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HomeMy WebLinkAbout1994-005864 - mechanical PERMIT t OF ORONO PERMIT TYPE: 'CITY50 KelleyParkway • P.O. Box 815 MEC�HAN I CAI Y Permit Number: �}t i���i-,�. Orono. Minnesota 55356-0815 Date Issued: (612) 473-7357 t)1 f C)7 SITE ADDRESS: T'_-jNKAt.JA R0 CH P . I . N. -1 17-23-_121-:-0 -02 DESCRIPTION: HTG;AC/`HUMTr)/`.STA T 1 HEATING SY'_.TEM' FUEL NATE RAL GAS MAKE LENNI_-JX MODE! G2rw.03-.50 A:JTPE 1 T 47,000 INPUT 50, 000 1 AIR C:�:AND T T I CSN I NG H0R: _.E F'0WER 2 1;w MAKE LEPJN0 X 1 `I`ENT I LAT I ON MAKE BATH FAN i 11 41 1! I-If Lr!C 'i\}JITtl 1 lIMITL•L L! t 14 TY-11 VVVV REMARKS: r}, g;'q dnIIsj V1 vL1T 1 iii.LVVVVV }V1 f LAI VLIT •0 FEE SUMMARY: 135-1 1 0, 1.VV 1 1 VALIJAT I1►N $61�)t}{) i%i v T Ti L•!/L L•Il !L ! .50 i•r' 1.!r l �L Base Fee $7S. R 0 MAIL IN , i 1117}TI, 1 '.,ur E hake-3e � t) Total Fee vi iS�j �4:4 l ' fL'll9 CONTRACTOR: - Applicant - OWNER: KLEV i (3 { A • _9414*211 f_ AWE Iz' RICHARD 1 :0-7 I✓1Il�fNEEF T�'AIL � �#: GIDEF�;N' . PT EDEN PRAIRIE MN 55:-:47 TC3NKA BAY MN 5 1 (612) 941-42`11 4 f r `� INQR x f�IflE I'i :�. �R :� TS APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �1 . rry OF ORONO CITY OF ORONO _ APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 DEC I GENERAL INFORMATION 7 199 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: 970 Tonkawa Road Zip: 55'164 Owner's Name: Richard Lauer Telephone Number: 470-9490 Mailing Address: 120 ci deone point City: TpnkaRaT Zip: Contractor I sName: KLEVE HEATING & AIR COND. TelephoneNumber: 941-4211 MailingAddress• 13075 Pioneer Trail City: Eden PrairiZip: 55347 SYSTEM DESCRIPTION *** 2nd permit pulled for this job. They are adding a 2nd level. HEATING SYSTEMS Quantity: 1 Make: Lennox Model: G2603-50 Fuel: Natural Gas Flue Size: Input BTUs: 50,000 Output BTUs: 47,000 CFM: 1 ,000 on A/C COOLING SYSTEMS Quantity: 1 Make: Lennox Model: HS26-311 Tons: 2� H. Power 215 Also installing Aprilaire #550 Humidifier, venting 1 Bath Fan, & installing T8600 Stat 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) chn 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 C) x .0125 $ (co tract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. CU 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) $ `1 q .Sc-, * 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 Signa Date: Approved By: Date: J—r—s 6 7 HOUSE NEATINO TEST RECORD ADORES 9 7v APT. FLOOR CITY SUBURB OCCUPANI OWNER HEAT LOSS DATE HT SOLD BY INSTALLED BY Etectricoi work at Gas Llnoi-By TYPE OF HEAT GA FA HW =STEAM SPACE'1tTR. UNIT HTR. OTHER CAS D IGH 2lb CONVERSION MAKE W'b OF BURNER Model Madol Serial A4er.'1ITU Rating INPUT MAKE OF FURNACE Model ONTROLS A �� THERMOSTAT meet Plug Vent Site - ¢ Cow Volvo IAJ KIND OF LINER SIZENONE Lt�Ir Draft Heed t/ Regutero►- I'`� " /� Limit Senint Fitters Site Nuwwr Fen So"Inf almney Location Inside Outside Pilot Trp AL imney Censhvetfen 'r Pilot Make too- Pilot Model Srneke BemS Miring Pilot Timing 4L 4AAL— Draft _ test Tog L.W. Cut Off De.. Pressure _-Lighting Inst.