HomeMy WebLinkAbout2001-P03991 - mechanical PERMIT
U TY'O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P03991
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 6/25/2001
SITE ADDRESS: 645 Tonkawa Rd
Long Lake,MN 55356
PID: 05-117-23-33-0019
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,400.00
State Surcharge Fee: $ 0.70
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.20
APPLICANT: Vogt Heating&Air Conditioning OWNER: Temple Isreal Of Minneapolis
3260 Gorham Ave 645 Tonkawa Rd
St.Louis Park,MN 55426 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
APPLICANTITEE SIGNATURE SUED BY SIG�All.�V ��
Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Pagel
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway) LIFS` e 3 [UU1
Crystal Bay, MN 55323
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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 z 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
ResidsiAtial Co rci
JOB SITE: Zip:
Owner's Name: Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: UnAT HEATING&AIR CONDITIONING TelephoneNumber:
MailingAddress: 3260 GORHAM AVE. City: Zip:
SALES 929.6767 SERVICE 929-4011
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size: _
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make: — — -
Model:
Tons:
H. Power
WOOD BURNING EOUIPMENT
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) 7�
/4Wi x .0125 $
contract price)
2. State Surchari4e. ** Add the State Bui Code Division
Surcharge to each permit. x .0005 $
(contract pace)
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications) $ _ 1. 0
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. J
Applicant's Signature: / Date:
Approved By: Date:
HEAT LOSS CALCULATIONS
Weatherstrips ASAV.E. Construction No. Insulation
Guide
Windows Doors Reference Out.Wall Int.Wall Ceiling Roof Floor Kind How Applied
Yes— o I Yes—No 19_
Room I Length Width Height Fl.1 Room I Length Width Height
Windows and Doors--Crackage and Area Windows and Doors-trackage and Area
Width Heignt No.of Lineal ft. Area // /� Width Height No.of Lineal ft. Ana
No. of pane of Dane 1lghta of crack ■ ft. ✓ No. of pane of pane 1lghta of track ea.ft.
!lj3 3-Z y
3 Coef. Btu Coef. Btu
Infiltration Infiltration
Glass SZ ¢ 7� Glass
Exp. wallXL0 Exp. wall
Net exp. wall 1 4 F41- Net exp. wall
Int. wall Int.•+all
Ceiling ;-U' Ce.iing
Fljor in 75 �f G�f'U' Floor
Total Btu. 23, Total Btu.
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
F1.1 Room I Length Width Height F1.1 Room I Length Width Height
Windows and Doors--Crackage and Area Windows and Doors—Crackage and Area
Width Haight No.of Lineal ft. Area
No. of Dans of pane lights of
crack p.ft* Width Height No.of Lineal ft. Area
No. of Dane of Dane 11 hta of crack W.ft.
Coef.1 Btu Coef.1 Btu
Infiltration Infiltration
Glass 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. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins.W.A. Leader area
FT-1— Room Length Width Height FI.1 Room I Length Width Height
Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area
Width Height 14 of Lineal ft. Area Width Height No.of Lineal ft. Area
No. of pane of Dane Ilg hie of crack sq.It. No. of Dane of pane lights of crack ■a.tt.
1coef.1 Btu Coef. Btu
Infiltration Infiltration
Glass 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. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
oofl� M(,A) ) 3qq I d 1/63
-;,rHOUSE�!'HEATING TEST RECORD
ADDRESS ��� �� ,"" APT. FLOOR CITY SUBURB
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY < <
Electrical Work By Gas Lina By
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. _OTHER
,qAS DESIGN CONVERSION
MAKE �() l MAKE OF BURNER
Model l/ iOU Model
Serial Max. BTU Rating
INPUT 1-W, 0UU MAKE OF FURNACE
Model _
(/ CONTROLS 1/
THERMOSTAT Loo Heat Plug Vent Size_
Valve VIE UO S KIND OF LINER SIZE ,
Limit Kh U-, Draft Hood s Roguleror Irl
Limit Setting ►c
u Filters Size umber
Fan Setting Chimney Location InsideOutside
' i /•
Pilot Type faUkl L Chimney Construction t
Pilot Make40
Pilot Model -7 tU Smoke Bomb _Wiring
Pilot Timing .l SL— Draft Test Tog
L.W. Cut Off —" Door PressureLighting Inst.
Pressure 3� Percent CO �L Date Tested ` Q
Input CFH Percent 0ZT Company Testing 06
Stack Temp. _Percent CO Nome of Tester