HomeMy WebLinkAbout1993-005018 - mechanical PERMIT
jCfTY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: MECHANICAL
Orono, Minnesota 55356-0815 00SO18
(612) 473-7357 Date Issued: t y.-;/2 c J 93
SITE ADDRESS:
1111 TAMARACK DR
CH
P. I .N. ; 26-11-:3-23-31-0007
DESCRIPTION:
FURNACE
I HEATING SYSTEMS FLUE SIZE G" FUEL NATURAL GAS
MAKE LENNOX MODEL A2()Q314E-100
OUTPUT 78,000 INPUT 100,000
REMARKS: CITY OF CROW
FIN NCE OFFICE
13i3300400 #
FEE SUMMARY: j�1. h 5.00
J�
l .s:if iliJNi/ tY
VALUATION $1 ,800 C'i CEN ,i'tti
Base Fee $35 .00 MAIL IN --------i3i �a #
&EN 1.50
Surcharge I-3Q Total Fee t�'' 0IL 37.4'
Subtotal $35 . 90 R CEIFr-THAN( Y!#.'
#.2681 70 C401 T01 Ti 3:43
011,25193
CONTRACTOR: - Applicant - OWNER:
SEDGWIC:K HTG & AC: CO :38819000 KLUTH DONNA
8910 WENTWC RTH AVE S 1111 TAMARACK DR
MINNEAPOLIS MN SG420-2:314 +RONO MN 55356
(A-12) 881-9000 S74-3704
� 9 �� T 00* � +.
i.. � I T T CT � EI . SLC CITY iF
DSO E Sv,I.1,IA =-C RE"
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE G�
CITY OF ORONO APPLICATION FOR MECHANICAL' NIlT
Box 66 (2750 Kelley Parkway)
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. MARqq��
2. Permit cards will be sent by return mail after a review is completed. PER M_ ITS AR� qqI41'j�' VALID
UNTIL YOU RECEIVE A PERM4T. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Designs - 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 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 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 V' Replace
Residential Commercial
JOB SITE: l ! �� �i r��,d,, ,ed Zip: .5���.��
Owner's Name: D yYyZ�j1,� .AA Telephone Number: 71/� 70</'
Mailing Address: T City: Zip:
Contractor's Name: RE DGIM ,r< TelephoneNumber:
MailingAddress: 116i�TiN6 N4 n ^'n�T� "" City: Zip:
8910 WENT�4JRTH AVE. SO.
SYSTEM DESCRIPTION MINNEAPOLIS, MN 55420
881-9000
HEATING SYSTEMS
Quantity: l
Make:
Model: A/1) 1 _010
Fuel:
Flue Size:
Input BTUs:
Output BTUs: 00
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
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.
Mfg's Min., Clearances, side.-, rear min. flue dia.
Total
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfin
No. Other Fans: Locations 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. 1.25% of Contract Price* or Minimum Fee ($35.00)
/X010 ' x 1.25 $
(contract price)
2. State Surcharge. ** Add the State Building Code -ivision
Surcharge to each permit. / Xd p x .0005 $ `9
(contract price)
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 7. 40
* 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 installation are furnished by the owner,
tenant or any other parry 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 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 coUect.
Applicant's Signatures Date:
A roved B V Date:
PP Y
pHEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTION7o O 6I Oekl /SSS S 6
Weatherstrips A Gude Conatruetion No. Insulation
Windows Doors Reference Out.Wall Int.Wall Ceiling Roof. Floor Kind How Applied
Yes— o es o I 19
F1.1 lt;:„ ow5 Room I Length "C) Width Q Height F1.1 Room I Length Width Height
Windows and Doors—Crackage and Area \ Windows and Doors—Crackage and Area
wldth Height No.o[ Llaeal ft. Ana width Height No.of Lloeal It. Area,
of ane of Dano llghte of crack p.tt. 1 0
D Na of pane of pane lights of crack ep.tL
�_.
3, o c l d-
' g' 51T(
3a Coef. Btu _ Coef. Btu
Inbltration ct r 0 1t7 _7 Infiltration
Glass
Glass
Exp. wall Exp.wall
Net a:p.wall Net exp.wall
Int. wall Int.wall
Ceiling
Ceiling.
Floor
Floor
Total Btu. _ _ Total Btu.
