HomeMy WebLinkAbout1999 - 011877 - mechanical PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 Permit Number: 011877
Crystal Bay, Minnesota 55323 Date Issued: 09/ 16/99
(612) 249-4600
SITE ADDRESS:
2085 WEBBER HILLS RD
H8
P . I . N . : 0H,117-23-S4-0024
DESCRIPTION:
HEATING AIR sYSTEM
1 HEATING SYSTEMS MAKE BRYANT :333
INPUT 117, 000
1 AIR CONDITIONING HORSE POWER 4 MAKE YORK
MODEL H3AHO4SS TONS 4
REMARKS:
FEE SUMMARY:
VALUAT ION $6, 063
Bae $7S . 7 MAIL-IN FEE 4,1 T,c)
Surcharge $.*:; Total FP,-7' $80 . 32
Subtotal $78 . S2
-
COKTACTOR:. _ _ • _ _ _ OWNER:
CU LOREN
410 i AKE ST W 2085 WEBBER HILLS RD
MINNEAPOLIS MN SS408 ORONO -LSS:7,9 1
(612) 824-26SE
THP UNDERSIGNED HERERY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK IN sTRICT COMPLIANCE WITH ALL CII OF
ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
L_
12/4uZ •
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE 66)
4 ,'.
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT "D
Box 66 (2750 Kelley Parkway) I j 1999
Crystal Bay, MN 55323
Ur UrrUiii0
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 Commer ial
JOB SITE: tO�S' {A.�/06_‘
l f � Zip:SS "� 1
1
Owner's Name: o f 6 c_ette e e :phone Number: &/a-- �S - /Oy
Mailing Address: OD-
D. S � /S ci1r: (�f D Zip: SS 4
Contractor's Name: MRD d Ccos , A' .C.)410MST UW{ESTRE Telephone Number:
Mailing Address: ININEAPOLIS,MN 55408.2993 City: Zip:
bu-@24-206
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: 1
Make: iiPMEr
Model:
Fuel: r GIGS
Flue Size:
Input BTUs: j )7) e&-c)
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: /
Make: (7)O
Model: W34{f-o �(�S
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.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
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) �1
(k 01,3 x .0125 $ 15 .-7 °I
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ " .10 3
or $.50, whichever is greater (contract price) -1.411
of
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 3 y
* 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: ' 0A414 Gcn.-‘ Date: ilzylq
Approved By: Date: cl-i (, 5
GAS WORK ORDER 7�
1072 Payne Ave. LSTANDARD 410 W. Lake St.
St. Paul, MN 55101 Minneapolis, MN 55408
651/772-2449
b H E AT I N G 612/824-2656
& AIR CONDITIONING
A Blue Dor' Service Co. EQUIPMENT INFORMATION
LAST 1? - c...,-L. ,c k..-o FIRST L..a'z�,) TYPE c
ADDRESS &c.'
c \f`-- ..c?,--.<1_ \,4,l v'-S 1-2 MAKE 1'cz, ,,..�
CITY `,Lr,._, ,-) ZIP 3N \ MODEL 3-3ciA,t- 0‘,Q� 1'L - \ I\
HM PH Li 7c--- )7 ) i,, WK PH SERIAL G\c, j,.,--) l la
TECH .2 DATE -1 , c a\\�� INPUT \\--wuc-) \ ----"Os ,3c2,-�
ORSAT TEST RECORD
CO2 "),a% METERED INPUT ) 7 ) -7% cfh CHIMNEY TYPE -VC,hT
02 (7 % LIMIT SETTING 0,Go ° FLUE SIZE 7 in.
CO 0 % PILOT OUTAGE )'„---c,Z sec CONNECTOR SIZE 5 in.
NET STACK TEMP 3 IAD ° TOTAL CHIMNEY INPUT 172)0,..,3 btuh