HomeMy WebLinkAbout1998-009930 - htg system . _ _t�T�
' PERMIT
� CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �j�";��{t��i��`
Cr stal Ba , Minnesota 55323 Permit Number:
y y Date Issued: {-7=���#-�!''�=�
(612)473-7357
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, 1VIN 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. Pernut 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 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 Record must be submitted before final.
Instructions Complete all items on this application. Compute the pernut 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 G� Replace
_ � Residential Commercial
JOB SITE: �� '7.S �� %��2(�.�r��� ��=�. Zip:
Owner's Name: , �� �'� i ' E' Telephone Number: �f�3 -a3 � �9-Z
Mailing Address: � � City: Zip:
Contractor's Name: 3-,p �,� /h� <u Telephone Number: �'z --�-j�,�
Mailing Address: '(� •�y/(�J�f,��; ,�f� /,�.r �3c, City: �n �>S/_- Zip: �5,3�_3
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SYSTEM DESCRIPTION �; _�D � '` �
HEATING SYSTEMS
Quantity: �
Make: f�n , ��-�,�
Model: (g� �F'fpo
Fuel: �/� �,5�
Flue Size: �(J�
Input BTUs: ���
Output BTUs: �•�3, /� �
CFM: ��(J 8
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power �
,
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
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)
�,���'.,�i x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
-� Surcharge to each permit. x .0005 $
or $.50, whichever is greater (contract price)
� 3. Postage and Handling (Only mail-in applications) $ 1.50
< 4. TOTAL PERMIT FEE (Add lines 1-3 above) $
y:
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pemutted
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 $1,000,000 call the Department of Inspectional Services for the price.
� The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do
� all work in strict accordance with the ordinances of the City and the regulations of the Minnesota
State Building Code, and certifies t]�at all state nts made on this application are complete, true
and correct. �
Applicant's Sig ture: � Da : ` �- �
,.�.�,.L.. .
Approved By: � Date: ��9/��
..., _,_ . .... .� .. . . .. . . .�. ! , . ... _ . . . .. . . . .. � s
t
� Fl.� /,.�.�.�,,,' Room�Length �jl�, Width /G Height
Windows and Doors—Crackage and Area
Width Helght No.of Lineal[t. Area
No. of pane of Dane Ilghta ot crack eq.[t.
2 2 2 .�
Coef. Btu
� Inhltration 3 Z rJ' .�"'p
h Glass /
� Exp.wall � G f' 4 k �S!
Net exp.wall ,�
Int.wall
Cei�ing 1j/ �„ L�� �:
Flcor
'Total Btu.
Required sq. ft. E.D.R. or sq. ins.W.A. Leader area
iZ Fl.I �� � Room I L.ength Width Height 7
Windows and Doors—Crackage and Area
Wfdth Hefght No.of Lineal ft. Area ,
No. of pane ot pane Iighte ot crack sa.tt. �
i COEE. B�l1
� Infiltration
� Glass
Exp.wall •} t�/' y S' g
Net exp.wall
� Int.wall ��q/V ?`y�
Ceiling /j � �
Floor
Total Btu.
f Required sq. ft. E.D.R. or sq. ins. WA. Leader ana
, � � � r`D�`i4� � `��,$'y � ��t r��'���
CITY OF.��.r
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS
Weathersttips A.S.H.V.E. Construction No. � Insulation
Guide ----
Windows Doors ReEerence ' Out.Wall Int.Wall Ceiling Roof Floor Kind How Applied
Yes—No I Yes—No 19_ I�
Fl.� L.f ��u�Room� Length Width Height FI.� � � Room Length Width Height
Windows and oors—Crackage and Area Windows and Doors--Crackage and Area
��'Idth HeiKht Nu. o[ Llneal [t. Area \Vidth Height No.ot Llneal fL Area
DIo. of pane of Dane IiKhts o[cra��k aa. [L No. o[pana of pane IlRhte of crack aa-It.
,� �►� 3W. G 2 N� ! � f
2 S"ta /9� ° i
3`' I,► �` -
Coef. Btu Coef. Btu
Infiltration y lnfiltration � y �
Glass 147 '/ Glass �i ��i► ,�
_ F.xp. wa�� "�t Exp. wall �GGd
Net exp. wall Net exp. wall
Int. wall Int.wall
Cei�ing Cei�ing
Floor �� ,� � Floor �g � 'Z,, � �
Total Btu. Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area
FI.� ,� Room� Length Width Height FI.I I(3 Room I L.ength Width Height
Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area
Width Helght No.ot Llneal It. Area W:dth Helght No.ol Llneal[t. Area
No. ot Dane of pane llghte o[crack ea.ft. No. of pane o[Dgne IIBht• ot crack ep.Ct.
� +n� �.� q iZ,. $" c1 .
�
Coef. Bcu Coef. Bcu
In6ltration y � � In6ltration l j
Glasa �� /„s" Glass �.,
Exp. wali F�cp.wall ,,�
Net exp. wall � ';t f °� jd�j J� Net e:p. wall / il' �
Int.wall Int.waU
Ceiling Ceiling
Floor ,it' ' � Floor � „��
Total Btu. L Q Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required aq. ft. E.D.R. or sq. ins.W.A. C.eader area
Fl. � � Roam (Length Width / Height Fl,I (�,� Room I l.ength Width Height
Windows and oors—Crackage and Area Windows and Doors—Crackage and Area
Wldth Helght No.o[ Llneal[t. Area Wldth Helght No.of Llneal tt. Area
No. ot pane ot Dane Iights ot crack sa.ft. No. ot D`ne ot p�ne Ilght• ol crack �a.tt.
�. 3�. � .� s�
Coef. Bcu Coef. Bcu
lnfiltration ,�'";� Sf Infiltration y ►'�
Glas� ,3 Glaas � � L�/
Exp.wall / F�cp.wall �'
Net exp. wall ,�" Net exp. wall
Int. wall Int. wall
Cei�ing Cei�ing
F loor �,9 ��Q �"� Floor �� ,S` �` �
Total Btu. Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. WA. L.tader area
DATE TIME
CITY OF ORONO CALLED IN ` S'�
INSPECTION NOTICE SCHEDULED �� �t
PERMIT NO. ����� COMPLETED
ADDRESS '�--�` 75�cr�� �_IZf'fc�t�•
OWNER�<-•�'-� CONTR. 3 � �.�G�Cs '
TELEPHONE NO. Ct 3�' -� S�S'-� ��
� DESCRIPTION
� 01 FOOTING CHANICAL RI 18 EXCAV/GRADWG/FILLING
�.�_____
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d �ORK SATISFACTORY:PROCEED � PROJECT COMPLETE
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� C; CORRECT WORK&PROCEED I� ISSUE CERTIFICATE OF OCCUPANCY
W
O Ci CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
i] CORRECTUNSAFECONDITIONWITHIN HOURS. L pHOTOTAKEN
INSPECTOR WILL RETURN
l 1 STOP ORDER POSTED.CAL�INSPECTOR � CITATION ISSUED
i l INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73rJ7
OwnerlContractor n si :
Inspector. �
White Copyllnspector's File Canary CopylSite Notice