Required sq. ft. E.D.R. or sq. ins. WA. Leader area Required sq. ft. ED.R. or sq. ins. W.A.Leader area
FIA Room I Length Width Height _ FU Room I Length Width Heiltilt
Windows and Doors—trackage and Area n Windows and Doors—Crackage and Area
width Haight No.of Uaeal[l. Are• / �, 1 I �
No. of vane of pane lights of crack p.[l. V 1/�1NJ width Height NO.o[ Llnul It. Area
No. of pane of pane llghte of crack so.ft.
► a �
Co-ef.1 Btu Coef. Btu
Infiltration Infiltration
Glass Glass
Exp.wall Exp.wall
Net exp. wall Net exp.wall
Int. wall r Int. wall
Ceiling Ceiling
Floor Floor
Total Btu. Total Btu.
Required sq. ft. ED.R. or sq. ins. W A. Leader area Required sq. ft. ED.R.or sq. itis.W.A. Leader area _
F1.1 Z2 La I Roam 1 Lensth Widt} `�-C) Height F1.1 Rami I!:.^.:1 Width Height
Windows and Doors—Crackage and Area I Windows and Doors—Crackage and Area
Wldin 1l sigat Ne.o[ [.heal ft. Area v Width Height He,of Lis mal It. Area`l e. of Dane et Dan• Ilf hie of crack p.tt. No, at Daae of Daae Ilgkis et eraea ea.IL
Coef. Btu Coef. Btu
Infiltration ( $ Infiltration
Class Q (� Glass
E--p. wall $ Exp.wall
Net exp.wail Net exp.wall
rJrp/6if>r4L_ ti r IkQ Int.wall
Ceiling /S / j Q�Q Ceiling
Floor O(7 C) C7 Floor
Total Btu. Total Btu.
Rr.tuirrd aq. ft. ED R. or so. ins. WA. I.eadgr area Required sq. ft. E.D.R. or sq. ins. WA. Leader area
M
//// 74/11,4/?-e/&
Lam'
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 7 �/� r 0-0
PERMIT NO. �( I _ COMPLETED
ADDRESS
OWNER CONTR. - ,
TELEPHONE NO.
DESCRIPTION
LAj 01 FOOTING 11 MEC 16 WELL TEST PUMP
Q 02 FRAMING MECHANICAL FI 18 EXCAV/GRADING/FILLING
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z04 WALL BD- 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
1,11 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
Z
COMMENTS:
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CC
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Vp WORK SATISFACTORY:PROCEED PROJECTCOMPLETE
W
cc ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. = PHOTO TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance.473-7357
Owner/Cont too i
Inspector.
White Copy/Inspector's ile Canary Copy/Site Notice
5°77
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB 46.
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 (612) 881-9000 TEST RECORD
ADDRESS / Ta n,araLf k ciri vc CITY D%coL. 6
OCCUPANT 00h>,.a K IV � L-X OWNER O O K Vt CA
SOLD BY INSTALLED BY S ed 4 W
MAKE I.-eN k On w MODEL G 2 G
SERIAL NO. Z$ 9�Z k 2 y 2 A S INPUT /00, 060 QT U
THERMOSTAT `1 r n I 1 C Yk rn VENT SIZE
VALVE ROb a I4s b C4 w TYPE OF LINER U m yr urs
LIMIT _1 e XCtS 1.11,5+ro Ihe"+ LINER SIZE C �
LIMIT SETTING d20 O FILTERS: SIZE 14"r -2 ,5"), 1 NUMBER
FAN SETTING X90 O h f rite d 4 N WIRING S�Q�J;C t( �-/lr,r-r" S .0
PILOT TYPE F/ec P1'c TEST TAG
IGNITION MODEL R Cti e r Ll k CIS W S F, 7 C/S LIGHTING INST.
PILOT TIMING 7/1 "Ir DATE TESTED
PRESSURE 3. S ��C PERCENT CO2 & %,
COMPANY TESTING Seel Q CV,-c 1C
INPUT CFH /0 0'00 fl PERCENT 02 7 16
STACK TEMP. 2 �0 o PERCENT CO e /a NAME OF TESTER �''I< < C r G ti(v n Cl
FORM 235(REV.11/89) FORM DISTRIBUTION: WHITE COPY-JOB FILE YELLOW COPY-CITY