HomeMy WebLinkAbout1995-007428 - mechanical _ _ ___. _ T - _
PERMIT
� �ITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 -
Crystal Bay, Minnesota 55323 Permit Number:
(612)473-7357 Date Issued: _ _ _
SITE ADDRESS:
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APPLICANT-PERMITEE SIGNATURE ISSUED BY:SIGNATURE. �
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMTT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be
reviewed and a pemut will be issued within 2 working days.
2. Permit cards will be sent by recum 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 Desiens - 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. Ideatification of and specifications for water heating equipment
shall also be provided.
4. VVt:en any r.ew constructi�r. or remodeling is invo�ve�, a separate huilding pernsit must be �bt�ned.
5. All work must be done in accordance with the Uniforrn Mecl-ia�ical Code/Statti Building Code
requirements.
6. All work must be inspected (rough-in and fina]). 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
R idential Commercial
JOB SITE: � Zip:
Owner's Name• �c,� Telephone Number: ��t ��g 3
Mailing Address: City: Zip:
Contractor'sName: � Tele honeNumber: LZ��7
MailingAddress: �� �, City: � Zip: � �
SYSTEM DESCRIPTION
HEATING SYSTEMS l
Quantity: �
t1�laice: J.A�►-►� �C,�L
Model: 0 � �
Fuel: `
Flue Size: �
Input BTUs: vd� Gvi�
Output BTUs: �. �°�
CFM: f��
COOLING SYSTEMS
Quantiry:
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. C�her Fans: Locatiens �.�_ 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 ��'
-� , i�(1 C` . crv x .0125 $ ��
(contract price)
2. State Surchar�e. ** Add the State Building Code Division �'"�
Surcharge to each permit. x .0005 $ �
(contract price)
or $.50, whichever is greater
3. Posta��e and Handlin� (Only mail-in applications) $ 1.u0�
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � �
* CONTRACT PRICE or JvB COST means t;�c a.�niz! or estiMated dollar amount charged for the permitted
work including materials, labor, profit, and other fixed costs. It is the auiount 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.
L� � �� q, �
Applicant's Signature: Date: `��'�9S �,
Approved By: Date: �J' � n� `
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` HfAT [,QSS CALCUL,A'fIONS DEPARTMENT OF 1NSPECTION ]►9�ppp(,js� �,
Weathentrips Guide COOi�iYCt10Q NO. Insulation
Wiadow� 'I Doon Refereau Out.WaU Int.Wall CeJins Roof Floor Kind How Applied
es— o es— 0 19_
Fl.� oom Lea�th o�- Width a ei�ht a-p Fl.� Room L.ength Width Hei�ht
Windows and Doors—Crackage and Area Windows and Doon—Cnckage and Area
Wldth Hd�At No.o! LIA�aI t[. Af�� Wldlb Hd�et No.ot Llnwl tt. Arr
No. ot pan� ot p�n Ilihu ot cr�ck p.tt. Tio. ot p�n� ot p�n� Ilipt� �ot crack p.[t.
4.. � K ��
p �a
.:) 1
Coef. Btu Coef. gtu
1n61tration �(3 � O In6ltration
Glau � a Glaa
Exp.wall o �p.wall
Net e:p.w�►U I� � Net ezp.waU
Int.wall ' G7 2C��o O Int.wall
Ceiling (�fi . ��n( Ceiling.
Floor Floor
Total Btu. _„ Total Btu.
Required sq. h.E.D.R.or sq.ins.WA. L.eader area Required p. h. ED.R.or�q.ins.WA.Leader ana
Fl.� Room L.easth Qlidth Hei�ht Fl.I Room I I.ensdi W�dth Ekiai�t
'Windowa and Doors-�rackaae and Are� �/indows and Doon—Craelu�e and Area
WIdtA HN�bt No.o[ Lte�al tt. Ar�� Wldth H�l�4t� No.ot Lln�al lt. Ana
Na ot pan� ot p�n� Il�hls ot enek �p.tt. No. o[pan� ot pan� L�Ata o[¢r�ek p.!t.
Coef. &u
In6ltration In6ltrataa
Glass Glau
�.w�u e�.,�.0
Net e:p.wall Net e�.wall
Iat.wal) � Int.wall
Ceiling Ceiling
Floor E1oor
Tota!&u. Total&u.
Required sq. ft. E.D.R.or sq.ias.WA L.eader area Required p. ft.E.D.R.or sq.ins.QI.A.L.eader area
Fl. Room �Length Width Hei�ht Fl. Room I Len�th Width Height
Windoun and Doors--Craekase and Area Windows �nd poon—Craeka=e and Area
Wbth H�ItAt No.ot Lle��l tt. Ar�a Idt� HN�ht Na of Lla�al tt. Ar��
� NO. ot pan� o[paa� Il�st� st onek p.It. N0. e[yan� et P��� Il�st� e[er�ek p.t4
Coef. Bcu Cocf. &u
1n61tratioa --�lnfiltsation
��� Glau
Exp.wall Eap.wall
Net acp.wall ` Net e�.wall
Int.wall Int.waU
Ceiling Cei�ing
f loor ,� ,,'�Floor
Total Btu. Total&u.
Required p. ft.E.D.R or�q.ins.WA.LRader aroa ReQuired W. h.E.D.R or�q.ins.WA.Leader area