HomeMy WebLinkAbout1996-008652 - mechanical PERMIT
CITY OF ORONO PERMIT TYPE:
v 2750 Kelley Parkway- P.O. Box 66 M CHAN I C AL
Crystal Bay, Minnesota 55323 Permit Number: 008652
(612) 473-7357 Date Issued: 1 ;:; 516
SITE ADDRESS:
306.5 WA TERTOWN RD
_G
P . i . N. , 04-117-2-
DESCRIPTION:
4-117-DESCRIPTION:
I HEATING SY':.TEMS Ft)EL NATCjRAL CiA'_: MAr"E HEI L
MODEL Nt EiM 10 i Ot JTP iT 100,000
INP 1T 9010u00
1 AIR C:+DNO I T-I ON I NG MAKE HE I L MODEL CA5542VKC
['ONS 3. 15
4 VENTILATION MAKE 3-BATH/1_N I CRi iWA
1 GA:_, LINE INSPECT Ft JEL NATURAL C A'�, t�AKE 6 OPEN I NGS"
REMARKS:
FEE SUMMARY:
VALUATION $8, 14-S
Bae Fee $101 . 81
-
Surcharge ______— t1_ QZ
n-f.al Fee dw:1C)C
CONTRACTOR: - Applicant - OWNER:
B Y{ D F.1 UMBING & HEATING 349.112-`290 H(%,RR I t:.:ON,;,.T
4091 MAC I VER AVE 3055 WATERTOWN RD
f M I CHAc:L MN 55376 f.R:_ENC, NN Ct5366
k612), 497 2290 498-8221
THE UNDERSIGNED HEREBY REQUESTS 1=`EI'i' ISE.k tv � E` THS. I~C AL °I �u EMENT '
SPEC I F IED ANIS AGREES Til 00 ALL WORI( �N S RT L� i I� AIL �' t�F
R NO ORDINANCES AND STATE CSF ,t� PSE CtTA �L1
L_ _
-'APPLICAN-T/PERMrfEE SIGNATURE ISSUED BY:SIGNATURE
L.
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 Commercial
JOB SITE: 30& A-aw-,O Zip:
Owner's Name: _ chi/ Telephone Number: Y9���� /
Mailing Address: 90 City: Zip: -7 te
Contractor's Name: t-4 �l � G�5` TelephoneNumber:
MailingAddress: y0 g i y*,te� Q,, City: yZ AeZ.ca4ip: S-5-32(,
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model: loo
Fuel: !/l7u-Y Ga-,
Flue Size:
Input BTUs: /c20,0 0 p
Output BTUs: qo,0 o p
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model: �5�5N� U
Tons: IS
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. _3 cfm
Bath Exhaust (must be ducted outside)
No. �_ Other Fans: Locations 11y(e o G/avt cfm
Total
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
' Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other �� Cx�
Gas opening "`"`
3
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.001
(contract price)
2. State Surcharge. ** Add the State Building Code Division G�
Surcharge to each permit. r / 5 x .0005 $ ( 0
(contract price)
or $.50, whichever is greater _
3. Postage and Handling (Only mail-in applications) $
J-50 r 16
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: Aj/il��_
Date: - -�
Approved By: Date: Ji-"2 3 _
X47
HEAT LOT,., LATIONS DEPARTMENT OF BUILDINGS CITY OF
WEAr,HERMRIPS AS.H.V.E
Grtd• TTTL OF CONSTRUCTION INSULATION
Mriw1•.+ I D••n Raf•n•a CO.WallIa1.WaE Canl R«I flow 11:1041 ( Gtr"11 I_ WR
as—N• Yee—No 19
fL t. -4 a... LA a WId►A
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WINDOWS aad DOORS—CRACKAGE sad AREA WINDOWS •.d DOOAS—CRACKAGE •.d AREA
X.•1. M.•a 1 • • ... N.•
Me I .1�•.• .� a.e wh a1 vecl Lai. "019M M..• Lkoal Ar..
M N.
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1
C«f. M.1. C.•f. IN.
IwRltr•ti•• W�e 1 _` 1`t IwRltraM«
_ 1
6p. Wall s
o for. Well
CI•.. U t
G4ee (p
Not 60. Well
WII r 4
la►_Wall NO bp.lot. Wall
;.•t1i. sir R••r
Too :7 U C•RIjisa. 3
total It.. Total Rtr.
N. E D. R. or q. Ir. W.A L«/•► •n• Ragw;r•d N. ft. E D..!. or sq. Iwt.W.A. Laad•r or**
R I t•alw La•f►► 1Ard+A+ti Ii•iR►tr R Ra•s I La.*tL widA6 H•tRM
WINDOWS ••d DOORS—CRACXAGE sad AREA WINDOWS sod DOORS—CRACKAGE sod AREA
n.N. tt+•R •. Area �L
w•. of ti .► M . wod .w.
