HomeMy WebLinkAbout1998-009957 - mechanical � r •
PERMIT
.� C�'TY OF O ONO PERMIT TYPE:
2750 Kelley Par�Cw - P.O. Box 66 �.��i;#�;��,���;��
Cr stal Ba , Minne ta 55323 Permit Number:
y y Date Issued: {?�-f`''`j��
(612) 473-7357 I t�;�/�;;r_=t::;
SITE ADDRESS: '
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REMARKS:
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FEE SUMMARY:I
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CONTRACTOR: _ OWNER:
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APP ICANT'PERMITEE SIGNATURE ISSUED BY:SIGN URE
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CITY OF RONO APPLICATION FOR MECHA1vICAL PERMIT 'w
Box 66 (27 0 Kelley Parkway) �:
Crystal Ba , MN 55323 ��
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GEN�RAL ORMATION
1. You ay apply for mechanical permits by mail or in person at the City offices. Applications will be
revi ed and a permit will be issued within 2 working days.
2. Per it cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UN IL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POS ED ON THE JOB SITE.
3. Mec anical Desi ns - Complete calculations, details and specifications are required for each heating,
vent lation,humidification-dehumidification, and air conditioning installation including heat loss/heat gain
calc lation, design temperatures, equipment ratings and identification as to type,manufacturer and model.
Dat shall be presented on form provided. Identification of and specifications for water heating equipment
shal also be provided.
4. Wh n 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
req irements.
6. All work must be inspected (rough-in and final). Call 473-7357. 24-hour notice required. �
7. Ho se Heating Test Record must be submitted before final.
Instruction Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPL TE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please chec one: �' New Addition Repair Replace
� Residential mmercial �,,y��7 ,� 3 .3 �- ���
JOB SI : � Zip:
Owner's �t:ne: ^�p (�_r _Telephone Number:
Mailing ddress: M��Z�NG & C�C3Li�a� �'��i� i'�ity: 'Lip:
Contrac or'sName: 18550 County Rd 81 TelephoneNumber:
Mailing ddress: Maple Grove, MN �_City: Zip:
SYSTE DESCRIPTION
HEATI G SYSTEMS
Quanti : �
Make:
Model• 1 �
Fuel:
1ti
I�lue S ze: ��' �_
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Input TUs: ��3•a- C�SZ� — ,�
Outpu BTUs: v -�
CFM:
COOL G SYSTEMS �
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Quant ty:
Make
Mode
Tons: �_�p
H. P wer
, ��1
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WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood 5tove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
VENTILATION
No. � Kitchen Exhaust;, , ducted recirculating j � 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) -°
L�C'j�1L��`� x .0125 $ ��.��
(contrac[ price)
2. State Surcharge. ** Add the State Building Code Division �
Surcharge to each permit. ���v��-'� x .0005 $ �,��
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 ';�;
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ����,� �
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* CONTRACT PRICE or JOB COST 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 to the
customer for the work done. if any material, equipment, labor, or installati�n are furnished by the owner,
tenant or uiy otlier party the reasonable market value of such items must be added to the estimated cost
or contract price for permit 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 S"1'ATE 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 appli�s to the City for issuance of a Mechanical Permit, agrees to do
all work in strict acc�rdance 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. —.
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; . �Applicant's Signature: Date: �
Approved By: Date: �
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. S!N 248 • �I6Ht-J SNORT FORM 10.12.94 ,�� ���` •:+
Job 1: , I
Htg Cla
for: HEATHMAN,Y,STORk � Outside db -Ib 9Y .
