HomeMy WebLinkAbout1999-012297 - heating PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 Permit Number:
Crystal Bay, Minnesota 55323 T
(612) 249-4600 Date Issued: 0
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER:
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THE UNDERSIGNED HEREBY REQUESTS PERM I S'-=-'I ON TO MAKE THE,
R*8-AL- 144kOV,8MFNITI�� ,:,,,_-" ;, ,''ll',
SPECIFIED AND AGREES TO Df, ALL WORK IN STRICT
ORONO ORDINANCES AND STATE OF MI-NNESOTA BUILDING CODE REQ]WREMg'kTS.
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE (W )
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
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.
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 Addition Repair Replace
Residential Commercial
JOB SITE: ;; - TG 11 kf,,Gter Zip:
Owner's Name: 11 U i ' Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: Telephone Number:
Mailing Address: 3260 GORHAM AVE. City: Zip:
ST.LOUIS PARD; MN 55426
SYSTEM DESCRIPTI&LEs 929-6767 SERVICE 929-4011
HEATING SYSTEMS
Quantity:
Make: t-nayy-,,
Model:
Fuel:
Flue Size:
Input BTUs: lC�l'Yl
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: _
Make:
Model: i -(
Tons:
H. Power
U�I°�
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.
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)
3:3�, -- x .0125 $ 103
(contract price)
2. State Surcharge. ** Add the State Buillin 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) $ Ing, y0
* 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 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 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.
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Applicant's Signature: r C �7�'( 4, Date: ✓/
Approved By: Date:
o For (19D5 �f 17 ,�2Y� (�TU7 L L Z14Z� f7iv�i / }J. -77
HEAT LOSS CALCULATIONS BUILDING DEPARTMENT
Weatherstrips A.S.H.V.E. Construction No. Insulation
Guide I
Windows_ Doors Reference Out.Wall Int.Wall 1 Ceiling Roof Floor Kind How Applied
Yes-No I Yes-No 19—_.- .
Z Ft. - # 1 Room Length 5-1 Width z i Height Z Ft. Z Room j Length SI Width w Heigh't
Windows and Doors and Area I Windows and Doors-Crackage and Area
— Wid'h Height Ho.of Lineal (t. Area— Z I Width Height No.of Lineel if. Area
No. of pane of pane lights of crack sq.ft. / :I No. of pane of pane lights of crock 1 sq.ft. I���
L4 ,30 .�o I �Ilo� 33 NIt II g �z 3Z t 9E3 ?Ll
3(_ I 21 23 i� I 3� 3s:) 1 I`l I�
I X12 LA Z I t --
Coef. Btu _ Coef. Bt
Infiltration 69 115 1 35 I Infiltration 115 1(.8
Glass 1 I za \9(5Y, Glass g I zt3 Zti
Exp.wall gam,' _ _ BIZ Exp.wall lot(' E3�Z
Net exp.wall (oaf( LI,`I z E5 2.o ! Net exp.wall 1 yS 14 L4 f✓,
- --— I ---- - —
1000 FA ZcDcx�3
Floor Floor
Coit. '2Ceil. 71 v Z_ Iti 2�1
Total Btu. 8 ti I t Total Btu. I v b?-z
Required sq.ft.E.D.R. cr sq.ins.W.A.Leader area Required sq.ft.E.D.R.or sq.ins.W.A.Leader area
I FI. rt 1-_- Room 'Length 3�._ Width 2Z Height -lo Ft. 112- Room!Length SI Width Lo Heigh" I
Windows and Doors-Crackage and Area T _ Windows and Doors-Crackage and Area
Width�Hei,Xf No of noel ft- Aree I 17 t I Widt�Heigh—t T-No.of*Lineal ft. /free I �
No._ of pane pane�l�ghts of crock sq.if. No. of pane of pone li hts of crock sq.ft.
