HomeMy WebLinkAbout1995-006968 - mechanical PERMIT
CITY OF ORONO
_ • PERMIT TYPE:
MC:r.UAMT(..Ag
2750 Kelley Parkway- P.O. Box 66
Permit Number:
'Crystal Bay, Minnesota 55323
Date Issued:
OS/1
(612)473-7357 2/95
SITE ADDRESS:
2697 ETHEL.. AVE
P. I . N. 20-117-23-24-0(4Z
DESCRIPTION:
I HEATING SYSTEMS FUEL NATLRAL GAS MAKE TEMP.:JAR
MODEL NUGN-075 OUTPUT ç. y;00
NPUT 75,000
r 7-7 v :nrirFor,
1.• ) )
3C4P'Tj 4
1,313
_ A
135170000'..'
CHECK 7.! 37,
r UMW
: i
77.4. 717.:
rr L. J. a r J.0
REMARKS:
FEE SUMMARY:
VA LtiA T ION $7,000
Fee CDS . 00 MAIL TN
Lharqe $1 on $:37. 50
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CONTRACTOR: -- Applicant. OWNER:
SUPER I OR CONTR :N 3S::;78 49 1 AtitiNDON GORDON
11 42ND A VF 1LL AVF
Y!..;T 111.-4 S.c=4•17-‘.--) ORONO MN F,C3cil
c.612) 1.-1;3 -84 .41 47 i -7700
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CITY OF ORONO APPLICATION FOCAL 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. Ali 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 X Replace
Residential Commercial
JOB SITE: 6 -2 Zip:
Owner's Name: Telephone Number: '/7/ - 7 7o C)
Mailing Address: ,�- �j7 u,0 -< City: Zip:
Contractor'sName: (�� 2a-�e-� TelephoneNumber: 5J 7 —f4"9/
MailingAddress: 6'is / - 1.7 a- 71. a-f-c-r 9 City: ' ' Zip: 5 s z
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: f
Make:
Model: /1/OG/'1 —a -7G-
Fuel:
75Fuel: 72 �
Flue Size:
Input BTUs: 7c 2, v
Output BTUs: to G,
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model: _
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.
Total
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
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)
‘9-600 °% x .0125 $ 3 s, d 6)
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. -'1( de)U x .0005 $ /. O
(contract price)
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 37, 5` v
* 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: 61 Date: 5 - `-
Approved By: (--
0Date: �"6----
- 6. '/7 /7ifcL (4 ( . 6)/ddk-1.4)
HEAT LOSS CALCULATIONS DEPARTMENT OI? INSPECTION MINNEAPOLIS, MINN.
Weatherstrips �-E' Construction No. -� _ Insulation
GuiWindowsDoors Reference Out.Wall Int.Wall Ceiling Roof Floor Kind How Applied
Yes!-No I Yes No 19_
•
_ FlF1.1.I Room I Length Width Height .� Room I Length Width . Height
Windows and Doors-Crackage and Area Windows and Doors-Crackage and Area
Width 7 Height No.of Linos'ft. Area Width Height No.of Lineal ft. Area
Na of pane of pane lights of crack sp.ft. Na of pane of pane lights of crack sq.ft. ,
// 3 G;e;t% &/.2 -34t(L= 0,lI
// --,..42 7, / / 2 0 d',-3' ,
))) =)4 _ ,-2 I'i 0 /30 •
I '6 6-) .2.„.3 6,D ,Z'.3 Cod. Btu Coef. Btu
Infiltration Infiltration
Glass Glass
Exp.wallExp.wall
Net a:p.with Net exp.wall
Int wall Int,wall
Ceiling Ceiling
Floor _ Floor
Tau.;3.u. Total Btu.
Required sq. ft.ED.R.or sq. ins. WA.Leader area I-. Required sq. ft.ED.R.or sq.ins.WA Leader area
FLI Room I Length Width Height F11 Room I Length Width Height
'Windows 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
Na of pane of pan* lights of crack ae.ft. Na of pane of pane lights of crack sq.ft.
1i ?/.1 4// L1q,-6 3_.l , .
i ,7, _.-).= , 0 �Gt?
if `2 zl..2 7 ?- o -2�ro .
