HomeMy WebLinkAbout1997-008686 - mechanical PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66t�ErL:ti T CAI
Crystal'Bay, Minnesota 55323 Permit Number: ;�; ; _
(612) 473-7357 Date Issued:
I
SITE ADDRESS:
L'=;V
P . 1 . N
DESCRIPTION:
FURNi gni lVE.NT,/G LT;`,;
2 1-IEAT I NG SYSTEMS FLUE SIZE ?" FUEL NATURAL €;AS
M0"E_ 1._ENNfik MODEI (-ix: _ /4-1iit7
OUTPUT '34,€ii 0 I N`UT iii€_!,00 i'
2 A I i� CA".ND I T I CIN I NG MAKE i_EY�NNOX MODEri_ I-IS29-411 S l i
I VENTILATION MAl :E V'I T 14 BATI•-i%DRYER
I GAS L I NE I N:=PEC:T
I
REMARKS:
FEE SUMMARY:
VALUATION 14, ?E;Ci
8'aMe I=ee $1;34 . .3,3 MAIL IN
----------
Surcharge 1-2 311 T{-)t.ai Fee $1,93 . '12r;.
Subt-c-t.al $1`)1 . 7 G
CONTRACTOR: - Applicant. _. OWNER:
:-'ALNE° tlr i-:r-IAN I C AL INC: :34212419 E DM UN0S ROBERT
15441 i 'k;T l_.VE i t:i[i 'EJ hild 1 i i i i; TONKAWA RD
ANDOVER MN S S:304 !_RONO MN 55356
'THE UNDERSIGNED 1 EFER"tf,=REQUESTS REFS �VEME44TS
SPEC i FIEV Abid A hE S ;TO DO, A , ' ` I T CT CD4' II1*, AEC "'y
tlRWY �il"t01�� 5 AND STATE M l iESCTA ' II..DIt A TIE lT .
PLICANT/PERMITEE SIGNATURE c ISSUED BY:SIGNATURE
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway) ,JAN 7x.997
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:— _jo 3p Toh .g,, CI Zip:
Owner'sNdame: f�1,�,,, u .1 s_ Telephone Number:
Mailing Address: City: Zip:
Contractor's Name:. �,, �� P tea. TelephoneNumber: yZ j- zU
MailingAddress: HNo S; „P ,�l S City: Aod ove,, Zip: c 3 ow
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: l
Make:
Model: 1,ge,a3/H-Ivv � a�c�3/y-rum
Fuel:
Flue Size: VC-
Input BTUs: — 100,00v —Lv�'
Output BTUs: Novo 0,2�D
CFM: J I lov0
COOLING SYSTEMS
Quantity: 1
Make: L01A&A oLcxvazo-
Model: !!VIL 14 S2q_=511
Tons: 3
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.
VENTILATION
No. �_ Kitchen Exhaust _ ducted recirculating cfm
No. �_ Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
t/eu c� y c17p-
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)
/6� ;,,0, x .0125 $ 184138
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ . 14
or $.50, whichever is greater (contract price)
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ /ffa.& Z_
* 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 appl ics 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: ,-, -,_ Date: 11-71 97
Approved By: Date: )
A4 T
HEAT LOSS CALCULATIONS
Weatherstrips _ A Guide . Construction No. Insulation
Windows Doors Reference Out.Wall Int.Wall Ceiling Roof Floor Kind How Applied
Yes— o I Yes— 0 1 19_
FlRoom I Length / Width Height 51 Fl.I Room Length Width Height 9
Wind ws andboors—Crackage and Area , Windows and Doors--Crackage and Area
Width Helsht No.of Lineal ft. Area Width Height No.of Lineal ft. Area
No. of Dane of Dane Ilihes of rack so.ft. No. of Dans of Dans Ilfhis of crack so.ft.
IX
Coef. Btu Coef. to
Infiltration Infiltration r
Glass 7,V .179 / Glass `r'
Exp. wall Exp. wal. . ,
Net exp. wall Net exp.will
Int.wall Int.•vall
Ceiling ?� Casing b -21
Fluor Floor
Total Btu. Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Required sq. ft. E.D.R. or sq. ins. W.A. Leader area /
Fl Room Length/¢ Width 7 Height 1 FI. Room I Length < Width Height,
Windows and Doors--Crackage and Area1 Windows and Door:—Crackage and Area 5�
Width He aht No. Lineal ' Area Width Height No.of Lineal ft. Area `� C
No. of pans organo lights
of crack''
so.ft. No. organs organ* lights of crack sq.ft.