� No of 06-0 some I of cred 94.ft.,
even
rRltr•li•w +
itdtHr•tl1«
WON ' /2T aww.! /oZ
66..
401 lbrps, Well Not i,. Wall
.►. won E.►.wan
AZiw _
nN•1 M� / C«Ti lit,lRf•ar"
low lit.
Lo4w1rad .A. E D.L or eq. l.c.W.A. Esada► st• 4 vb•d .N.LD.R M .lac,.W.A.Es•d•r sw•
anemak
wwo
Room L"96
WINDOW'S ••d DOORS_CRACIfAGE sad AREA
%ndik,
d WINDOWS• DOORS—CRACKAGE sad AREA 1
N• d r aI� 1 M of vacl Area No.of LLI"l
44 pass � of o•c� « M
Cid. Ncc C.I. she.
•GkratMs• 1waste
w r
up. was
wasGlen
t�v
Let 16P. Wan
r,. Waft ` K.+ wan
10. wall
;allies .r Ft..
otol comet sr 11a..
•/1r1r•d . N. IL D. R. « icr.W.A. L•adar area 104611 Itu.
vir.1 64.A. L D.R. « eq. Iwe.W.A.L••d.. •r••
itraCtors Signature *RAND TOTAL88333
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS CITY OF
EATHERYTRI/S AS.H.V.E INSULATION
&wide Mi OF CONSTRUCt10N
Wiwd*zm I coon Rater•u" O„t.We, Mt.Wd CdR Roof A... Kled I Coital I Won
Yeo—He yes—No 1•
R Re-me I Lawf+lr cf I M/IIIA 7rj J IiIRN ;. j Wdt\- fL a— Itaw A
_WIN:0O_WS sold DOORS—CRACKAGE ••d AREA WINDOWS end DOORS—CRACKAGE sad AREA
rv.Ir• M•y r No • .•. N•• rel. M•I9•r Ne.• Lie", A'"Mo
of•e.• ofa•• •h N aocl M.h. 644N pool• •t M•• Mr d crock •�h.
i
I
Cast bu.
IwRHreti•■ w d•wl •1•w
Iw1IIhoNo•
&p. Wail s Up. Well
Slue y: Glom
Not bo. Well J� 30`7 Not Fall. Well
1•t. Well lot.Well
Gniw •r,fi•.1 t.� E 7".., Comw •r F{••r
Total It.. Total Rtv.
Ra,,.i.ee m h. E 0. L or q. iw.. W.A. leader ane Roauirod M. h. ED.IL at 'a. Iwc.W.A. loader ane
14 rL uk Real- L• +i 1Ardfk , c
r, towIs �1 V1GdtA
r - Hei,At �✓
WINDOWS sad DOORS—CRACKAGE ••d AREA WINDOWS sod DOORS—CRACKAGE sod AREA
�Tiv.N• t't• •. « un
M•. N .. at •t, N er•oi w. w N�•w• N �« r of erect «A.
CML. OI,• C..t 01116
i•Rltr•lia•
1•Rhralie•
Was was �Cv
Slaw
SIN 6 Wan t /" (,4" Nal 6.. Wall 1 t v
W. Well M.Wdl
1:• « RI••r i{I r.<?' �i UJ.' 'Cwt M now
ZMd Rne > i '1 T.W M� ��56 0
aa4rri.ed sq,A. E 0.R• or sq.. See.W.A. Lwder sere Ra rrir•d eq.A. EO.L or Sea.W.A.Lader ewe
/L ���, 111— I V.n% 3 11KIM 2 Ca 1/.7fN S R n� f a... L•.A M4dt1. C- M.�►t
WINDOWS sad DOORS CRACKAGE a•d AREA WINDOW: sect DOORS—CRACKAGf*adAtfA r
wrar• r WeselAr•a
Me N y N err N erect ti. Me N Pa« N Sami N erect N N
14 "7z
•icrltr•Ma• i�w y
CMI' Caal. alts.
1•Rlnd;••
lk . WON sop,Weis `l
61.« 7 77 7,J)
6
16.4 . Wolk a �a `y of !4164L WaR C
a i ) (.n I
kat. Wali
M.Well
Coolies Of p6w
K'v ✓ Come lar New
tical ate.
TNd oh.. ;
rrir•d M. N. E 0.R. a+ lee.W.A. Lader ane
dnd .A. E O.L« sq.i•..W.A.L.d.r, .r..
Contractors Signature *RANO TOTAL