HomeMy WebLinkAbout1999-011547 � � _
PER I
C�TY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �
Crystal Bay, Minnesota 55323 Permit Number: I
;512) 473-7357 Date Issued: _ _
SITE ADDRESS: 7 s
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: - r��=���i i �_._�:��. - WNER:
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APPLICANT/PERMITEE SIGNATURE I SUED BY:SIGNATURE /i���
� � .�/8'�.z..o � l�y`!�l
� CITY OF ORONO APP'LI TION FOR MECHANICAL PERMTr
Box 66 (2750 Kelley Parkway) � � '
Crystal Bay, MN 55323
; yV.� � J � `,J
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in erson at the City offices:�t�p�Iicattoas�c�ill be
reviewed and a permit will be issued within 2 workin days. .
2. Permit cazds will be sent by return mail after a revie is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST OT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Designs - Complete calculations, details d specifications are required for each hea[ing, .
ventilation, humidification-dehumidification, and air eond' ioning installation including heat loss/heat gain
calcularion, design temperatures, equipment ratings and id ntification as to type, manufacturer and model.
Data shall be presented on form provided. Identification f and specifications for water heating equipment
shall also be provided.
4. When any new construction or remodeling is involved, a sepazate building permit must be obtained.
� 5. All work must be done in accordance with the iform Mechanical Code/State Building Code
requirements.
6. All work must be inspected (rough-in and final). �Call 49-4600. 24-hour notice required.
7. House Heating Test Record must be submitted before nal.
Instructions Complete all items on this application. Comput the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSE . If you have questions, call 249-4600.
Please check one: x New Addition Repair Replace
,�3��' _�G Residential Commerci
JOB SITE: Zip:
Owner's Name: kp,��, �,�ra.�.P� � �i d�. elephone Number:
Mailing Address• City: Zip:
Contractor's Name: �,.,,.p � ,it.F, Telephone Number: �,�z- ti z�- ����
Mailing Address: -�r ,� �l fi- i.-r City: f��d o�.P� Zip: ss;v y
SYSTEM DESCRIPTION '
HEATING SYSTEMS
Quantity: i
Make: L-p�,�, ��.
Model: �'�.�r�r�,3�Y-,��
Fuel: �u�- ��. s ,
Flue Size: �"p�c.
Input BTUs: 1 vo,vv�
,
_ Output BTUs: �3��,,�� '
' CFM: 1bv�
COOLING SYSTEMS
Quantity:
Make: �.e 4,,,,,,,n�
Model: fd S 2�-o Lr r�
Tons: �j
H. Power
_ �
WOOD BURNING EOUIPMENT 'I
Wood stove with flue
Wood combination or add-on ,
Factory fireplace with flue '
Factory Fireplace (s) Freestan ing Masonry
Wood Stove (s) ` F anklin, other
Brand Name ' Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
VENTILATION
No. _j_ Kitchen Exhaust _� du�ted recirculating cfm
No. �_ Bath Exhaust (must be ducted utside) {�_ cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY' F MARSHAL)
Installation Removal
Fuel oil: gallons i un erground inside outside
LP Gas: gallons ,
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum ee 35.00
y�o '�= x .0125 $
(contra t pri e)
2. State Surchar�e. ** Add the State Buildi�g de Division
Surcharge to each permit. ' x .0005 $
or $.50, whichever is greater (contract pri e)
3. Postage and Handlin� (Only mail-in ap'plic tions) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 ab ve) $
* CONTRACT PRICE or JOB COST means the actu�l or stimated dollar amount charged for the pernutted
work including materials, labor, profit, and other fi ed costs. It is the amount to be charged to the
customer for the work done. If any material, equipmen , labor, or installation are furnished by the owner,
tenant or any other party the reasonable mazket value f such items must be added to the estimated cost
or contract price for pemut fee purposes. In the event at 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 $1,000,000 call the De ment of Inspectional Services for the price.
The undersigned hereby applies to the City for issu nce of a Mechanical Permit, agrees to clo
all work in strict accordance with the ordinances of th City and the regulations of the Minnesota
� State Building Code, and certifies that all statements ade on this application are complete, true
and correct.
Applicant's Signature: � Date: S/3/9%
Approved By: � ' Date: v�a
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HEAT LOSS CALCULATIONS ��� J 7 S ��, , J ,��, �� �r���,,/r�
Weatherstrips A'S' • Con�truction No. Insulation
Guide
W'indow� I Doors Refercnce Out. Wall Int.Wall Ceiling Roof Floor Kind How Applied
Y�s—No Y��—No 19_ �
Fl.�o(�f��o/y}b;i� Room Length � Width Height 6 F.� �;� ,�} Room L.ength Width Z Height ' "
Windows and Doors—Crackage and Area 'indow� and Doors---Lracicage and Area
\v��th He�Rht No. of Llnul [t. /ret � � I ^ I � �i'I�t� Heliht No.ot Llneal([ Are•
�o of pane ot Dane Il�hta o(Crack ■q. Ct. �� Nc. o(pan• of pane IlRhta o([r�ck �7. (t.