' )/- 4' 7 S"-__S . _S' Cod. Btu Cod. Btu
Iniltration A.7-4..., ,ISInfiltration
Class ;3rJ1 Sc, // Glass
Exp.wall Exp.wall
Net exp.wall / .tf £ ffire- Net exp.wall
Ins wall int wall
Ceiling VS-c- I(b 4r0 Ceiling
Floor - 41f/Lv 5' `-7-L ?3--- Floor
Total Btu. I7 7l q Total Btu.
Repaired sq. ft.E.D.R.or sq. ins.WA Leader area 54 -?7c( Required sq.ft.ED.R.or
sq.ins.WA.Leader area
RI Room I Length Width Height Room I Length Width Height
Windows and Doors-Crackage and Area Windows and Doors-Crackage and Area
Width Height ` Na of I Ltaeat ft Area
111 Midth I :right
I ig at =lei:.
f cal k I Aran
Na o[pan• of pas• Ilihte of crack p.LL no. et Base et true IIgkY e[crack srft
-
II
Cod. Btu I Cod. Btu
Infiltration Infiltration
Glare Glass
Esp.wall Exp.wall
Net exp.wall Net exp.wall
Int wall Int wall
Ce:g Ceiling
Floor Floor
Total Btu. Total Btu.
Required sq. ft.E.D.R.or so.ins.WA.Leader area Required sq.ft.E.D.R.or sq.ins.WA.Leader area
I
�J HOUSE HEATING TEST RECORD (,j4,3
ADDRESS a 91 4�ZcX w�i-L— APT. FLOOR CITY SUBURB °T'S''�
OCCUPANT 60/-4'44- A pi 4 h //s-e-/z-,._ OWNER
HEAT LOSS DATE HTG. INST. ��
SOLD BY M '''-.--- I tE\)D /--:
Electrical Work By Nai"r/"Sa-,1 L"4 , is Ilk 0 aas Line By
TYPE OF HEAT GA FA —HW STEAM _ SPACE HTR. UNIT HTR. OTHER
GAS DESIGN C CONVERSION
MAKE 'IC ,,.f -54.'' MAKE OF BURNER
Model /!/6(Git 075- G/p"/ Model
Serial 1 4'4/h/4/ 95-0/1 Max. BTU Rating
INPUT ,c ej" MAKE OF FURNACE
Model
U CONTROLS i(
THERMOSTAT ,/ Heat Plug .-- S Vent Size
Valve //-4/ KIND OF LINER SIZE NONE 4
Limit y Draft Hood RegulaTor
Limit Setting al7e1 / Filters Size //1'.(' ' k t Number/
Fan Setting //rk Chimney Location Inside ,y' Outside
Pilot Type /len"y 53.Z., Chimney Construction P//
Pilot Make H-i
Pilot Model Smoke Bomb/ Wiring
\
Pilot Timing 1090/c.Y/-� 4-4--� Draft ww Test Tag A_
L.W. Cut Off Door Pressure Lighting Inst.r'-----
Pressure ?-C----- Percent CO2 7 Date Tested 1 a ` C/
Input CFH Percent 02 oCompany Testing �S -/nj�?/ �_
Stack Temp. /6,a Percent CO d Name of Tester ' �1;
Form 235
DATE TIME
CITY OF ORONO CALLED IN 9-s
INSPECTION NOTICE SCHEDULED 5=i P /"•'
PERMIT NO. 962 COMPLETED
ADDRESS ;U' 9 7 JL
OWNER dofru,..-td .9ONTR.
TELEPHONE NO. 97/- 7 7 d
DESCRIPTION
W 01 FOOTING 11 MECHANIsL,_,:I 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINA 19 LAKESHORE/WETLANDS
h
03 INSULATION - e e: :.- R/FIREPLACE 34 TREE REMOVAL
Z 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 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
LIJ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
ct OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
CC
O
CC
O
W
CC
W
W
CC
ORK SATISFACTORY:PROCEED X PROJECT COMPLETE
CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
• ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
E. CITATION ISSUED
CISTOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance.473-7357
Owner/Cont c o le:
Inspector. ('.
White Copyllnspector's Fil Canary Copy/Site Notice