NJTIEL,RES lnside db � 72 78
DeSign TD 88 1�
- Daily Range - M
Inside Hu�id. - 50
BY: HT6,COOL,Y i • 6rains Nater - 33 ,.
ka
. Const. Huality a � �
, t of Fireplaces 1
HEATIN6 EAUIPM�NT COOlIN6 EBUIPMENT • - �
Make � Make
Model Nodel
Type Type
Effitiency / H9Pf COP/EERISEER 0.0 ♦
Heating Input Btuh Sensible Cooling U Btuh
Neating Output Btuh Latent Cooling 0 Btuh
Heating Teep Rise Deg F Total Cooling ti Ueg F
Actual Heating Fan 2 CFM A�tual Cooling Fan 23�5 CFM
Ntg Air Flow Factor 0. b CFM/Btuh Clg Air FIoM Factor O.U53 CFM/Btuh
Space Ther�ostat ' Load Sensible Heat Ratio Bb
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'�- AODM; NAME � AR � I HT6 ; CL6 1 HT6 0 CLB
• , • -� - � ` � 5A �T. � BTUN i BTUH � CFM ! CFM
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STUOY I �82 I 3213 f 1387 ; 8Z S 74
BTH I l70 � 881 � 2B1 f 23 0 15
LIVIN6 � T10 ! 5730 ; 2893 � 1�7 { 155 �
FDYEA � 48 1 384� t l025 � 99 i 55 ' �
AINJN6� ! 45 I 3�32 I 1740 ; 88 I 9b � � •
FAMILY,�;.- ' � i 46 { 13426 i 1�81 � 344 i 400 �
BRKFST� 1 lY S 7128 � 3880 � 183 � 201
KITCH I 04 I 1127 I 2711 I 29 1 1�6
MUU,LAUNDRY I �40 I 4195 ! 969 I 123 1 52
MAS,BR � 56 � 5(+b6 � 3u52 � 130 ! 163
MIC ; }21 ; 2514 � 641 � bb � 3Y
t1,BTH,BTH � 189 � 3037 � 936 � 18 � 50 .
BR2,NALL � 49 I Y885 f 2099 i 7� I U T
FOYER � 46 ! 3138 ! 1520 ; 81 I 8! .
BR3 � t14 i 3684 � 2Y57 ; 95 1 lil
BR� ! 1Z � 3428 � 2190 � 88 l 117
BA6EMENT i 00 I 23243 i 8388 i 596 S 444
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Entire House i 14 i 90b26 � 45327 ! Z3?5 � 1325 �
Ventilation Air i � 11616 i 1848 i �
Latent Cooling ; ; � 4638 ! �
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1DiAlS � I B14 � 102�4Y i 54965 � 2315 1 1325
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DATE TIME
CITY OF ORONO CALLED IN "f I�
INSPECTION NOTICE SCHEDULED � // � C�C�
PERMIT NO. �'cf.5 �� COMPLETED �
ADDRESS �'�'%�/ �� � � �c�
OWNER CONTR. -�,��%� �--
TELEPHONE NO. 'SLo�.Y" �J�o 7 7
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� DESCRIPTION � ai�� �-s
lL 01 FOOTING 11 MECHANICAL RI 18 E CAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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
4Q.i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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d�ORKSATISFACTORY:PROCFED �7 PROJECTCOMPLETE
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O i.i CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. — pHOTOTAKEN
INSPECTOR WILL RETURN
C; STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
L 1 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContracto i
Inspector.
White Copyllnspector's Fiie Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN �� �`
G� - � r-�S� /��
INSPECTION NOTICE�, _ scHEou�E� t�� /=.) %� f��,
PERMIT N0. � ��>/ COMPLETED ; ;
ADDRESS �-� � �/ `�< � � > � K �-'��
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OWNER 4l• -� CONTR. ��{ <, r:. ,.,T •- �`< C<,�;f�r
TELEPHONE NO. � � ' � ' (: � �
� DESCRIPTION
L� Oi FOOTING 11 ti�1 GHAt�II�AL_.RI 18 EXCAV/GRADING/FILLING
Q02 FRAMING -__]$MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ORK SATISFACTORY:PROCEED L PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C: ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. , pHOTO TAKEN
INSPECTOR WI�L RETURN
C STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContrac
Inspector.
White Copyllnspector's File Canary CopylSite Notice