HomeMy WebLinkAbout1997-009816 - mechanical PERMIT
CITY O� ORONO PERMIT TYPE:
2754�elley Parkway- P.O. Box 66 � � - �
Crystal Bay, Minnesota 55323 Permit Number. a,-�; ;=:
(612)473-7357 Date Issued:
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: - OWNER:
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APPLICANT�PEFMITEE SIGNATURE ISSUED BY:SIGNATURE�
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CITY OF ORONO APPLICATION FOR MECHANICAL PERNIIT
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 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 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 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 sepazate 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 pernut fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: 7� New Addition Repair Replace
'�� Residential Commercial
JOB STTE: >J 3 v L G s c tl %'�„r✓� !1� Zip: _
Owner's Name: (� ;e�-/-r,� C�,. Telephone Number: 5�/�-�3�,�
Mailing Address: City: Zip:
Contractor's Name: M A2 sy �lekf,�,�6� ,4,v� C��J. Telephone Number: 5 3b-v 6��
Mailing Address: L LYB G A-r�ck�A �c n� City: 1;�� : �, " .�;�ip: � 5 -�� �
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: �
Make: (,¢NNa,�
Model: �Z(�-�i3/5l-/oo
Fuel: ,v,�`r'
Flue Size: 2" P�L
Input BTUs: /do�o00
Output BTUs: 9 z�o 0 0
CFM:
COOLING SYSTEMS
Quantity: �
Make: �,e N�o�(
Model: /�S Z y.-yJ/
Tons: 3
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
j���_1-� -L-�.����_ -c;rl %,,�%-:
FUEL STORAGE (MUS 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)
���v�, ✓ � x .0125 $ j/� ��.��
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ �� >>
or $.50, whichever is greater (contract price)
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 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 pemut 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: ��%�`' �, �y������ Date: � Z /�/ /7�
,�.
Approved By: 1 Date: � � ��
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. �30 3 � �,�..� r,� �Y �--�.�
HEAT L�SS CALCUtAT10NS• DEPARTMEM OF BUILDiNGS VIILAGE OF BURNSVIII
Weatherstrips A'S' ' ' Construction No. Insulation
Cuide �
�dows Doors Reference Out.�Yall 1nt.Wal( Ceiling Roof 1•l00� Kinc� How Applie
—�'o I e�— 0 19._...
/ ('�•� a;� ��a Room Length 3 Width 25 Height L Fl.� ' G+�t�o oom Lenqth ZS Width i S Height
Windows and Doors—Crackaae and Arca ' Windows and Doors--�rackage and Area •
\VWth IINRht No.ol Llne•1 (t. Are♦ � Wldth J1�1[ht No.o[ Llnul tl. Aru
of pane o(p�ne IIRhu of er�ck •q. ft. No. of D�n• of D�ne IIRAu �of eraek p.ft.
1 3 I Zo ZI Z I �/z � I 3`f Z 1
1 � � I z� yZ _ � Z .3 %Z / II �
3 �%L S ' I �+ z r 4'/z I 3 S �l S
2 S '�2 � '�Z Coef. Btu Coef. Btu
,iltration Infiltration 8 3 L Z-�O-s�°
lass Glaas �l 3 �{L .30(o(v
cp. wall Exp.wall `�7Z
-t exp.wall Net ezp.wall 3 99 8 9L
t. wall Int.wall
.iling Ceiling �/2 /U L3o
�oor Floor
�t�l Btu. ' ' Total Btu. �3�`�``{
:quircd sq. Et. E.D.R. or sq. ins. W.A. Leader area Required iq. ft. E.D.R. or sq. in�. W.A. Leader area
rl.� Room� Length Width Height Fl,� j,�-p,��, ;"Room I I.�ng�h � �" Width .'=' Height
Windows and Doors—Crackage and Aren Win ows nnd Doors—Crnc{cage and Area
Wldlh llelRht No.of Ltne�i fl. Aro� Wldlh }{�I�ht No.o[ Llne�l It. A�e�
of pane of p•ne II[ht• o[er•ck �a.tt. No. o[pan• ot D•n• ll[ht• o!cr�ek •a.ft.
