HomeMy WebLinkAbout1998 - 011053 - mechanical PERMIT
• CITY OF ORONO PERMIT TYPE:
2350 Kelley Parkway P.O. Box 66 ` = : CAL
Crystal Bay, Minnesota 55323 Permit Number: �'.kt
Date Issued:
(612)473-7357 1'2/08/98
SITE ADDRESS:
200 WUUGH I LL ~.D
N.I
. 1 . N . _3-# 17-2_-:12 0000
DESCRIPTION:
HEATING SYSTEMS Et"1`J Ft_'E- NATURAL (41S MAKP #..;;'i= vii
trit 1(;t i is INPUT 0; t_if_;
t-}I R _i r: I ; i ;t 1 NG MAKE AMANA MODEL E I._ Rt_,__+t_i
TONs 2 1 ?2
REMARKS:
FEE SUMMARY:
VALUATION $2, 000
FeP c.17 . S0F., MAIL IN t iMt_
Surcharge slaSii Total Fee $40 . "0
;ub t.o t.._t l $2c1 . 00
CONTRACTOR: - Applicant - OWNER:
VOG T FRED :: CO __ '_ ? :;• *+>;€_sl 1Ii 1_ 60L1= Coi lFcr;;
:7060 GORHAM AVF 200 1,4)0001-411 j RD
ST LOUIs PARK MN .,;s; ORONO s`°1N ,°=_ I
iR12
92q-6767
THE UNDERSIGNED HEREBY REQUESTS i,E R i :_;:=ION TO MAKE THE REAL IMPROVEMENTS
F is I; :ED ANO O AG EES TO DO ALL WORK IN STRICT COMPLIANCE WITH A L CITY OF
uRDNi t E_lA;i_s I tNAtvs_.E AND STATE �._OF MINNESOTA NESOTA E;;_!f L 1 I NREQUIREMENTS .
CODE
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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
ResidentialCommercial
JOB SITE: 9 c)c) ,J �Y 1, t iG Zip:
Owner's Name: LoocCX W ,\ (9c)((` 0U(,(44e Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: VOQT HEATING A AIR CONDITIONING
Telephone Number:
Mailing Address: 3260 GORUAM AVE. City: Zip:
ST.LOUIS I'AHK,MN 5,416
SALES 929-6767 SERVICE 929-4011
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make: :4111 , L—
Model: d o70
Fuel: _
Flue Size:
Input BTUs: 7O
Output BTUs: _
CFM:
COOLING SYSTEMS
Quantity:
Make: A vr(1(L
Model: laCC3 n
Tons: `-/a,_
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 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)
00c). — x .0125 $ 37. 5()
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. 30CrD(---' x .0005 $ I. 5'0
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) $ t{0-�a
* 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: � ( 3 o5 (.� Date: q
Approved By: � Date: qb 10
II • L . y(, y
o-M
e
HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTION MINNEAPOLLS. MINN.
' Weatherstrips A.S.H. . Construction No. Insulation
Guide
WindowsDoors Reference Out.Wall Int.Wall Ceiling Roof Floor Kind How Applied
Yes—No I Yes—No I9_
l i Fl.1 4 ch o f Room I Length 3 5 Width 2k Height y FI.I Room 1 Length Width Height
Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area
Width Height No.of Llnaal ft. Araa Width Height No.of Lineal ft. Area
No. of Dane of pane tight. of crack .o. ft. No. of Dana of Dane light. of crack .Q.(t.
7 . 3b / b' . 3- Ili y ti
I LY / _ . Z- 1 3 -7 .
3 3z LI Z 5 L y2,-
I 2-S". Lir" I)vc:L iq ig Cod. Btu Cod. Btu
Infiltration Infiltration
Glass Glass
Exp.wall Exp.wall
Net a:p.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. WA. Leader area Required ft. E.D.R. or
qu sq. sq. ins. WA. Leader area
Fl.j Room I Length Width Height Fl.l Room I Length Width Height
Windows and Doors—Crackage and Arca Windows and Doors- Crackage and Area
%Vidth Height No.of Llnaal ft. Area Width HN[ht No.of Lineal ft. Are•
No. of pane of pane lights of crack . . ft. No. of Dana of pane Ilghta of crack p.(t.
3'0"•
1,s" r0otn 111 -1-0 _.
I Ly _ f i 1 1 2-4 IS
_J .i.y -1-y 2-. ' lay il V
...1_ 1-y , 1S 'L Z It, Coef. Btu _ Cod. Btu
Infiltration 3,S1 'c'31- /0 ]8 y Infiltration
Glau 2S9 50 , /2. /50 Glass
Exp.wall )02-1-1 Exp.wall
Net exp.wall 7/.6 I 0 7 us Q Net exp.wall
Int.wall 1
Iat. wall
Ceiling 16) g 10 9 yy @ Ceiling
Floor 9g$ S y '7 VO Floor
Total Btu. Total Btu.
Required sq. ft. ED.R. or sq. ins. WA. Leader area 10-toy Required sq. ft. E.D.R. or sq. ins. WA. Leader area
Fl.4 Room I Length Width Height al Room I Length Width Height
Windows and Doors--Crackage and Area Windows and Doors—Crackage and Area
Width Hd[hl No.of Llau.ft. Area Width Hd[ht No.of Llnaal(t. Ana
No. of oana of Dana light• of crack sq.ft. No. of phot of pop• 11[ht, of crack .4.ft.
Coef. Btu 1 Cod. Btu
Infiltration Infiltration
Glass Glau
Exp. wall Exp.wall —
Net exp. wallNet wall
1 exp.
Int. wall Int. wall
Ceiling Ceiling
Hoor Floor
_ t
Total Stu. Total Btu.
-
Required sq. ft. E.D.R. or sq. ins. WA. Leader area Required sq. ft. ED.R_ or sq. ins. WA. Leader arca
HOUS HEATINGnTEST RECORD 3
ADDRESS 0100 `JO0 D 41"( �" J2or u APT. FLOOR CITY SUBURB O Ukk
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST. f
SOLD BY INSTALLED BY `w66 7 l g�� 2
Electrical Work By Gas Line By �2-CTit-
TYPE OF HEAT GA FA \ HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE 4114 14 /1 A MAKE OF BURNER
Mod•I Gu(./T 070 4X )0 Model /
101
Serial (Art) f�� Max. BTU Rating
INPUT 7U,OC MAKE OF FURNACE Ltd 1 fl I9 j 5
Model _
°,'ili Lit 1 1.
THERMOSTAT iI� CONTROLS
? Heo,, Plug Vent Si:•_
Valve W 2 3 r� .2- KIND OF LINER SIZE N,ONF 1(
Limit `� v'1 Draft Hood IVO k#2.- Regulator Lift: k-L'(r' U
Limit Setting 1i-i)° Filters Size Number
Fan Setting Dlittill gi' Y Chimney Location Inside X Outside
.r
Pilot Type c(.� H' Chimney Construction iii f V c
Pilot Make bi-. `�'�`'t
7 Smoke Bomb Wiringi -.,-
PilotPilot Model
Pilot Timing & SCA Draft // Test Tag
L.W. Cut Off Doer Pressure Lighting Inst. c.
Pressure 3i ( Percent CO2 .11)--- Date Tested /( /,
70) a°
Input CFH 0 a v Percent 02 S/ Company Testing �0 &t //11�_
Stack Temp. f`7 Percent CO 0,c) Name of Tester .7I `A 1t