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Home My WebLink About1996-007792 (mechanical- heating/ac) __ _ . PERMIT CITY OF ORONO PERMIT TYPE: � 2750 Kelley Parkway- P.O. Box 66 "ic!_�-�r'�f_�I L:��:L Crystal Bay, Minnesota 55323 Permit Number: i_;;�!�,:�::: (612)473-7357 Date Issued: - ,:"7:.;/'�i�,i:-is�:, ' SITE ADDRESS: ��i:�=i �=r�;`��:�� i:�I i�; '_._:�� ' . �: . r� . ;`�ii—;. ;.;—�?:�—:::c�—i:ai_rt:i7 DESCRIPTION: F!.%�f�r;C:i i�;i; 1 �1=P�TIr��.� '=�Y'=��"�t•�'= �=�t•� l . ��_��_; �',:�_i_ ��if��T�.'i=��l_ ��°� }�iH��.�. L_E�I`�I�_,EX ��;+r,CJEE Ht�4:;i3—�.�;��> iWit i�;!�`_��T i��S, i ii:i,::i i j��(='t 1 j` �.��i f,i)t�,,:� f #��i i,,:!_I�v[i 1 j �1_i�`.��,�i�-; �:caf��.�. ��'��_�� I`''�i,lL,;l-,1 i-':•_�%lLjf} t E�3`�I:_= � REMARKS: FEE SUMMARY: Lfs=}E_,l:�;!Tl�i�{ i�.Ft)iit) t- - ��-�-._f., �;_.�. �zr.�,i? , iiii F•Ef-ii� �I`� ___..____.. _.�.�J.��} �=�a!1'L i�'1.�:1'°�3=' __..____._ _�.�;;_:.�.71.:� ��•�..�j ;=t-�;,j �:�°�:v; .ri{.i °_;t�r�t.F_�}.;-��. T 7p.�;' , t_it_# CONTRACTOR: - �;�:,��3 ��t;,;t. - OWNER: f.'"liLlL�.. FIM�f��.t.��a FI�t_ �i�l�i�-i�� a�L:� _.i�i��tii�_It .�i�€i�s�� s�r�;�: 4�,:-:; ;F}`,� �;��h�.F--�� j �.;� t::�'t'=;;::i:i _'T�s �.h��.'�_��wEi�; f'If`� z'j:;:;��, l�i;;;i_Ij�ii�f !`f(�i °��_;�a i :i� _�:i i i:�i '�i '.�.�,I �_�s.:G t.h-�j,`�.) , . :�--�„:._�._�f-� . J.:u . �.—..�,_. _. .. I t'{i' I}Itil.ii�I:�'.�� i �.7I��"',I_j �!f„'_S��?��i�( I-e;i�i;,t�_�?='.-� ,r'_� ��;T{�`��•�+1.�..it'� ��_ l��i�'7�'•"_ ? �ai.� �j�:i--i�_ !i�li_�E��E_�.lt w1�i?=E��I ! �_ _ _ _ .. . ...._ , _ :_.�-��-.f,T C' 3�-I i i-tl�i�_i �E(Et.,_.!'`.-� �i_1 __I_,l � ',� �x;E1_:e'`. t �w _. � r�.,�,i.� _.�..�t fi_.,.:.E r.�. ... �:� . . . .____ _.�, 1 ". I_,'sf— ,� �}: e�`� ( 3 � ;.?il*�E�';i.k �_�(��!��IF-1��L-`=�� (-�(v�s' ti��E-S��'.. _..��'- �'�1'�il`��.�`•��li�f-i ��"�1'=_.�.�?.!'E!.7 M��.61}1: 1;'i.::;'(.!;+i`%�,�*''•��' `� . � _// �l C�t-C�o� V��'Z��'I C..�1-f/� APPLICANT�PERMITEE SIGNATURE ISSUED BY:SIGNATURE �� CITY OF ORONO APPLICATION FOR MECHANICAL PERNIlT 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 retum 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 DesiQns - 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 rype, manufacturer and model. Data shall be presented on form provided. Ideatification of and specifications for water heating equipment shall also be nrovided. 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 fmal). 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 Commercial JOB SITE: ��;3 / C'�-.s c v C��r c-I�. �p� 5�_3��' Owner'sName: S;� ��,e�- TelephoneNumber: y �/- 7�,ss Mailing Address: '�i � / C�s cc C�r'c t-e.. City: /U`v,v�,r r�e Zip: 5�3,��t` Contractor'sName: ,q�c/�s C. �h� • TelephoneNumber: y��i-�� MailingAddress: �l�� t,,�cs-�ct S-�- City: t:..�rc��,c.r Zip: �.�.a.�/ SYSTEM DESCRIPTION HEATING SYSTEMS Quantiry: � iviake: ��,,ne� Model: �-�r�13a � i5� Fuel: N rt T Flue Size: Input BTUs: ��,c�.�, Output BTUs: i 3 So�r CFM: ,�u u COOLING SYSTEMS Quantity: � E Make: L en no 1� Model: ��"�t��° Tons: S H. Power '1,, �� .� 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 N�, 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 l. 1.25% of Contract Price* or Minimum Fee ($35.00) r��L x .0125 $ �J �, � � (contract price) 2. State Surchar�e. ** Add the State Building Code Division O � Surcharge to each permit. �/�G�C� x .0005 $ �� (contract price) or $.50, whichever is greater 3. Posta�e and Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ _�'� � * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pemutted work including materials, labor, profit, and other tixed 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 ail work in strict accordance with the ordinances of the City and the regulations of the Minnesota State Building Code, and certifies tha tements ma o 's application are complete, true and conect. � � Applicant's Signature: - - Date: 6 '/.�' S Approved By: Date: �-�h � �l House Heating Test Record , Address �� i � �C.�,��C� C_ ; i � Apt. Floor City C'\C`.._A� C� Suburb Occu pant Owner Heat Loss Date Htg. Inst. Gas Co. Meter Badge S o I d By i�l �� L�� Installed By i c1✓1 � � Electrical Work By Gas Line By J� �}1 � Type of Heat GA FA v HW Space Htr. Unit Htr. Other��=� '� �'�� Gas Design Conversion ��c�i�0 � � �� 'I � Make of Burner Model Make L�r� ��r �` Model Ti 1�� C � l�C'` ( c� / c Max BTUh rating Serial �� l C_ S ��.�C>� Input ��C 1�� ' � Make of Furnace Model Controls � ��= < < ��;.�+Y�� c''ry`'� -� , � Vent Size Kind of Liner Thermostat "��l?C? Heat Plug t Size None Valve � .'� � 1��> 1hc�T�.imit 1�► , XG 6'� 2 � Draft Hood V�C?h � Regulator 7 � � Limit Setting f�� ` Fan Setting �S � I ZS (.L?F� 11G�� (�.J�1 �� Filters Size x x TVumber Pilot Type rZ c-� c i � Pilot Make t= �� nc.� �C . Chimney Location Inside �-.-- Outside Pilot Model Ni7 l � Pilot Timing " _ � �;��t(��'�=' k��1 y ,(� �{tic�� .c, '�`�` Chimney Construction �� '�` ��J- L.W.Cut off � Smoke Bomb Wring C� Pressure C�`- � Percent CO2 J. � °� Input CFH�°'�0�6 Draft `� u� � Test Tag Door Pressure Percent O�°� Stack Temp '� Percent CO�_°,6 Date Tested L , - Z� %� Company J`�r `' � ' �j� Name of Tester White=Office Canary=InspectorlCity Pink=Jobsite OC.� 3 0 1g95