HomeMy WebLinkAbout1994-006739 - mechanical 71
CITY OF ORONO APPLICATION FOR MECHANICA$6ERMTI'
Box 66 (2750 Kelley Parkway) 7 ,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 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 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 K Addition Repair Replace
Residential Commercial
JOB SITE: 5e- -T—an MMA a Zip:
Owner's Name: ,✓5, Telephone Number:
Mailing Address: r � City:(3jyv,,) Zip:4
Contractor's Name n ^M.,=nG. TelephoneNumber:
Mailing Address:-Z/pX Wj 6h;aam' a Agga, , City:j�" Zip:_5-
SYSTEM DESCRIPTION ((__ 3�
HEATING SYSTEMS U
Quantity:
Make: kala W
Model: C MIN.3-7S 4_250
Fuel:
Flue Size: �� N '
Input BTUs: 7!!Z; ®
Output BTUs: f�— s�I
CFM:
COOLING SYSTEMS
Quantity:
Make: nfox
Model: 3l
Tons:
H. Power
a
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 Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
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)
�- x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. a&o x .0005 $
(contract price)
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* 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 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 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: Date: �— a
Approved By: Date:
DATE TIME
CITY OF ORONO CALLED IN -d-12
NOTIC SCHEDULED //-9-3 10 ! 36
PERMIT NO. COMPLETED N t�
ADDRESS
OWNERCONTR.
TELEPHONE NO.
DESCRIPTION
LQ 01 FOOTING C1_1 MECHANICAL R _- 18 EXCAV/GRADING/FILLING
�Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREIWETLANDS
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD, 12 WATER HOOK-UP 17 SITE INSPECTION
Z
05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
F` 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEMO—FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
CC
LW - e., I�FwaCC Tr
O
S er's Wa. � ;� IM U
O
W
cc
Q
Z
W
Z
W
d
W ElWORK SATISFACTORY:PROCEED PROJECT COMPLETE
❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
D ;ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
[ISTOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473'7357
Owner/Contractor ite
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
Q,ATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO ICE SCHEDULED Ary //)=D o
PERMIT NO. 7.5 COMPLETED N
ADDRESS �_CL✓������
OWNER-'� CONTR.
TELEPHONE NO. � _/O
DESCRIPTION
01 FOOTING ECHANICAL-R 18IXCAV/GRADING/FIWNG
,E 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD, 12 WATER HOOK-UP 17 SITE INSPECTION
= 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
J
07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
W 07 DEMO—FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
I 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
y COMMENTS:
c
_ 11 6—
0 rr ?s,n S VIC)
Q K
O
U_
W
CC
Q
12
2
W
z
W
CC
d
W WORK SATISFACTORY.PROCEED G PROJECT COMPLETE
CC VCCORRECT
RRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
W WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor onite:
InspectoAfi
White Copy/Inspector's File Canary Copy/Site Notice
DATE �/ TIME
CITY OF ORONO CALLED IN 1.2-of P-91
INSPECTION NOTICE SCHEDULED d
PERMIT NO. CO 7 31" COMPLETED u, K
ADDRESS -y-� G —r"4A4Gu. x /I
OWNER / Lem' CONTR.
TELEPHONE NO. Fill leily
DESCRIPTION
Qj 01 FOOTING �MEFI'NAI
18 EXCAV/GRADING/FILLING
02 FRAMING 119 LAKESHOREIWETLANDS
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-UO 06 PROGRESS
07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J i
IQ 07 DEMO—FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
2 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
C
W
Q
CC
O
c
O
LL
W
QC2
W
c
O
41 WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contract r site
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
✓'
17
HOUSE HEATING TEST RECORD n� `�
ADDRESS970 APT. FLOOR CITY ��TUBURB
OCCUPANT 1 8 OWNER �Q�
HEAT LOSSDATI HTG. INST.
SOLD BY .yomi!Q Z✓lc�• INSTALLED BY ►/-e-,
la
Electrical Work ey �'r'3 Gas Line By
TYPE OF HEAT GA FA HW STEAM _____SPACE HTR. UNIT HTR.
rl"!OF
AS DESIGN CONY N C;?ONO
MAKE MAKE OF BURNER
Model Model _
Set ioI - 4�f® I[� Max. BTU Rating
INPUToO MAKE OF FURNACE
Model
CO TROLS � � N 1 1995
THERMOSTAT - •a plug Vent Size
Valve —_W KIND OF LINER SIZE NONE
Limit Draft Hood x Reguloror
Limit SettingFilters Size Number
Fon Setting Chimney Location Inside,. ✓� Outside
Pilot Type _ Chimney Construction
Pilot Make ___ ',
Pilot Model Smoke Bomb Wiring len
Pilot Timing Daft 49C/ Test Tog
L.W. Cut Off _'f Door Pressure J Lighting Inst.
Pressure —_��J f�y Percent C0� — Dote Tested _ '' ' 475- ^
Input CFH_ Percent OZ Company Testing t n C- r
Stock Temp. Percent CO Name of Tester
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J
p,,,,
HOUSE HEATING TEST RECORD /�
ADDRESS ren a-U 9m APT. FLOOR CITY �"QBURB
OCCUPANT gekCA lg _ OWNER _4(2A P-
HEAT LOSSD TE HTG. 1 ST. `Q
SOLD BY INSTALLED By —
Electrical
Y Electrical Work By 6tr
3 Gas Line By
TYPE OF HEAT GA FA __)_HW STEAM ,___SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE 1e/"1/o ^ ^� MAKE OF BURNER
Model (1_'14+ /Y""..[ Model _
Serial . �n 4 K __ Max, BTU Rating
INPUT MAKE OF FURNACE
Model
CONTROLS
THERMOSTATTO' q` •a lu Vent Size �j J
Valvew� ___ KIND OF LIN�(2 _ SIZE NONE
Limit 1,00/p, Draft Hood Regulator
Limit Setting { Filters Sise umber
Fon Setting �[M Chimney Location Inside Le< Outside
o
Pilot Type — Chimney Construction
Pilot Make
Pilot Model Smoke Bomb _ Ll Wiring
Pilot Timing Draft foe Test Tog
L.W. Cut Off __ Door Pressure Lighting Inst.
Pressure — tom Percent CO2 — Dote Tested _ `
Input CFH__ � _Percent 02 Company Testing C �
Stock Temp. Percent CO Name of Tester
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