HomeMy WebLinkAbout1997-008776 - furnace 10 PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66
iiprHP,NIU:A,
Permit Number: M.L
Crystal Bay, Minnesota 55323 v0'-. L
7 761
-7
(612) 473-7357 Date Issued: 21"2 A/9
SITE ADDRESS:
2645 WA 311 T i WN RD
L`V DESCRIPTION:
F(JRN Gr;
HEAT Iring SY*--:,"r,E-t1S F-,jEL NA'T(jRAL GA'S' rlAf--:'E
MCIDEL 14TC:.51 00 NPI-T
00c)
REMARKS:
FEE SUMMARY:
VAI-iJA'T T ON
$2, 100
t-jA T
I N
F e X ---- -
&71-�J;5 'Tcital Fee -$--317 .55
,urchaarge - X.IL----------
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CONTRACTOR: Applicant OWNER:
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RON 2 S tilf:17C,H 1,NC :34458585 1-� t- -,t F)A V E
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REQUESTS P E RM ISS 8-
.TME UNDERSIGNED HERE REAL 11411 VEMI
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ORONO ORD I NANCES AND, STATEF MIM4ES-OTA" 10 CLQ REq
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
i
RECEIVED
CITY OF ORONO APPLICATION FOR MECHANRL
PERMTI'Box 66 (2750 Kelley Parkway) JAN 2 2
Crystal Bay, MN 55323
CITY OF ORONO
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: ew Addition Repair 1/ Replace
Residential Commercial
.JOB SITE: 2645 WATERTOWN RD Zip: 55356
Owner'sNdame: DAVE RYEUSE Telephone Number: 47 5-9
Mailing Address: +�WATERTOWN RD City: LONG LAK Lip: 55356
Contractor's Name: RON' S MECHANICAL, INC . TelephoneNumber: 445-8585
MailingAddress: 12010 OLD BRICK YD RD City: SHAKOPEE Zip: 55379
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: /
Model: p v
Fuel: Ae0l0 1-)A)1-?c, d2kTf2_
Flue Size:
Input BTUs: y .
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.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST 13E 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)
4-) x .0125 $ >S oy
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. _41.0o x .0005 $
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) $ �� _5�
* 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 ite=*ns must be added t0Ahe-estimated c st
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: Date: I-?/l'97
Date: L°
Approved By: � �� Z.
-,D1."2c�1997 11: 29 612445505_, RONE MECH-ANICAL INC- P"'GE 02
Sard-24�19p5' i 1��9 M tNfJEGASCCI .
W�atberssrips C�astsaasiaa 1Vs. lied
:down Doom R■f ee out Weij lot.'�all Cailia i .f Fl him1 # Y o 19— kh
Height
Fl,( Room l L"gth 7. Height Fl� liege!L.est�rth Wlt
Windows alts Oc+orr—Crae at(s ani Ares ' endows and praoerM r>< Alta
bib "as rr
ota ole o.or Loh+a t. Arra Qbbr 11rhta of!ries R-tt•
K rLM rr p..r 1 rf lr.Qi< W.fi.
y.J
'7 rr0efr Btu
xltratioa �a°1°
p. wall 's
t cm,wall � �!me. W-0
.wall fit.
ceii g
nor Fk.�
tal Stn. T '
trr,�rad sq. fe. g DR or 84.Im WCL Lssdes =is -M— , Loy m sa,ias.�lA.Leases
1.E
RomLel Height }� I+ivset i Leasth Wrld+h< Height
Windows and Doors..Craak:;m and Area Wa9do� sad Dem��st bud Area
�} /i. —AreaT` Otani
1e of 14"S is .t awelti w
1 rru of
/16
`f
ivatioa :'"ro t.����• .� 'L� Z Z IaElleo�ar!
,.wsti L 1 a P Exp.va
est.{vast
wail tat.scall
iin L Y LJ
or Ly. kJ (r Z v 1 'T* Y Floor
.i&v- •5�3 7 TOW&a'
iuirrd sg. ft- EDA or sq- ins.W.Ar L 4hit ares R sq.h.F.,D+R.oR sal.ms.W.A.Lsarkr ares
E.1 ROM Width H ' t tiaesa i Leastls Width Height
ssdews arrd Doors--Crae and Am Wiariawr ud and Asea
in •• r.i I. Arrr ><ars
4m ^Ova
of PPl�o •�w.+ n ra .r Crier r 71r. +f tAo• at 1rMaaXIM rs~19 sq.It.
Coef. bra GacE Btu
trat=oa Is�lsrasiae
CIO"
to ��tAsjl
waft
Mo. wall Not�- W
W" 6.
inQ Qi1i"
Floor
TOTAL 0'12
HOUSE- HEATING TEST RECORD
� F
ADDR ESS 1)6q5 s'�' ` '�4` "' F�< APT. FLOOR CITY t419"Ck SUBUR 13
a
OCCUPANT OWNER 4" It
HEAT LOSS DATE HTG. INST. L)�- 2 p
SOLD BY ,''')A"C INSTALLED BY R6.+S /14/t -+,`arc
Electrical Work By f J, Gas Line By
TYPE OF HEAT GA FA Y HW STEAM SPACE HTR. __UNIT HTR. ER CITY OF Mll
GAS DESIGN RONO
MAKET��aCs'a, CONVE f2�2Dwa
MAKE OF BURNER I� LS
Model n/TG S/Da R7-.-1 Model
Serial L944G 7$729' Max. BTU Rating
INPUT BGG MAKE OF FURNACE
Model FES 2 7 19-97
CONTROLS '
THERMOSTAT "r97 Heat Plug Vent Size d
Valve KIND OF LINER e'4" S17ENONE
Limit - 'fie Draft Hood _ Regularor
Limit Setting Filters Size Number
Fan Setting Chimney Location Insi/de�" Outside
Pilot T t C K �r �/64��i_/"1Gf//.+a✓
ype Chimney Construction
Pilot Maks T
Pilot Model Smoke Bomb Siring
Pilot Timing Draft Test Tog
L.W. Cut Off Door Pressure Lighting Inst.
Pressure 3-r Percent CO2 Date Tested 77
6
Input CFH Ii�L>• 015 Percent O
p -T 2 � Company Testing GA^S CC sA.�;tw
V
Stack Temp, N Percent CO 0,x Name of Testervn
Form 235
� . t o-� � ;�„a # as � h v. x � _'� a• � ° �x �' a�#
DATE TIME
CITY OF ORONO CALLED IN ��
INSPECTION NOTICE SCHEDULED 7
PERMIT NO. COMPLETED _
r
ADDRESS
OWNER / CONTR.
'
TELEPHONE NO. `'7"
- a
DESCRIPTIONp
01 FOOTING /1 MECHANICAL RI O 18 EXCAV/GRADING/FILUNG
h 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q� 14 SEWER HOOK-UO 06 PROGRESS
ti
J MO--SITE 27 SEPTIC MAINT. 21 COMPLAINT
W 07 DEMO—FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
9 OWNER/CONTRACTOR TO MEET YOU: YES_NO
R COMMENTS:
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OWORK SATISFACTORY:PROCEED RO
PJECT COMPLETE
W
z ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ` PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANG ACCESS.
Call for the tion 4 hours in advance.473-7357
OwnerlContra orbn
Inspector.
White Copylinspectoes File anary Copy/We Notice