VENTILATION '
No. Kitchen Exhaust ducted recirculating cfm
No. Bath E�chaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
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)
��"�;� .c , x 1.25 $ �;� �
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. ;�, . c �- x .0005 $ � :� ��
(co'�tr�act�price) . .
3. Posta�e and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ;, -; ;
* CONTRACT PRICE or JOB COS'1'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 [o 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 cvcnt tha[[here 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 Dcpartment 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 certif�at all statements made on this application are complete, true
and correct. "
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Applicant's Signature: 1 i � � � Date:
Approved By: Date: o� — "�
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.' RESIDENTIAL LOAD CALCULATION
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Purchaser ��1t�L t fl�a.a s,c 1-����c� Sales Rep `� � Date g-/s- t y �
Address �22 � 6�-4 �,.� A+d. o�o,�o .s�r'3�b :
Running walls below grade: �� X 7 2 Sq Ft gross wall
(Ft wall Ht)= 3 `3 elow rade
o Sq Ft windows and
- doors below rade
et wall below
= 3�'`� rade
�1 o f '� :. t'C 9 a .
�55� Sq Ft gross wall
Runnin walls above rade: ��, x 9 y �°g 3
5 g (Ft wall Ht)= above arade (lst floor)
(lst Floor)
Running walls above grade: X Sq Ft gross wall
(Ft wall Ht)= above rade 2nd floor
(2nd Floor) Sq Ft gross wall
+
Z�g,� Total gross Sq Ft
= above rade
. Z�g Sq Ft windows and
- doors above rade
Net wall above
= l�'nY rade
Windows & Doors 2'75 Sq Ft x ro HTM = !3�so BTUH
Inf. (w&d x 1 . 3) 363 Sq Ft x 3p HTM = /ofGo BTUH
Net wall below
grade 329 Sq Ft x C� HTM = !bh S BTUH
Net wall above
grade �S�K Sq Ft x �1 HTM = � 4 �`�ti BTUH
Exposed Ceiling 11�� Sq Ft x «' HTM = � S 'J36 BTUH
Exposed Floor 86k Sq Ft x � HTM = ��i,� BTUH
�
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_ �7L23 BTU TOTAL
� Go c,,:,.� coo.coo 1�3sar�. �
Windows & Doors Ceilings & Floors
21 + tL� tl. E-tb t 11 t-�.o +ca Fcc i-�u
3'�
r i t � s + Zti a-5 + � � �,, ,� s 1 Z c .r L e : 2?°1
itig
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DATE TIME
CITY OF ORONO CALLED IN /l�/i c'/��
INSPECTION NOTICE 'G� SCHEDULED � �'-'_30
PERMIT NO. � COMPLETED A U�
ADDRESS - �- '� � � CGc,rt'. �
OWNER �� � �—' CONTR. � � �-�
TELEPHONE O. ��`�'-.«r S�
� DESCRIPTION �����` � �, - � << ,
� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
�Q 02 FRAMING 13 MECHANICAL FINAL 19 LAl�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= OS FINAL 14 SEWER HOOK-UO 06 PROGRESS
~ 07 DEMO—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
v 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PEFMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR '— CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContra o n sit :
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
DATE TI� A
CITY OF ORONO CALLED IN 1.�-ai- y� � ' �
INSPECTION NOTICE SCHEDULED / �•do2 /� : ��h
PERMIT N0. ��7CJ� COMPIETED
ADDRESS ���J i � �
OWNER\�l�,rl �,�1,c�C� CONTR. ' �
TELEPHONE NO. �Ca I - y �� a �-�- �
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAVJGRADING/FILLINQ
�Q 02 FRAMING MECHANICAL ) 19 LAI�SHORElWETIANDS
Q 03 INSULATION 24/25 WOOD�IIRf7�W��FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER NOOK-UP 17 SITE INSPECTION
Q
= OS FINAL 14 SEWER HOOK-UO O6 PROGRESS
� 07 DEMO�SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
� 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER FiEMOVAL
v 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTiiACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d �WORK SATISFACTORY:PROCEED `�PROJECT COMPLETE
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� • C CORRECT WORK&PROCEED �_ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ,� pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR - CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next in pection 24 hours in advance.473-7357
OwnerlContracto sit :
Inspector.
White Copylinspector's File Canary CopylSite Notice
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410 W. LAKE ST. 1072 PAYNE AVE.
MINNEAPOLIS, MN 55408-2998 ST. PAUL, MN 55101-3892
612/824-2656 I HEATINGANDAIRCONDITIONINGCO. 612/772-2449 �
��',\ �c$ervina The Twin Cities Sinee/930" ��j
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ORSAT TEST RECORD
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ADDRESS _S .2� .S'-" � — .�G'� /'� CITY %i/ �'�' �'
OCCUPANT /- � �° �- ��--� � OWNER S�/Y' �F' � �9�
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DATE HTG. INST. '�}�%'�` `-J'`/ INSTALLED BY ..�-'%�, �'�� ,��'� j� =�%f---- �r�r -
GAS LINE BY���,��c r �' i�� .= %�
TYPE OF HEAT: GA FA/�, HW STEAM SPACE HTR. UNIT HTR. OTHER `
GAS DESIGN CONVERSION ��
MAKE /-� MAKE OF BURNER
MODEL _J S� G�'c%l�' ��� ,�-C ,�� MODEL
SERIAL rT�`�G� �/��%f L� MAX. BTU RATI
� �
INPUT /(')� O �CJ MAKE 0 RNACE _
�� �-'_ CONTROLS � EL
THERMOSTAT \ �. �i 1 HEAT PLUG �� � VENT SIZE .-' ' -� � �c'��
VALVE .�,/ r I ���''�:J r�r..� KIND OF LINER SIZE NONE �,,,
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LIMIT��j-��,�� DRAFT HOOD/,��C.�r� REGULATOR� �' �
LIMIT SETTING O C CHIMNEY CONSTRUCTION ,�/� � � �
FAN SETTING �% � DRAFT���5� TCST TAG ��/J �cT� � ���
PILOT TYPE ,`)� (1 � �'p i�� LIGHTIN� TNST. %lj �G( `"/t ac c y�
PILOT MAKE -----
�' PILOT MODEL —��
,�,,
PILOT TIMING ,� jly���n -�
PRESSURE �� ;,��PERCENT CO2 (� � DATE TESTED (J � � �L�
INPUT CFH ;(�% O � PERCENT 02 / G; � j
STACK TEMP. /�f PERCENT CO__�� NAME OF TESTER�` 'c G� �