4 1 %z 3 %L l �fa Z i �'i� S � zS 36
I � 3 '/z /S / ! ��, : / 9 s '
2 � S'lr� 3 3 Y _
2. 3 Z '�• zn ! Z Coef. Btu Coef. Btu
:hltration Z�/9 SZ 96S Infiltration `� 3' O iT
ass ZJ�6 "�- 0 �.7�� Glass `�/ ��'< /�Z Z
xp. wall Ii�o o _ Ezp.wall . �'��
:t czp.wall Sb " �0 0� Nct ezp.wall j` � � ZSSZ
t. wall � Int.wall
iling • 5 v Z t o u Z O Ceiling ZSo 1 O Z�UD
loor
�Z�S �8�� Fleor `� —
�ta� Btu. �/ Sy� Tota� Btu. g�Z-
equired sq. ft. E.D.R. or sq. ins. W.A. Leader area Required :q. Et. E.D.R. or sq. ins. W.A. I.eader area
F�, Room �Length Width Height �,I Room�Length Width Height
Windows and Doors—Crackage and ATea Windows and Doors—Crackage and Area
µldth He1Rht No.oC Llntal fL Area Wldlh Hs1�At No.o( Lln��l ft. Aro•
of D�ns o(p�ne IIRhI. of crack w.ft. No. of Dan• o[D�n• II[hu ot er►ck ■a. It.
i, � j
. { � �' ��lr���
� Coef. Btu : '"'r:�r � Coef. Btu
filtration � Infiltration+ '
;las� Gla�s
�cp.wall Ezp.wa�I
et exp.wall Net exp.wa�l
�t.wall Int.wall
ei�ing • Cei�ing
!oor ' Floor
otal Btu. ' Total Btu.
'equircd sq. (t. E.D.R. or sq. ini. W.A. L,eader area Requi�ed iq. Et. E.D.R. or sq. in:. WA. L.tader area
110USL•' IIGATIttG TL•::,'1 tl�.c.U�cu •
1lDDR�JJ � d.3 �c,p � APT._ rL00R CI?Y SUIIURn_�__
OCCUPANT /�-tv,�r�s '"'u{�a��1�TNER
I(CAT LOSS_ DATL' lI7C. INST. �
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CAS DL•SIGN CONVERSIA:i
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5crial �97-� �,�.3�� T�(ax. IITU Ratin�
INPUT �W OOO Mhf:E OI� FURt�'ACE
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COtiTROLS �
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Tl1ERrt"v:,i.�� licnt P1.uR Vcnt Sizc
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LimiC Scttinp, '��C� Piltcra � Size � ��6 ��� Numbcr
Fnn 5ctting ��� � Chimncy Locntl.on: 'Insidc Qutaidc _
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Pilot J�foJel Smokc Bomb Wirin�_
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i.l;.. CuC Otf Door Prcaaurc Li�htin� Inst.
Prcasurc 3•S��w�P,crccnt COz fo,q`'�o Datc Tcu Ccd �� ���l8 _
Input CFt( �{ Pc:ccnG 0`_ ��o Compnny Tcattnr�,_1�� T���- _
StacL. T�mp._�" PcrccnG C0�linmc of Tca tcX ��• �-
��I�IR � 0 4��3;�
L�i i Y Ut=Vr�'.,Cil`f0 I
DATE �� TIM�
CITY OF ORONO CALLED IN /�- � �,lJ
INSPECTION NO�ICE SCHEDULED / -�7/c�1 .'�3 a
PERMIT N0. fc> coMP�ET� t,.(
,
ADDRESS d � - � �
OWNER CONTR/`"�
TELEPHONE NO. �'rP� UC�� �7
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI � 18 EXCAV/GRADINGlFILLINd
� 02 FRAMING 13 ME tCPCCFf I�AL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
� 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Z 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL Z8 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTHACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� BEFORECOVERING PERMANENT
C7 CORRECT UNSAFE CONDITION WITHIN HOURS. - pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR -� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance.473-7357
OwnerlContr t on ite
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN �Z-3�-��
INSPECTION NOTICE SCHEDULED i� --�� ��``�S
PERMIT NO. ���� COMPLETED
ADDRESS �� �� � C�tLa�.� Pf/PG
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OWNER ,��{-��� � CONTR. �7G� l�� '� t�C� ,-
� S�'G� - oC� �a7
TELEPHONE O.
� DESCRIPTION ��- k�� — � �-�o�zry�`
� 01 FOOTING 11 MECHANICAL 18 EXCAV/GRADING/FILLING
y 02 FRAMING 13 MECHANICAL FINAL 19 LAY�SHOREJWETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/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 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
v
1Q 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVEH FiEMOVAI
v 10 PLUMBIN�FINAL 28 CEDAR SHINGLES 3fi FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: �C-�P �l.a-c•-�.�c.� 9« �� -��-�
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d WORK SATISFACTORY:PROCEED " PROJECT COMPLETE
� ❑ CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. - pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOPORDER POSTED.CALL INSPECTOR -1 CITATION ISSUED
❑ INSPECTION REQU�RED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance.473-7357
OwnerlContractor i :
Inspector.
White Copyllnspector's File Canary Copy/Site Notice