HomeMy WebLinkAbout1992-004497 - mechanical PERMIT�
* CI'TY OF ORONO PERMIT TYPE: t�}��:HANIC:RL
1335 Brown Rd. South • P.O. Box 66 Permit Number: {��}�'�'��
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Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357
SITE ADDRESS: �:,,,�� �-�H �U� �
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DESCRIPTION:
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FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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G ORONO 11 ,
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CITY OF ORONO
APPLICATION FOR MECAANICAL PERMIT
GENERAL INFORMATION JU L 1 6 1992
l. You may apply for me�hanical permits by mail or in person at the City
offices. Mailed-in permits are subject to the postage and handling
fees shown below. ,%
2 . Permit cards wi 1 be sent by return mail the same day the application
is received. P�RMITS ARE .NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK
MUST NOT BEGIN UNTIL THE PEI2MIT CARD IS POSTED ON THE JOB SITE.
3. When any new construction or remodeling is involved, a separate
building permit must be obtained.
4 . All work must be done in accordance with State,�-Building Code
requirements.
.
;�
5. AI1 work must be inspected (rough-in and fina�). cail 473-7357. 24-
hour notice required. !
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6. House Heating Test Record must be submitted b�ore final.
INSTRDCTIONS Complete all items on this appYication. Compute the permit
fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE
ROCESSED. If you have questions, �a1i 473-7357.
4:ALK-IN PERMITS apply at City Offices, 1335 South Brown Road (Cty. Rd 146)
MAIL-IN PERMITS enclose fee - MaiY to: P.O. Box 66, Crystal Bay, MN 55323
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Please check one: New Addition Repair �Remodel
JOB SITE �j,�� C c• �D r�' �OM t��''
Owner' s Name S,N�� <_��.rr��4-��... Telephone Number
Mailing Addre��
Contractor' s Name � Telephone Number y� �;
Mailing Address �� �,, , ��'~'�'���i
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MINIMUM FEE ( $30. 00 per project)
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HEATING SYSTEMS $25.00 each unit
FUEL �_ nat. gas, �_ lp gas, oil, elect.
other (specify if combination burner) J
EQIIIP. (if more than 1 unit per bldg. list each separately) Q
NO. TYPE BTUH IMPUT BRAND NAME MODEL NO. /���
�_ f.a. f urnace �� Z � �1 U L S � � i�.
hw boi ler �-.�,
unit heater
solar htg.
equipment o D
Solar Equipment $50.00 each system Total 30 --
*************************************************************************** -
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F
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AIR CONDITIONING $25. 00 each unit
C'entral Air Separate Central Air System
w/furnace
Brand name Model No. Tons
Total
*************�*�***********�********�********�**�**************************
*WOOD BORNING E�UIPMEPIT $35. 00 each unit Wood stove with flue
$30. 00 each unit Wood combination or add-on unit
$40. 00 each unit Factory fireplace with flue
Factor Fireplace (s ) freestanding built-in
Wood Stove (s ) franklin, other
Brand Name Mode 1 No.
Mfgr' s Min. , Clearances, side , rear , min. flue dia.
Total
**********************�****************************************************
VENTILATIOPI $5. 00 each exhaust fans, (bath, kitchen,
attic, etc. )
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans : Locations cfm
Total
****�**��*****�*********************�r�*********�r*****�*****�********�******
FIIEL STORAGE (must be approved by fire marshal ) $20. 00 Permanent
$10.00 Temporary
Fuel oi1, gallons underground inside outside
LP Gas, gallons
Other
��***�**********************�*******�******�**********�***********�***��***
SPRINKLER SYSTEMS Minimum $20. 00 each system
Number of Heads No. of Risers $2.00 per head
*�*�**�*************�**�************�**�*******�***********��***��**�******
� GAS LINE INSPECTION
High/Low Pressure $30.00
**�*�**��******************'*******************�***�**�****�***********�r**�:*
PERA�IIT FEE CALCOLATION �a
1. Total of above Installations or Minimum Fee ( $30.00 ) $ � Q -
2. State Surcharge. Add the State Building Code Division
Surcharge to each permit $ . 50
3. Postage and Handling on all mailed-in applications, $ 1. 50
4. TOTAL PERMIT FEE add lines 1-3 above $ ��;� o
The undersigned hereby applies to the City of 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 alI statements made on this application are complete, true
and correct.