//�.�ct`� for Proature Percent COQ 1]+tnows"y te Tested Input CFH Pereent 10 TestingStock Temp. Percent CO rve of Tester _ HOUSE HEATING TEST RECORD ADDRESS 7,0 °' }' APT. FLOOR CITY SUBURB,..._` OCCUPANT lz= OWNER HEAT LOSSDATE HT 1f�T. SOLD BY -- ,, INSTALLED BY Electrical work 81 Gas Line By - -- TYPE OF HEAT CA FA Hw STEAM SPACE HTR. UNIT HTR. hl< OTHER CAS DESIGN CONVERSION MAKE MAKE OF BURNER Medd ' Madel SerialAl; •~ M... BTU Rating INPUT ' MAKE OF FURNACE Q Model t,P J�CONTROLS THERMOSTAT /' Heal Plug �; Vent Site V.1'• KIND OF LINER size NONE LI-11 Dreh Heed Regulator P Limit S+Ming d Filters Sit.- wunrber Fen SeNint Chimney Location Inside r Outside Pilot Typo A4eChlntney Centhvltlen Pilot Mak• Pilot Model "" V 9 St"oke Bomb 010004 wlrint © K Pilot Timing !!E Orelt � y��� Test Ta, U j;6— L.W. Cut Olt Dow Pressure Lighting Ines. � — Pressure Percent COQ PtS Data Tested /� + Input CFH Percent O C.mpeny Testing Seek Temp. Percent CO? Henn of Tetter HOUSE NEATING TEST RECORD w�..� AooRES4 S ! 7 ��.�A D APT. FLOOR CITY—SUBURB OCCUPANI OWNER FIF_AT LOSS DATE H IN T. SOLD BY — INSTALLED By Electrical Mark at Gas Lino By TYPE OF HEAT GA FA NW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE MAKE OF BURNER Madel - Medal So►ial g Mon. BTU Rating INPUT _ r D, I tS D A0 T'(A, MAKE OF FURNACE Me/ol CONTROLS ti P V THERMOSTAT Haat plug t_fe' Vant Site Volvo KIND OF LINER SIZE jNONE LlTit Draft Hood —Regulator— Limit Regulator Lirmit Sr MinO Filters Slta Mumite► Fan SeNing Chimney Location Inside " Outside Plat True Chimney Censtrvetlen Pilot Mak• Pilar Medal Smoke Beney WOring Qk Pilot Tiinine .20 . w A' 10 Draft d k Tem# Tog Y9ry L.M. Cut Off Deer Pressure Llghting Inst. Pressure 39 S Percent CO� _. Date Tested trout CFH ,19 Pereent 0 Company Testing � Steck Temp. !p A Percent COQ Hamra of Tester - ;D �. HOUSE 'i EATINO", TEST RECORD &44vw ADORESS 27Q _ APT. FLOOR CITY SUBUR8 OCCUPANT OWNER HFAT LOSS DATE RIG. ST'` SOLO BY INSTALLED BY Electrical work of Ctes�: n• 8y TYPE OF HEAT CA FA=1411 STEAM ACE HTR. UNIT HTR. OTHER A - ,,CAS DESIGN �� u CONVERSION MAKE �fi�'�.�c MAKE OF BURNER Model IV — Madel Serial © Mon. BTU Rating INPUT MAKE OF FURNACE Model CONTROLS THERMOSTAT Hoot Plug j Vent site Volvo KIND OF LINER SIZE ONE LIT(/ Draft Hoed Regulere► Limit Seninv r Filters SIR* Wumtbar Fan SeNin1 Chimney Location Inside Outside i Pilot Type Chimney Constwellen Pilot Make Paler Modelpliz Smoke Berm► —Wiring Pilot Timime 'a��' Draft �r� Test Tea L.W. Cut Of Deer Pressure Lighting Inst Pressure Percent COQ to Tested Input CFH y1p Pereent 0 Company Testing Al- Stock Temp. ' __Percent CO! ® amo e1 Tester