� Z Z �� y Z �
v I � ��� G 6 L 3 aa
� y z I � I S'' �P � ��
s3° � co�f. sc� Z Z� ! ��� �i, ,z co�f. Bcu
Ir.�iltratio❑ (� �S Z —
0 Infii ratien � s 'S
Glass Z.B Glas ZZ Z$ /
Exp. wail / Exp. wall /�U� 0
Net ezp. wall �� Net sp. wail � p Z
Int. wall I Int. +all
��riLng i
�' _ Ce��i`5
F!,�� - � - —
� ' F!��
Total 6tu. � � �� —1 o:a Btc. (o Z t�3
Rr.quired sq. ft. E.D.R. or s q. ins. W.A. Leader arca I� � Rcy ire d sq. f,. E.D.R. or sq. ir.e. ��'.A. Leaa'er area I
J F1•i`jf�v,l�Qo„�f,`.Room� Length �p V4'idth �U Neight p'/—•: " ` c� ; - Room I l.en th Width Nei ht �
Windows and Doort--Crackage and Arca � 'I �'-- �� � J` � �° ��' �'
I �Lindows and Doors—Crackage and �Aroa
WIAth Htl�ht No.o[ Lineal Ct. Are>
:`n. of pane oC D��• Il�ht• o[tr�ck �C� Ct. R'Id:h }ielkh[ No.o( Ltnnsl (t. Are+
V 8 I -'�'�' o[Ganw of par.e Ce�h:• o[trac4 e�. 't.
Z� 3 3z � z� L z a o a�s � �'��
g � �3�
L I i zy �/° 2` 3`' L z aa o ��,...�
S� 1ti � 3� 53
Coef. Btu � ZE{ ! �.g � �� Ceef. Bcu
��h�tTation -"--
�S 7 Infiit a„cr. Z � �' L Bc�
Glass � 7-1�3 0(� Glas ��� ! g
Ezp.wall y � „ - —
Z F�cp. -•�=,.� r �
itie! ezp. wall Z S I D � Net c-.- -- - � L5
:i,
Int. wall It:t. r(� .----
Ceiling Ceiii �.• --- � 6 L I S Z
Floor � S I� II F;�� �
7ota1 Btu. a S Tota! �;u. �� .7y
Required sq. ft. E.D.R. or iq. ine. W.A. Leader area : �I ReG�: :�d so t. ED.R. or s 'ns. W.A. l.eader aren
q. :
( �1- �P�, Room �Length Width / Hei�ht zv' � -- Fi.� P -- u��(g��I Length p?v Gidth /� }-€ciqht 9�-
`�'indows and Boors—Crac�cage and Area II ��'-n���s and Goors---Crac4a ge and :�rea
Q'I d l h H�I=ht j�1o. oC Llneal ft. Ar�a i R^,,::�� Het�nt No.ut Llnesl !t. Are�
No. of pans of pane tl[hu ot crack ■q. tt. i tio. of par�el o[pana Il�ht� o!crack ■4. tt_
� � v I � Z L Z 4. Z-- '-1�� y o
G � � Z 2— Z— ? /
Coef. Btu CoeF. Btu
InfilUation L S � �nfiltr tion (� �
Glass � � Class /s �
g Z6 L�l
Esp. wall `-�0� O �.zp. all p� 27�
Net tap. wall -j 1Vet e p. wall y�
Int. wall Int. all L --
Ce�l�ng z Cei�ir.
i�lour Fioor 6 J Z 7Lo
ay� v�
T�c3! Bt�. �ZZ_ Tot�l B�u.
R��ac;�red �q. ft. E.D.R. or aq. ins. W.A. L,eac�er ares ` P,.-�vir••� .�a. (t. E.D.R. or sq. ins. CL'.A. l�i�.�r ir-� � ^
ti�aT Loss cALcv�anoNs
Weatherstrips A'S' • Conatruction No. Insulation
Guide
Windows Doors Reference Out.Wail Int.Wall Ceiling Ro f F1oor Kind How Applied
Y�s—No ( Y�s—No 19_ �
FI•� _Pd Room Length �. Width 5 Heiqht 9� I.� Room L.enqth Width Height
Windows and Doors—Crackage and Area Windows and Doors--Cracicage and Area
���dth He�6�c No. o( Lln�al ft. Aret R'Idth Hel�ht No.o[ Llnaal [t Are•
'�o. of pane o(nane Il�hta of cr�ck •Q. ft. No. of pan• o(Dans IIR�t■ o[erack ■a.[c.