IV 3
Coef. Btu ef. B u
Infiltration �l Infiltration
Glass
Glass
Exp.wall �
Exp.wall
Net exp. wall Net exp.wall
I+,t-wall �..,.,,,� � Ia>�s,►a!1 ` ,
Ceiling Ceiling ;4Z.
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
Room Length / Width / Height f' r. Fl, Room(Length Width Height l"
Windows and Doors—Crackage and Area Windows and Doors—Crackage a d Area
Width Height No.of Lineal ft. Area
No. of pans of pans lights of crack sq.ft. Width Height No.of Lineal ft. Area
No. of pane of Dane Il�ht• of crack sq.ft.
'y
560
!` ..
Coef. Btu Coef. Btu'
Infiltration i? .. / Infiltration �" U
Glass Glass s�
Exp.wall Exp.wall ora
Net exp. wall 0 Net exp.wall 6-71
Int.wall Int, wall
Ceiling Ceiling �"'� r � •S` y:�•
Floor Floor J
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
HEAT LOSS CALCULATIONS
Weatherstrips _ A.Guide • Construction No. Insulation
Windows ( Doors Reference Out.Wall Int.Wall Ceiling Roof Floor Kind How Applied
s—No
Yes— o Ye19_
rfJ Fl. oom Length Width Height D FI i oom Lengt Width/7 Height', �1 '
Windows and oors—Crackage an Area �� Windows and Doors—Crackage and Area / h
Width Height No.of Lineal ft. Area /// Width Height No.oL Lineal It. Area
N of Dane f ane tights of crack sq.ft. t� w / No. of pane of pane II[his of crack e0•ft. / l Q
/ t f` pry C. )
Ot 11
�--
T 1 s + 7t , v
Act J101
Coef. Btu - Coef. Btu
Intel ate �" .- .SS . Infiltration ' A
Glass
Glass
Exp. wall Exp.wall 00,
Net exp. wall Net exp. wall
Int.wall
Int.-rail
Ceiling l / Ce.ting -k-t(
Fluor Floor
Total Btu. Total Btu.
Required s . ft. E.D.R. or sq. ins. W.A. Leader area
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Room l Length / Width / H e i g hy FI.I Room I Length Width /if eig t
Windows and Doors---Crackage and Area X4-5 Windows and Doors—Crackage and Area
Width Height No.is Lineal ft. q.ft Width Height No.of Lineal ft. Area
No. of pans of Dane lights of rack eq.ft. No. of pane of pane lights of crack sq:ft.
a " S v
o c� y s
Coef. Btu Coef.1 Btu
Infiltration / 5 OPInfiltration
Glass V. Glass ^}
Exp. wall Exp,wall 22-' 01
Net exp. wall A- -
Net exp. wall /
Int. wall _ Int.wall
Ceiling 16/C.0 .- / Ceiling
Floor Floor --
Total Btu. Total Btu. t
Required sq. ft. E.D.R. or sq. ins.W.A. Leader area Required sq. ft. E.D.R. or sq. itis. W.A. Leader area
Fl. Ze Room I Length Width / Height Fl•1 AQRoom I Length Width / HeightZje
Windows and Doors—Crackage and Area Wincfdws and Doors—Crackage and Area
Width Height No.of Lineal Lt, Area Width Hel[ht No.of Lineal ft. Area
No. of pane of Dane lights of crack sq,ft. No. of pare of Dane il[hts of crack sq t.
el
do r,
Coef. Btu Coef.1 Btu
Infiltration - Infiltration M
Glass Glass
i.
Exp.wall 10 Exp.wall,3,2_.,
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 arca / _
HEAT LOSS CALCULATIONS
Weatherstrips _ A Guide Construction No. Insulation
Windows I Doors Reference Out.Wall int.Wall Ceiling Roof Floor Kind How Applied
Yes—No Yes Imo 19_
oom Length Width Height/ FI.I Room I Length Width Height
Windows and Doors—Crackage and Area X – Windows and Doors—Crackage and Area
Width Height No.of Lineal ft. Ar4a f, A Width Haight No.of Lineal ft. Area
No. o Dane of pane lights of crack sola, /411 el No. of pane of Dane Il[hts of crack sa.ft.
i AtC
Coef. Btu lCoef. Btu
Infiltration infiltration
Glass
Glass
Exp.wall Exp, wall
Net exp. wall Net exp. wall
hit-Vill'" Int.-,,all
Ceiling /.
