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HomeMy WebLinkAbout1995-007600 - mechanical W I I PERMIT CITY OF ORONO PERMIT TYPE: p Li 2750 Kelley Parkway - P.O. Box 66 t iC Crystal Bay, Minnesota 55323 Permit Number: 0( - '. `.'t c: f 0 r: (612) 473-7357 Date Issued SITE ADDRESS: (J ; DESCRIPTION: E N N fi REMARKS: FEE SUMMARY: L JA F ct,A I L %I'•' CONTRACTOR: L;r) OWNER: Et E L P-RA"'t - L i MIN 011:-�j J � -:.- Ix SOO THE- 1.JNDER'iIGNED HEREBY REQIESJS PERM IISSI QN` 310Ak't'- MT opkov T$ I TH L ' .SPECIFIED AND ' AGRi�ES Tr 1 c3,1:T ob ALL WJ-jRK- IN -6JR1 JA 0F MINN -$0TA. bVIL T S�. - ORONG ,ORDTNANCES AND STATE 6IN L APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE CITY OF ORONO APPLICATION FOR MEWTA,L kMIT Box66 (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: 6 4 ,C' Zip: Owner's Name• 1 1 Telephone Number: Mailing Address: City: Zip: Contractor's Name: HEATING&AIA 3w ; TelephoneNumber: 3200 GORMAM AVE MailingAddress: ST 10110 RARK MN§�z jCity: Zip: SALES 929-6767 SERuiC �'';�-<. SYSTEM DESCRIPTION V�0f HEATING a Ata coNnmoNlNa 3260 GORHAM AVE. ST LOUIS PARK,MN 55426 HEATING SYSTEMS SALES 929-6767 SERVICE 929. 011 Quantity: �1 � Make: Le Model 01 Fuel: Flue Size: Input BTUs: "25 Output BTUs: 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. 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 Fars: 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) pc \— x .0125 $ 35,O C—) (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. 1560 x .0005 $ ; :215 - (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) $ 3 7 ai * 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 $1,000,000 call the Department of Inspectional Services for the price. The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the Minnesota State Building Code, and certifies that all statements made on this application are complete, true and correct. (/111 Applicant's Signature: N"G� Date: Approved By: at ��� HEAT LOSS CAL;C[JLATIONS DEPARTMENT OF INSPECTION Construction No. Insulation Weatherstrips Guide ! How Applied Windows Doors Reference Out.Wall Int.Wall Ceiling Roo . Floor end Yes--No I e o 19_ Width Height j Fl-1 pu t,l.Room Length © Width 7,C) Height F1.1Room Length Windows and Doors- Zrackage and Area Windows and Doors—Crackage and Area width Nelght x0.ec Llaeal It. At+. ,Y kith Height No.of Llaeal tt. Area No. et pans et Dane Itir et Crack q.It. Na of pans of Dane Ilihte of Crack sp.It. Coef. Btu Coef. Btu _ Infiltration / :2•- 7 > �'r Infiltration Glass Glass Exp.wall �. Exp.wall Net a:p.wall 3 4 � ~ ' �� Net exp.wall II> if �-�...1 _00`0 Int.wall Ceiling Ctsjy00. Ceiling. Floor Floor Total Btu. Z Total Btu. Required sq. ft.E.D.R.or sq.ins.W.A.Leader area Required sq. ft.E.D.R.or$q.ins.WA Leader area _ Fl.1 Room Length Width Height Fl.I Room I Length Width Heisht Windows and Door*—trackage and Area Windows and Doors—Co.Of 1 e and Area Width Height Na.oc Llseal It. Ana WtdtD Height- - No.oc Llneel it. Area No. of Van* of Dans tights of crack q.ft. No. of Dans et Dans lights et crack e0. t• Coef. Btu Infiltration Infiltration Glass Gla" gyp,wall Exp.wall - N Net exp.wall et exp-wall Int.wall Int.wall Ceiling Ceiling Floor Floor Total Btu. Total Btu. ft.E.D.R_or sq.itis.WA Leader area Required sq. ft. E.D.R.or sq.ins.W.A.Leader area Required W Width Height Fl. Room L ength Width Height Fl. Room V Length and Doors—Craekage and Area Windows and Doors--Crackage and Area Windows width Hslgittxa et Lineal ft. Area wldth Nelght Na ai Lineal ft. Area Ne, at pane at Dass Il.-x, of crack q.M Ne et pane et pane lights et crack eq.If. Coef. Btu Coefj Btu Infilt-ation Infiltration Cats" Glass Exp-wall Exp.wall Net exp.wall Net exp.wall Int.wall Int.wall Ceiling Ceiling Floor Floor Total Btu. Total Btu. Required sq. ft. ED.R.or sq.ins.WA Leader area W.A.Leader area Required w• ft.E.D.R.or sq.ins. / HOU H ►TING TES R C RD ADDRESS ---- APT. FLOOR CITY SUBURB OCCUPANT' OWNER HEAT LOSS DATE HTG. INST. ` ' SOLD BY INSTALLED,BY uQ� Electrical Work ByQ Line y TYPE OF HEAT GA FA HW STEAM S 110E HTR. UNIT HTR. OTHER / �41'1 O AS DESIGN CONVERSION MAKE !� MAKE OF BURNER Model 31q— — Model — Serial 6 o Max. BTU Rating INPUT 1`^ MAKE OF FURNACE Medal CONTROLS N THERMOSTAT t lug Vent Size_ Valva KIND OF LINERSIZ% N L) Limit Draft He" O4 w R ulator ��LLLL� ���� Limit Setting Filters Sita Number Fan Setting ilii Chimney Location InsideOutside Pilot Type Chimney Construction Pilot Make Pilot Modal Smoke Bomb Wiring Pilot Timing 12 S&C Draft Test Tog L.W. Cut Off Door Pressure /I FH Lighting last. Pressure 3r Percent CO2 [ Dote Tasted ` Input CI : Percent 0� Company Testing Stock Temp. 2 o Percent CO Ll Name of Tooter Uk74- i HOUSSE HEATING TEST RETeo R I k} dl+ 4 HK_TeoU4 ADDRESS ��� a APT FLOOR CITY SUBURB 6th OCCUPANT OWNER HEAT LOSS DATE HTG. INST. D G SOLD BY INSTALLED BY Electrical Work By Gas Line By L44& TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER / 2�� OGAS ESIGN CONVERSION MAKE [„ MAKE OF BURNER Model 3 Model Serial 1' Max. BTU R—h-L" INPUT MAKE OF FURNACE od•I _ CONTROLS M THERMOSTAT H• t lug Vent Size_ Valve KIND OF LINER KSIZE N A Limit �� 0, Draft Hood Regulator Limit Setting Filters Size Number Fan Setting Chimney Location Inside �'�Outsi Pilot Type L Chimney Construction �.f&!) Pilot Make Pilot Model Smoke Bomb Wiring Pilot Timing Draft Test Tag L.W. Cut Off Door Pressure / LightinInst. Pressure 3. Percent CO2 Date Tested ` — Input CFH L2 Percent 02 (LI (P Company Testing QC Stack Temp. 3 rercent CO oto Name of Tester t,),,t —r