�- 'L. 2 Z < <-I�
/ Z. Z 2.. a I
Z 3 e z. a �2 u
Co�f. Bc� i Co�f. Bcu
Inhltration 8 7 � � �
Inn'traticn
Glass Z�
GI ss
E�cp. wall lp(�� Ex . wal�
Net exp. wall 2. �1!9 Ne eap. wall
Fnt. wall
Int. •�all
<_�iling � 7i Lc7 Ce� in3
F[��� - o v� �
i Flc r
To:,�l 6cu. 7 �I �To� ; B:c. �
Required sq. Ft. E.D.R. or sq. ins. W.A. Leader area jl T Rr uired sq. ft. E.7.R. or sq. ir.s. W.A. Leader ar-a
�•i t�vt.r.�.,� Room� Length (, V4'idth Z� Neight � w !i � i
� Room I Length Width He:fihc
Windows and �oors—Crackage and Area '
w�a�n x.isnc No.,t Lineal ft. Are• i 'indows and L�oors---Cracicage and Arca
vo. o(pane al Dan• If�ht• of erack p.[L � �Q R'Id:h Hetrht Nn.o( Ltneal (t. Area
�Z � I /y) �� � ?•'^. ot D��• ! o[van• I:Shc� ot crnck ea !t.
0 0 „'
Z 3 Z � z y�� yo �fi�`-
� I �
�
Coef. Bcu � -. Ceef. cu
InnJttation � O � InEi rz,:cr, I
�asa +� 2_�� C,�a s
Ezp. wall L� ��` �P ^ �� . —.
i`+et ezp. wall 2 5 �3(�t� ( Not - - --:i.
1nt. wall � -l- ------
Z 9 I Ic,c. �;��i
Cetling Ce�ii :u —
Floor � (0 7Z I Fioo
TotalBtu. i Tota �;u.
Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area � Req� :;►d s.� t. Ei�.R. oz s ns. W.A. Leader area
q. i
F1� Room Lenqth Width Heiaht ¢ � �j, F,ovm I Length uidth Heiqht
`�'indows and Boors—Craelcage and Area I �;ndows a;,d Goorr—Crackage and Area
Wld[h H�I�ht No.o( Llneal [t. Arta '
No. of p�n• ot pan• �11[ht• ot crack •7.tt. i R'::::� Hrteht No.ot Unesl tt. Are►
No. of�tr,e of pana Ilant� ot craek �Q.tt.
Coef. Bcu CoeF. Btu
1n61tration Infilt ation
Glass Glass
Exp. wall �xp. all
Nrt ezp. wall Net e p. wall
Int. waI! Int. a1!
Ce��ing
Ceili g
�,OOf Flcor
Total Btu. Total Btu.
Rryuired sq. ft. E.D.R. or sq. ios. W.A. L.,�au�er area �ie�u re�! s��, ft. E.D.r'2, or eq. ins. CG'.A. (,ead�.r ir<a
TE TI E
CITY OF ORONO CALLED IN ���9�9�
INSPECTIONy TICE ..�J SCHEDULED �i �- s '
PERMIT NO. / �S / COMPLETED �L�- " '
ADDRESS � �
OWNER CONTR
TELEPHONE NO. '� -
� DESCRIPTION " � �.�� -' r`
t� 01 FOOTING 11 MECHANI 18 EXCAV/GR DING/ ILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOR /WET NDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REM VAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPE�TION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 OEMO-SITE 27 SEPTIC MAINT. 21 COMPLAIN
J 07 DEMO-FINAL 15 SEPTiC INSTALL. 22 FOLLOW-U
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER RE I OVAL
J 10 PLUMBING FINAL 36 FOUNDATI N/RE OVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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�ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑ ORRECT WORK&PROCEED C ISSUE CERTIFICATE O OCC PANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORA Y
V BEFORECOVERING PERMANE T
❑CORRECT UNSAFE CONDITION WITHIN HOURS. L-_ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cal1 for the next inspection 24 hours in advance.473-7 57
OwnerlContract n site:
Inspector. ��2-
White Copyllnspector's File Canary CopylSite Notic I I
DATE TI E
CITY OF ORONO CALLED IN � � � 3' �
INSPECTION NOTICE SCHEDULED � -�1 �
PERMIT NO. b 11 S�-1 COMPLETED I
ADDRESS 43 S l� S�'
OWNER CONTR. l�a� '�-
TELEPHONE NO. 4�-�' ati � '
� DESCRIPTION I'
ly� 01 FOOTING 18 EXCAV/GRA ING/ ILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE ET NDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMO AL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPE ION
Q OS 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
Q
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REM VAL
J 10 PLUMBING FINA� 36 FOUNOATION/REM VAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMM NTS: �
a � S�6v1�2 : a �t�� 1-�.
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� �,yVORK SAT�SFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF CCU ANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORAR
V BEFORECOVERING PERMANEN
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WIIL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473�73�7
Owner/Contractor on site: �" S
Inspector. ��"L �'S
White Copyllnspector's File Canary CopylSite Notice