Ceding
Fl-jor ` ' 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
Room ILengthao Width ]?J/ Height FU Room I Length Width Height—
Windows
eig tWindows and Doors-Crackage and Area Windows and Doors—Crackage and Area
Width Height No.of Lineal ft. Area Width Height No.of Lineal ft. Area
No. of Dans of no 11 hu a ek ft. (1 No4 of pane of pane lights of crack aa.ft.
12
Coef. Btu jCoef.jBtu
—
Infiltration
Glass pGlass
Exp.wall _ y Exp. wall
Net exp. wall 'Q O v Net exp. wall
Int. wall Int.wall
Ceiling
Ceiling
Floor Floor
Total Btu. 1 P,41 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
Fl. Room Length Width Height F1.1Room I Length Width Height
Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area
Width HaightNo.of Lineal fl. Area Width Height No.o[ Lineal ft. Area
No. of pane of Dans Ilthte of crack aq. It. No. of pane of pane lights of crack sq.ft.
Coef. 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 arca
DATE TIME
CITY OF ORONO CALLED IN '�//,.ii 1157
INSPECTION NgjICE SCHEDULED 'x//.72/97 / 'X) 0
PERMIT N0. t (,DFG COMPLETED T
ADDRESS ,,,,///0.3 O �
I�1J
OWNEi�.&� CONTR_�
TELEPHONE NO.
DESCRIPTION
Lu
01 FOOTING 11 MECHANICAL RI L 18 EXCAV/GRADING/FILLING
02 FRAMING 1 CHANICAL FINA —/ 19 LAKESHORE/WETLANDS
p 03 INSULATION 24/25 WOOD BURNERIFIREPLACE 34 TREE REMOVAL
04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
CC
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O ORK SATISFACTORY:PROCEED
� - PROJECT COMPLETE
W C CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY
O D CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
Cl INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins ection 24 hours in advance.473-7357
Owner/Contractor he:
Inspector.
White Copylinspector's File Canary Copy/Site Notice
HOUSE HEA`N ISG TEST RECORD
ADDRESS O Z�n K APT. FLOOR CITY SUBURB
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Electrical Work By Gas Line By
TYPE OF HEAT GA FA__X HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE LP vl ux MAKE OF BURNER
Model &7-!0 & 4/s- '7 - Z Model
Serial 569 L /e- D Z & 4 Z Max. BTU Rating
INPUT 7_Soot) MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT Heat Plug Vent Size Z-)OV"
Valve KIND OF LINER SIZE NONE
Limit Draft Hood Regulator
Limit Setting /BU" Filters Size Number
Fan Setting T 4 Chimney Location Inside Outside
Pilot Type �✓yvi L Chimney Construction AL,
Pilot Make
Pilot Model Smoke Bomb Wiring
Pilot Timing 2-,S--,;-e c- Draft Test Tag
L.W. Cut Off Door Pressure Lighting Inst.
Pressure 3,1 " Percent CO2 Z(o Date Tested
Input CFH -7,S.yuO Percent 02 ZO 9 Company Testing KALMES MECHANICAL, INC.
Stack Temp. l#5'F Percent CO d Name of Tester � ,�„ �49- 4& S
HOUSE HEATING TEST RECORD
ADDRESS /0 .3 0 7-0,1,e, ,,✓cam0ed APT. FLOOR CITY SUBURB
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Electrical Work By Gas Line By
TYPE OF HEAT GA FA_ C_HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE 4 P n n J x MAKE OF BURNER
Model U a t, 03 a— /00— Z Model
Serial 5 7 g 7 A 03 2-f3 7- Max. BTU Rating
INPUT /0 t).,)o v MAKE OF FURNACE
Model
CONTROLS n ,
THERMOSTAT /-/uJ Heat Plug Vent Size 3 /�/L
Valve KIND OF LINER SIZE NONE
Limit Draft Hood Regulator
Limit Setting /4300 Filters Size Number
Fan Setting TfA4-o 1� Chimney Location yiside Outside
Pilot Type Chimney Construction ye—
Pilot Make
Pilot Model Smoke Bomb Wiring
Pilot Timing oZ See , Draft Test Tag
L.W. Cut Off Door Pressure Lighting Inst.
Pressure 3-1- 11 Percent CO2 7,Z Date Tested 'I Z l 9 f 177
Input CFH 1W4 000 Percent 02 7-& Company Testing KALMES MECHANICAL, INC.
Stack Temp. l/0 0°G Percent CO 0 Name of Tester