HomeMy WebLinkAbout1993-005449 (mechanical-heating systems) PEI�MIT
CITY OF ORONO L � PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: ����;�j j``���`�"'
Orono, Minnesota 55356-0815 `-;=}�=���
(612) 473-7357 Date Issued: ;;,`: .i_;�;��:_,
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHAIVICAL PERNII'T
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. Pernut cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NO'T 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 a�id specifications for water heating equipment
shall also be provided.
4. When any new construction or remodeling is involved, a se:parate ouilding pemut must oe �btaincu.
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 pernut fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. Ii'you have questions, call 473-7357.
Please check one: New Addition Repair �Replace
Residential Commercial
JOB SITE: �2 � % � C�'.�;r.-�a-���.�-u Ct:� k Zip.
Owner'sName:�,,,'�-� /��L-c- l-'-,,�.�-� TelephoneNumber: �-�� — �G � �___
Mailing Address: �,��� ���,,-,,�,���.�o C��.c City: Zip:
Contractor'sName: .d,zT,��c,:��, �,�--�C���•�-� � TelephoneNumber: �;_�� 7-��i i/
MailingAddress: ;;- i�! - y.� �ct-�C.�z��� 7t.t, City: �`,.:_t.-�.�t�:�� Zip: �tr 5�5�� �_
SYSTEM DESCRIPTION
HEATING SYSTEMS
QIIaIIi:ty: ( /
Make: �- �c-�.a.-��-, _,� _ . .�
-,
Model: � � L�� �� 7, —
Fuel: -- 2i� � � �' � — '
Flue Size:
Input BTUs: lG%Cl,Ci �> �� ��� � � �� -- -
Output BTUs: �`i, �i�'�� ;; c%v �=' �
CFM: �^ _�y°��� �'�, t��1�
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
,
,�aa
5
� �
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 E�iaust ducted recirculating cfm
No. Bath E�aust (must be ducted outside) cfm
No. Qther Fans: Locations cf:n
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)
;� � ��,� , c> �, x 1.25 $ �i�5 , v �%
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. `; t'� C< ; �'� x .00QS $ �� �G�
(contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �f;�� -3 �;
* 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 fumished 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: `��:--�� Date: � — �' ���
A roved B � � � Date: �� ��
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HEAT LOSS CALGULATIONS DEPARTMENT F BUILDINGS �jA1
Weather:t�ip� A.S.H.V. . Construction N Ineulation
Guide
Windows Doo�s ReEerente Out.Wall Int.Wall Ceiling ' Roof Floor Kind How Applied
1'es�o I Yes—No 19_ �
FI.I m Length Width Height FI.� oom L.ength Width Height
Windows an� Doors—Crackage and Area Windaw� and Doors—Crscicage and Area
��'id�h He��ht No.of Ltncal(l. Aret K'Idi� He�in� No.r( Lln��l tt. Are•
No. nf pane o(Dane li[hi• of er�ck �q !t. No. at Dan• ot Dan• Ilint� of craelc �C. Il.
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S�' ao � � z
..0 6�— O � r-D / 3 � J
/ �o ?a- � i � co�E. s�►, / � �- v / /e° co�E. e��
[n6ltration � In6ltratinn �� ��
Glass fz �a�t � �V� 3�
Eup. wall � , �cp. wa�� _
Net �xp. wall Z �� Z Net e:p. wall � � �3
Int. wall Int. waU !� a� ��
Ceil�ng _ 0 Cei�in8 �7j 3 ��-
Floor 7 � Floor ,�.� S^��
Total Btu. Total Btu. 7''�/�'}.
Re uircd s ft. E.D.R. or s ins. W.A. Leader area � ��'��
9 9• 9• RequRed sq. ft. E.D.R. or sq. in�. W.A. Leade� area _
El.� Room� Length Width � Height FI.I Room I Length Width Height
Windows and Doors--Crackage and Area Window� and Doo�s—Crackage and Area �
Wldth Hel�ht No.of Lln�al f�. Ar�a Wldth HN�ht No.of Llne�l It. Are•
Nu. uf pane of D�n• Ilihl� of cr�cic �Q. ft.
No. o(pan• of p�n• U�ht� ot cnck �p fc.
� '2'4 d .� 8- Z 7�1 l�
� � - �' .1'—O �
l�d— � l 3� 3 z � .
-� li�- Z C�D Coef. Bcu / .-p � Coef. cu
In6ltration Inbltration
GI a:a GI a»
F�cp. wall E:p.wall
Net eip. wall Net e:p. wall
Int. wall lnt. wall
leiling Cetling
Floor Floor
Total Btu. �Tota) Btu.
Required sq. ft. E.D.R. or sq. in�. W.A. Leader area Required �q. ft. E.D.R. o� �q. iris. W.A. Leader area
Fl. Room �L.ength Width Height I Fl.� Room I L.enYth Width Height
Windows and �oorr—Cracksge and Area Window� and [)oorf—Cracicage and Are:
Wldth H�I��t No. o! Lln��l (t. Area WICIh H�I�AI No.ot Lln�al [l. Ar�•
No ot D�n• of p�n• Il�ht• of craek �Q. tt. No. of P�n� ot p�n• Ilihl• of cr�ck •p. tt.
/ � � g 'L
�- �' rP �
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Coef. Bcu Coef. Bcu
lnl�ltration In6lttation
Gla�� Glu�
f�p. wall , E�cp.w�ll
Net czp. w�ll Net exp. wall
Int. wall Int. wall
Ce�l�ng Ceiling
F loor Floor
Tot,l B�u. Toc�) Btu.
Required iq. fl� E.D,R, or iq, ini, W,A, Le�der �re� Requlrtd iq� It� E,D,R, et �p, (ni, W.A. Le�der �re�
DATE TIME
CITY OF ORONO CALLED IN �� % ���
INSPECTION NOTICE SCHEDULED - �� �'' "U��
PERMIT NO. _���i COMPLETED �I
ADDRESS � / � GL�-r �
r
OWNER �����,-�cJ CONTR.�� C� '
TELEPHONE N0. ��� ��O ,32
� DESCRIPTION'" ` ' ��
� 01 FOOTING 11 Ck4RW{GAL.gI \ 16 WELL TEST PUMP
Q 02 FRAMING 1 MECHANICAL FINA 18 EXCAV/GRADING/FILLING
� 03 INSULATION 24/25 W ER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Q
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOILOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED r
W PROJECT COMPLETE
� ❑ CORRECT WORK&PROCEED f� ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,` pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
C CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for t ne ins ction 24 hours in advance.473-7357
OwnerlContrac r site:
Inspector.
White Copy/lnspector's File Canary Copy/Site Notice