Applicant ✓ "� Date
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�T �,p� �pL�(„p'np� DEPARTMENT OF INSPECTION MINNEpppLLS� MIIVN.
Weatherstrips A�' Coastrnctioa No. Insuletion
Guide
Wiadows ( Doors Refereace Out.Wall Iat.Wall Ceiling Roof Floor Kind How Applied
Ye�o Ye�s— 0 19—
F7.� Room L.ength Width Height . Fl.� Room Length Width Height
Windows and Doors—Crackage aad Area R/indows and Doors—Crackage and Area
Wldth HN�At No.o� Lln�al[t. Aroa WIdt4 Ha1�AC No.ot Lioul ft. Ar�a
No ot D�ne ot Dane Ilthu of eracic �0•tt. No, of pana o!pam Iliht� �ot crack W.!t.
� � � ��
� � a� a
a o
Coef. �tu Coef. Btu
Ia6ltration Infiltration
Glass . Glau
Exp.wall , �p.wall
Net e:p,wai) Net e:p.wall
Int.wall Int.wall
Cei�ing Ceiling
Floor ___,____ Floor
Total Btu. Totat Btu.
Required sq. ft.E.D.R.or sq.ias.W.A.Leader area r Required sq. ft.E.D.R.or aq.ins.WA.Leader area
Fl.� Room Length Width HeiBht Fl,� Room�Length Width Heigiit
Windows and Doors-�rackage and Area Windows and Doors—Craekage and Area
Wldth Hsl[�t No.o[ Lln�ai ft. Ac�� Width He1�At� No.ot Llna�l tt. Area
No. ot ne ot e It[ht� o!crack q.tt. No. ot D�pe ot pana ll�hb ot eraek p.tL
a �� i � --
Coef. Beu f. cu
In6ltration ,� � GJ � ~ In6ltratioa
Claa C ��) Glas�
F�cp.wall Eup.wall
Net e:p.wall � � ' � Net ezp.wall
Iat.wall y Iat.wall
Ceiling (� d �� Ceiling
Floor (� 7 �G Eloor
Tctai Bta. � Tota!Btu.
Required sq. f�E.D.R.or eq.ins.W.A.Leader area (I Requued sq.f�E.D.R.or aq.ins.WA.Leader area
Fl. Room (L,ength Widtl: Heighc �1,� Roonn�Length VNidth Heighc
Windows and Doors--Crackage aad Area Wiadows and Doors—Crackage an�Area
WIdtR HN�At No.ot Lln�at tt. Ar�a WIAth Hd�at Na of Llnul tt. Aro�
No. o!pane ot D�ne Il�et� ot orack p.[t. Na ot yan� et D�n� Il�ht� e!cracic q.tt
Coef. Btu t:oef• Btu
lnfiltration Infilt-ation
Glaa Glaa
Ea�p.wall Eap.waU
Net e:p.wall ' Net ezp.wall
Int.wal! In�wall
Ceiling Ceiling
Floor Floor
Toesi Beu. Tota!&u.
Required aq. EG E.D.R or�q.ia:.WA.Leader area Required�q. h.E.D.R.or sq.ias.WA.Leade�aera
HOUSE HEATING TEST RECORD `��`'� ��
ADDRESS APT. FLOOR CITY SUBURB
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
El�ctrical Work'By Gas Lin� Br
TYPE OF NEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE MAKE OF BURNER
Mod•I Mod.l
S�rial Max. BTU Rati�y
INPUT MAKE OF FURNACE
Modsl
CONTROLS
THERMOSTAT Heat Pluy V�nt Size
Valve KIND OF LINER SIZE_ NONE
Limit Draft Hood R�yularor
Limit S�tting Filt�rs Sizs Numb�r
Fan Serting Chimn�y Location Insid� Outsid•
Pilot Type Chimney Const�uction
Pilot Maks
Pilot Modsl Smoks Bomb Wiriny
Pilot Timing Draft T�st Tay
L.W. Cut Off Door Pressure Liyhtinp Inst.
Pressure P�resnt C0� Date Testsd
Input CFH Perc�nt OZ Company Testing
Stack Temp. Perc�nt CO Noms of Tester
Form 235