+ ------ - — 1 I 9
1 3� �'ty, 1� ' t5 Zo ; l0. �� So 30 f SS ZS 10:I
Zt-f ZG.I I 74. NS ! y Z'-I Zcl i I I 65 Z3
}-
Coef. -Btu -- - I ,0 60 ' f 2-Z ; 2 S Coef. Bt
Infiltration — t 11 ! 15 _1-7 5.7 Infiltration IJP IS Zz
Glass - ! �I 2.Y3 Z�3� _ Glass I 1 20 583
Exp.wall f35_ esv Exp,wall 1015' 1050
Net exp.wall - -_- '757- '4. 3�Z� _ Net exp.will ,ti 3 1 ti,Ll ti I`i 9
Floor -- — �Lq,L 1
S 2_t�7o Floor
Ceil. --- ' 1�-I - -3 --- - Ceil.
Total Btu. l o t 11 Total Btu. I o5Lf I
Required sq.ft.E.D.R. or sq.ins.W.A.Leader area Required sq.ft.E.D.R. or sq.ins.W.A.Leader area
Ft. Room'Length 41 Width Height c FI. Room!Length Width Height
Windows and Doors-Crackage and Area Windows and Doors-Crackage and Area
W:diA Height No.of Lineal ft. Ares lb f-\---T I Width Height -No,of Lineel(t. Area
No. of pane of pane lights of rick sq.It. J No. ,of pane of pane lights of crock sq.ft.
72
-So- So I 2-3 17 IZf7,16� --'-_-
Z 2C.. Z<- I 7-(5 I 13 i
1 of -+Z0 Coef. - Btu - - ---� Coef. Btu
Infiltration \ZIP Infiltration
-- --
Glass 70 2Y� t 9(ov � -Glass
Exp. eZ 1�L Exp.wall
- - - —
Net exp.wall Net exp.wall
2r,, - - -- -
. ---� 3'— ---- ------
Floor e_)b 5(D qyoc-) Floor -
Ceil. _Ceil.
Total Btu. ---- —— --_- � 1Z zY-, ! Total Btu.
Required sq.it.E.D.R. or sq.ins.W.A.Leader area , Required sq.ft.E.D.R.or sq.ins.WA.Leader area
P,
HOUS HEATING TEST RECORD
ADDRESS �Sa� GvNI(- ""4 �� APT. FLOOR CITY SUBURB Ok�
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY 1A
Electrical Work By Gas Line By 'S la I"rZ
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE itoN/� MAKE OF BURNER
Model (_ o Model
Serial 0 Max. BTU Rating
INPUT �� 00 MAKE OF FURNACE
Model _
CONTROLS ,t
THERMOSTAT Heat Plug Vent Size_
Volvo L L KIND OF LINER SIZE NON
Limit �+ U' , Draft Hood � Roguloror I �� "�`` �IZry
Limit Setting Filters Size Number
Fan Setting p 1E rk Chimney Location Inside n Outside
Pilot Type 1467sop_hu Chimney Construction I LI ARIC.L
Pilot Make C
Pilot Model Smoke Bomb Wiring
Pilot Timing Draft Test Taq
L.W. Cut Off Door Pressure Lighting Inst.
Pressure 3, ) Percent CO 2 Dote Tested 3 - 3-0 v Input CFH Percent 0� �i0 Company Testing �
Stock Temp. Percent CO oto Nome of Tester c 1
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT[C SCHEDULED
PERMIT NO. COMPLETED
ADDRESS 52O 'jn
OWNER CONTR. U G
TELEPHONE NO.
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
02 FRAMING <iECHANICAL 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
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
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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Z OWNERICONTRACT%R O MEET YOU:_YES NO 4ec
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W LlWORK SATISFACTORY:PROCEED E, PROJECTCOMPLETE
QC \A CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
W `t�
O �❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. L PHOTO TAKEN
INSPECTOR WILL RETURN
F1 STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
Owner/Contractor on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice