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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 CIl"lf 0►:ua0j11Q 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