HomeMy WebLinkAbout1999-011164 - mechanical PERMIT
CITY OF ORONO PERMIT TYPE:
2150 Kelley Parkway- P.O. Box 66 f'it t H!-
•' i`�I c: ;E
Crystal Bay, Minnesota 55323 Permit Number: i s 1 1 1 r,.4
(612) 473-7357 Date Issued: 01
SITE ADDRESS:
' .
N . {:,=i_117_;x:_—' 1—C_?C15
DESCRIPTION:
1 H AT T NG-i =,`r'' TF; 1: F t:-_L_ NAT l RAL_ G(*-.:E� MA :t L_EYjvN0X
MODEL G22 A314 1' .5 Ix:11=UT 121-5 000
REMARKS:
FEE SUMMARY:
,t L_JJA T T FIN* 1.1 , !{0
MAIL
Base Fee IN
=_�{1'F ha1�'�_>__ --.__..--- _�s .ems Total i_e —�� ! 35
CONTRACTOR: — :M:} ; F arI — OWNER:
i.+�S_,=t�i l i».� F`i'f -i�i�" .-J fS 1 I,�I �{F:.S':Y.' !'.L}
i" I- I PAR ` ;�,�. e �— s�i,►ttv� lira _ _ _
THE UNDERSIGNED HEREBY REQUEST-3 PERMISSION,,-,,TO Af,:E ` HE Rk ,. ,IMPROVEMENTS
SPECIFIED AND AGREES rO 00 _ALL WORK _ IN S C'r ,COMPt1-ANCE, W rI AL t ;O
iwRONO ORDINANCES AND STATE �F t� €�NESC E:�JI� C3�1 �� CODEIe�� ��IR �I�k�S �1
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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 ommercial
JOB SITE: C)4Zip:
Owner's Name: t f elephone Number:
Mailing Address: 41 City: Zip:
Contractor's Name: IR CONDITIONINQ TelephoneNumber:
MailingAddress: 3260 GORHAM AVE. City: Zip:
ST.LWIS PARK,MN 55426
SYSTEM DESCRIPTION SALES 929-6767 SERVICE 929-401
HEATING SYSTEMS
Quantity:
Make: el n USC
Model: 3&3 14-13-7
Fuel:
Flue Size:
Input BTUs: J
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 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 j
=QQ I x .0125 $
(contract price)
2. State Surcharge. ** Add the State Buildin Cos Division
Surcharge to each permit. I x .0005 $
(contract price)
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.
Applicant's Signature: 1(5�4 (�'' 1 Date:
Date:
Approved By: ��
HEAT LOSS CALCULATIONS
Weatherstrips A -uide
. Construction No. Insulation
C
WindowsI Doors Reference Out.Wall Int.Wall Ceiling Roof Floor Kind How Applied
�
Yes— es— '0 19._
2 FI.1OY2KAU- Room I Length 46 Width zst Height Fl.I Rooth I Length Width Hcght
Windows and Doors—Crackage and Arca Windows and Doors.—Craekage and Area
N'.ath Height No of Lineal ft- Ara Wdth Hrtght Ne.at Lineal ft. Ara
No of pane el Pane lights of crack p it No. of Pane of Pane lights at crack a.ft.
L( /O 102-
2—
oZ2 2 0 2 3
3 2 1{ o Y. 2 Z2
2 DO 91 Caef• Btu 7= Coef. Btu
Infiltration 272 37 lvo6q Infiltration
Class 2S3 Are /2 IN Glass
Exp.wall 112D Exp.wall
Net exp.wall IY67 G S,,402. Net exp.wall
6t--W 2 FI2i►F�.�lC 8n°o Int.-call
Ceiling If 0 Ce.,ing
Fbor Floor
Total Btu. - 3 V,79Z Total Btu.
Required sq. ft.E.D.R.or sq. ins.WA. Leader area Required sq. ft.EAR.or sq.ins.W.A.Leader area
F1.1 OV ea/cL Room I Length -5-0 Width Height Fl.l Room I Length Width Height
Windows and Doors- Craekage and Area Windows and Doors—Craekage and Asea
Width Height tie.of Lineal ft. Ara Width Height No.of Llneal ft. Area
No. of pane of pane Rights of crack sq.ft. No. of pane of pane Mehta of nock M.ft.
�C, H t
Z Z Sp n 34v3� 31
Z 3 ra 0 VA �
2 zK Btu
to G I 3 oe .
Infiltration /
Infiltration
Class 3z 1 I qoe Glass
Exp.wall lie Exp.wall
Net exp.wall M3 4 /7 Net eip.wall
Int.wall I I Int.wall
Ceiling /0_ 3 l t3 Ceiling
Floor r v 3 3 O Flaor
Total Btu. 00 Total Btu.
Required sq. it. E.D.R.or sq. ins.W.A.Leader area Required sq.h.LDR or p.ids.WA.Leader area
Fl. QVE�l4.• Room Length S O Width Height t F1.1 Room I Length width Height.
Windows and Doorp--Craekage and Arca Windows and Doom—Craekase and Area
width Imo
lghl He.of nal It. area Width Height e.of LJnal ft. AmsICC. et pane of pane lights of Crack on h. No of pone of pane Melita of crack all ft.
Coef. Btu Coefj Btu
Infiltration Infiltration
Glass 41 (� Glass
Exp.wall 11 164 Exp.wall
Net exp.wall y '1l Net exp.wall
Int.wall Int.wall
Ceiling Ceiling
Floor 72Z02- M
Floor
Total Btu. Total Btu.
Required sq. ft. E.D.R.or sq. ins. WA.Leader area Required sq.ft.E.D.R.or sq.ins.WA.Leader area
HOU E HEATING TEST RECORD P
ADDRESS
l� ` "'t `� i17D APT. FLOOR CITY SUBURB
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST. , `D6' 76- L f
SOLD BY INSTALLED By —
Electrical
Electrical Work By Gas Lino By
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE MAKE OF BURNER
Model -g2 3 3 a Model
Serial SDOVL Max. BTU Rating
INPUT I, Uy`� MAKE OF FURNACE
Model _
CONTROLS
THERMOSTAT L 411 Hent Plug Vont Size_
Volvo 31P r �,2y KIND OF LINER 4 UNfgQNE
Limit Draft Hood V`t Roquloror x.111; 7]4 -ILc)f=�i�J
Limit Setting C Filters Size --Number
Fan Setting Chimney Location Inside Outsid
Pilot Type 01 Chimney Construction & it 1 4 t Pz
Pilot Make h6,1 4
Pilot Model061 Smoke Bomb Wiring
Pilot Timing ��� Draft Test Tog-
L.W. Cut Off Door Pressure Lighting Inst.
Pressure_,1 Percent CO2Uli Date Toafed P 17
Input CFH 4214 QUU Percent 02 Company Testing n�cr 1-
Stack Temp. _ LL_Pereenf CO Name of Tester a 0a-