HomeMy WebLinkAbout1999-012031 - heating PERMIT
t,CI�Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 -_������r_�=�i��.���:�_
Crystal Bay, Minnesota 55323
Permit Number: `;'.�::;;:_;;
(612) 249-4600 Date Issued: - - - - -
i,�i, a_�_�. ... ...
�
SITE ADDRESS:
_��f,'!'� _, +� . ,����. . .
f.��t e:_;
_., s . y. � . '. : ' " _
��Y . . _ ._ .. ..._._ . .. ' " '
DESCRIPTION:
_ ;-f���::#.;_F��i.� r:;t,:^_;4�,.,-_ i_��� . ._.. . . _. .... � t ;_�_{i�� i•j;'-��E�:.�., `�h��Y�(4 I
{':i t{-. =�i'3�`;�t 11_�!3� ;+.'t+l I lf:���-�l�i -',f..} � f 7l:i_'}
».L:`w.. _ _ _ - - • - -' _ ' "
l��!j—`;?� 1 t�•i_i , i�i•:_!;_'1
REMARKS:
FEE SUMMARY:
. . .__ ..";�i�_:��� =. __� � _ .
'('{ �_--- ;�i
Ve:�t.'Y}Yi }"r�,� �•.�F_ , ��i�..E i��f L.�l.5....�.{.�!;ti . L_!� ��....._�..�_. ..�2 jx i'.x�.3.�
'_�I,}i`_;'��i�'��:,-� ._..��_.___._....._.='�..�..s..s Ta_rT..1�. E';a�_ LL•.;�,.Ct _ ;'?_'
��li�`i�.3,}�.:i,{, �31,�',• . s_`..{
!� �
� ;
�
CONTRACTOR: - . _ _ .. _ ._ -... _ - OWNER:
_. _,-..:�.-.�-. , : -- :. -
, � � �,.�:_ �, �- ;iz =-;%�� _z�.. _=�.� _ ,ii�i _ , . i i_st�
.. . _. . . . . _ s=..�;�_ ,'—f . .. .
r.�i i (.��i`,' j,_ . :�;.�€.;_:.� � ' r'I �'v= i'�
- . i,. y - _�t.' � i;C:-;�,:-i l�S.�`��lfVf�i f'���.� _�CL
>�-�� __.._ . __. ._.� '�'.•�: _ �_ __ _ _ _ _ _ _.
. � i"'; _ t._i'.,,�_. ._�.t _t? :==.i. �"':`�.�� �` � ^�..L_f>� .`�',. . ... _ _... .. ..c ... _ ._ ... . _. . .".__ . . _. . .__. ..,_ .�:� .� t�"A ... . . . _
_ , . .r'."�:<:i `'� �':'-'•'
. . . t�
. _ fi f; . . -�-._, � _ . : i.
��3w .at_-.�.� .......'�.f� �3�����..�. !"6�.����•_� � ' } ' [' � —}� ' _t_f. . . ._��t . � ; ..., . ...4_'� t �.. ��f"s ...._._ .. .» f ?. . ..._.._ . _ 4•.,v. ,..
... _ ^� f.�.�.}{` .., f.i���p. � t /� _
"�ii.:f ' �! t 3s'k:. a i ���!'4!Yl•�^�'' !"l��S ,�. ..,�..�"�! ?� .��p�4� J�� . �".w��.i 1!'7 t .
. i ..S'E ��.� ��..... ._..�-.� 'l"• "`p I»,._
. „. _ _? .
�� • . �.. _ . �.t.__ ..�:.__ _ . . _ ._
� . .. . ._. _ . ._. _ . ° J
.
,
��� � �
APP�ICANT/PERMITE SIGf�7ATURE ISSUED BY:SIGNATURE
! N .
CITY OF ORONO APPLICATION FOR MECHANICAL PERMTr
Box 66 (2750 Kelley Parkway)
Crystal Bay, NIlv 55323
GENERAL INFORMATION
i. 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 retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desiens - Complete calculations, details and specifications aze 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 249-4600. 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 249-4600.
Please check one: New Addition Repair -� Replace
_�! Residential Commercial
JOB SITE: �34 0� Co� f�) , � Zip: SS�� "
Owner's Name: To w�. S a.w vi -e.� Telephone Number: �`
Mailing Address: S c,.w�-e.� City: l,o�, l.a[<-c- Zip: ���S `;'
Contractor's Name: Co��-�-+� s��e- �-�t' � � G . Telep ne Number: 47�- )�6b �'�
Mailing Address: �, �'l t I-�w y, !Z. it3'� YY)a n 4�c �Z..���.,�iP� .�'.�'35-'`� '
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: ►
Make: �r cr.v�-�
Model: 3S fh�1�O�b 1 bb
Fuel: L o o►�
Flue Size: 2" ✓G.�
Input BTUs: � b c� ob�
Output BTUs: 94,�o00 '�
CFM: t�,o0
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
_ . _ . ,
. x. , , ` . . , . .
�5. ! , . . , � -, P,� . _ . ..i r,;
. ' �� ' ' � .. .
�' � ,. . .. � .s: �.t , • a� ►
. ���� . � . ��� � .. . .. ' . .
�,.
��
,�` 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.
��
��
VENTILATION .
No. Kitchen Exhaust ducted recirculating cfm
�' No. Bath Exhaust (must be ducted outside) cfm
�" � '�' �- ' � No. Other Fans: Locations cfm
�u�;I, S�10RA' GE (1VIUST B� APPROi%E17 BY FIlZE MAI2SrIEiL)
Installation Removal
, .;, , _ Fuel oil: gallons underground inside outside rs
�` f `� LP Gas: gallons `
r , �,��,�. ' <
� Other Gas opening `
,.��_
�:
ti -
`���' PERNIIT FEE CALCULATION
��,
1. 1.25% of Contract Price* or Minimum Fee ($35.00) ��o
:�K.00" x .0125 $ `� Z,'
�g (contract price)
� .. �; 2. State Surchar�e. ** Add the State Building Code Division '7 �
mY�,.
�.., ,i�, Surcharge to each permit. x .0005 $ � .,
� ��° '�� or $.50, whichever is greater (concracc price)
�-�.,,4�
� �, :�;;
�•• -
3. Postage and Handling (Only mail-in applications) $ 1.50
''� 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ Lf .f-� ?�
�,
�"` * 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 fumished by the owner,
a > ,.;' � .�� � tenant or any other party the reasonable mazket value of such items must be added to the estimated cost
� ,f �y;r �.;;.�;�, or contract price for pemut fee purposes. In the event that there is a dispute on the amount of the job cost,
�4 ;�°�; Y,a, the City may request the submission of a signed copy of the actual contract.
�-
f r� t�, �
4 M� ' ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is '
�r 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
e; � State Building Code, and certifies that all statements made on this application are complete, true
�:��
�%; and conect.
- ----' -Z�--� �
Applicant's Signature: � Date: q
Approved By: Date: l(� - ?�O� `�y •
yY
`.S
� � T ��.�t, � . . ���.`\ � ��
F-
. �. 1 � �.; . . .. �� 1, Y . .
.,> . .r .-. - , -.
�
a } -. � ,-� . ..
�. � j 'J' . . . � � � .i
e , 3` .`�, , ..:.A� >..,_..,... .. .}. .,.m.. 1- . _.