HomeMy WebLinkAbout1994-006678 - mechanical - .� PERMIT
a CITY OF ORONO
2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE: -;: =_� _�-�=� � =��
�. _•E"Si-�;eY s'.t..�C"t'._
Crystal Bay, Minnesota 55323 Permit Number: �'��:�_-,���;;:;
(612)473-7357 Date Issued: _ . _ ,_,. .- .
SITE ADDRESS:
. . _ . . ._.-.._ .�#S f..,. .�'.}�_` .
... . ...� . �_ _:;•i '
.. . ,,., . ; , �"� :
.� . . _... - : :. ' ...
...,. .::.. � ), a�. ,�. ..� �.� . -� ' '
DESCRIPTION:
- i_ ; � ;,._: , _
i �.�� ' ` � -�-'
_. . .�. . � _ _. ..,.. _ . ._ . ._. _.....__ . .. . . . . ..�.. .._. ._ . . ..__ . .. . _..
��. _F'.IStik` F..��;:tL.: ._.. :i= t{'*ii��_��: . _ , . .�_t
_,�...._ :t_ __�:fi:
41 t f L'! 1�"!!iJl�V
:if.ii— i��i_T;•[
!T�!!!'71T4=i L'7 1 .L 11L
ki}it �:
.L�12 dJl'1fV1fV Y1
'�i! �
4'.t SILtS �.s.n 4�1!
:f'•� }
_��__v�.�'u`i%�% s.
='tt --
V! LL1S aJsl
��'� ' '::'!
i:���i%i:`(Ji�"vv i:
i L'ai =:F
L'1 ULtt � o .
REMARKS. . �itFi ie:iliF
.i.,:..i� vvvvv ri
i�?s i i
l'.!. LLIt a2V�
_;iii•h' _; _ _
4.:!LLf! !L !l�cSJ
!.r_�.>,L.�'— .��i»:it?+' ut Ji[
!)Lt.:L11�!'�It:r'!tTl1 lVLt
FEE SUMMARY: ..,��z•-��: �.;::;"=i ,;;.:�_�:.c�.��:
' - ' ' l.wf�l�i. !�'�
. . ._... _.. . . ... _.��i�. . _ � ..._. _.
'-y'.a C S�._��=i '^'�v f' i ji} s;'i f.� ! �l� .�' i .'�t,3
i� .,._ ire'
� +
....'._t_:�.... : •_.-._ .;�.:•.i ':'v i� !i". _.. :.F� ' .
i� »� .. .� � •^- '^ —_ .� _..___....._._. ��..s.. �:
',� . ��a.
�.t..•f':'f�i iL:'� :,:� '_^_.__._ F'°= . _ __' . ,_'±-_ W'�: t�. _ .�
'�'C,SiT.:� 9 ';:}.'i`'l
CONTRA�TQR: _.:_ �`'. . _ - __'''-�� — QWNER
� _. ; .,
:��...� ,-
; ;_ . _t; .='3.�. _ �=°'v'
_ ... . ..._ . _ _ ___ _. . .. . .__... . ._ . . ._ .. .
�----. _ _.;_,E'��t,`;;�';�': . . . ;.. _ , . - -`�,'v:_ ��.%.i_ f:rl
_ . ._.f.�''•�_f�'•::_ .'`ii:':`�, !''�'`�` . _ ._._._ �_.. _. . .. i',i .. .. .,_ .»
. " '-i•::�:-}_... :i--�
`��k �1��.1�f=f'������� �����.''y �'irt,;:?�3�=_ : _:_ �''��'.�1� _. _ �.k,..��'�i ���� ��-`t�:.� €�'?�` �.__ = ; _: �. ��..�.=..�f�'��`��'�
`.��s:_�.-I F I�[3 �e"�� €��:7!'{��'-,s 3#f; ��'i t�_iw_ 5��_s i��.. ��; :�`�'t t I C•�" ?.�_��`9�'�I�i( ...,:._ ,'' . . �: '; . � ; ;'� +..�;-'
i i�tw't�#�� �.t��}I��€�f��:��; �t��i -�;��:�7'�; �.`����� ���`�t��.�;.t�� �;,t�t�_;�,�,•:#,� }_{�.°r. T. _ .
l._.. �
.�> �-- �/,.�c—t�—�
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
f
�
�
- 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.
Total
VENTILATION
No. Kitchen E�aust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: L��cations 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. 1.2�% ot Contract Price�` or iViinimum Fee ($35.00)
I �� �4� x 1.25 $ � ���O�
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. ��,��� x .0005 $ � �p�
(contract price)
3. Posta.�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ,�j J. 1�
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work incl��ding materia:s, labor, prcfit, a:.d o2he: fieed casts. It is the amou�t to be charge� to t�he
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 $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
State Building Code, and certifies that all statements made on this application are complete, true
and correct.
Applicant's Signature: C� �� � Date: ���o�f��
Approved By: ✓ Date: �oZ o2
. }
,
CITY OF ORONO APPLICATION FOR MECHAlVICAL PERMTI' -
Box 66 (2750 Kelley Parkway) NOV 3 0 1994
Crystal Bay, MN 55323
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. Permit cards will be sent by retum 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 Designs - 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
shail 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 C�de/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
JOB SITE: � \1 �� �ip:
Owner's Name: j��c` Telephone Number:
Mailing Address: T �rmaaou��o�amow�� City: Zip:
Contractor'sName: ����jS Mk1AN 5��^� __TelephoneNumber:
MailingAddress: SALES 8�9f7o7 5ENVIC� ���oii City• Zip•
SYSTEM DESCRIP'I'ION
HEATING SYSTEMS
Quantity: ��� �
Make: '(`nOC��rn�.
Model: '��< - i`��
FueL• �� ��;�c,,�
Flue Size:
Input BTUs: �,<� ,-��
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
�I�
.
�;
.
14�� ' ���=
:. 1=�-a�.� Z �G ��O �t= i = �lo`�SJ
, ��,�.��C� 4.CP y� � s��=s- = 3��
: . ��S I ob y� 1 � SQ �=�- = I `�9 c�
, ���5 �.t � . CP�7 s Q �=r' =- S8q 7
:. �-�-�r Lo SS -�,Z� \
: , rY1 f��c -� Cs��.�22�� w, �c.� ( 1�5 D -- � �► ��'�
P �
:. �-s-�-�. �-c--�--c- �� = �-s,43�
..
:,
�
;�
t�
ij
��
I,
►
�
{
i�
; ,
� �j �-f�3�3
HOUSE HEATING ��RECORD G? �
ADDRESS ��� � ���� ��`'l ���� APT. FLOOR CITY SUBURB �"-�"'k�
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY � �
Electricol Work By Gas Lins By A �� `
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. �OTHER
AS D SIGN CONVERSION
MAKE ��� MAKE OF BURNER
Model Model
Serial Mox. BTU Rotiny
INPUT � MAKE OF FURNACE
Model
CONTROLS ��
THERMOSTAT eg�t Plug �- Vent Sizs
Valvs V KIND OF LIN R SIZE N E
Limit ��� Draft Hood � Reyularor �
Limit Ss»ing Filters Size Number
Fan Setting t Chimnsy Loeation Insids Outsid
Pilot Typs _ Chimney Construdion ��� ��
Pilot Make �
Pilot Model Smoks Bomb Wiring
Pilot Timi�g Draft Test Tap
L.W. Cut Off �_ Door Pressure Liyhtin ��•*-
Pressure v� PereentCO� � Dats Testsd r�Q
Input CFH � � Perc��t 02 Company Testing
Staek Temp. � Peresnt CO Nams of Tsster
Fwm 235