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Home My WebLink About1984-7357 - central air system GENERAL PERMIT CITYPERMITNO. -_ '735'� � CITY OF ORONO Date 3 -� � —�� P.O.BOX 66 CRYSTAL BAY,MINNESOTA 55323 (612)473-7357 .� � �.�,�� -� �t��y _ Ch�s� ��- Owner Address � �E-�.-'�'�� 4�t�� Address �Vl!)L� �hNA tn.� SS�fd`7 Contractor �J City License No. State License No. RF?MARKS AND SPECIAL CONDITIONS �'!� -�-tj �y4 C �_��/ll�� I � -�- �� i�� C�,v�r-T t��.r C� / - �t .��:, PERMIT TYPE AND FEE: ❑ NEW ❑ ADDITION ❑ REPAIR Inside Plumbing( # fxtures ) Fee $ On Site Septic System Fee $ Water Meter(Size ) Fee $ Water Well Fee $ Meter # a� Mechanical Equipment Fee $ .��• Remote# Mtxnicipal Water Connection Fee $ Moving/Lifting Buildings Fee $ ❑Copper ❑ Land Alteration (Excavation, Fee $ Grading, Filling, etc.) Municipal Sewer Connection Fee $ ❑ PVC ❑ Cast ❑ Other:� ��f�- � �N Fee $ �� MWCC SAC Charge Fee $ After-the-fact Investigation Fee $ ACKNOWLEDGEMENT TOTAL The under�gned hereby acknowledQes receipt of this limited yermit, including acceptence of ell special information, terms, conditions or requirements wHtten above. The �' ��a undersigned understands and a�ees under penalty of law State Surcharge: Fee $ that this permit is strictly limited in scope to the work, �s�, activity or improvement specified; that this permit does �� not grant eny authoritv to do work or activities requiring Total Amount Paid to City Fee $ � seDsrate permit aDProvals; and that this permit does not �^ant authority to violate eny provision of any City ordinance or State law,rule or regulation. All work shall be done in strict compliance with all City ordinances, building codes and/or he�rn deDaztment regulations, �a �neu be This permit is not valid until the proper fee is paid and subiect to inspection, approvel or rejection by the c�ty. it is approved by an authorized City Official. Whenever so ordered, the undersigned agzees to correct any work found to be in violatlon of the conditions of this permit. Signature of Applicant Signature � � f�cial , ��1`(� � �� , Code:White—FIIe Copy Canary—Inspector's Copy Pink—Finance Copy Gold—Applicant's Receipt .��.� ....:. �...r..,n.Y.��-..�-.�.rYi� .. .., wu.�.`.--•�.. . . Cir�Y o� �� APPLICATION FOR ��cha�n��aIl Pe��it GENERAL INFORMATION 1. vou way apply (o+t ■cchanica� peanito by mQIC oa Ln penaon at fhe C.ity a66acee. �lalfed-in penmlte arte aubject io !he po�tage a�d AaedLE�g 6ac♦ ♦tiowM below. t. ae1■il caade wi�l be ♦eni by 1etuln wa<L the eam¢ day the applicat4on <e nece.ived. PEk6f1TS AkE NOT VALID UNTIL YOU RECEIVE A FtRN11 CAQD. WORK 11US7 N07 SEG1N UN7IL 7NE PER�11T CARD IS POSTED ON 7NE JOB SJ7[. S. Whtn any new eonetauction on 1er�od¢Cing ie �nvoLu¢d, a oepanat¢ buiCding p¢4m4L mudl be o6tatncd. I. AL[ wo�M wuet be doee En aceoldanct with Stat¢ Building Code aeQuiatrnenie. p� ' MAR 2 6 I ` !� 5. A�[ wott wu�t bt ie�pected (Rough-in and bi.naCl. Ca[1 173-1351 21-houn nol�ee aequ[rted. . �p4 6. Houec Ne¢ting Te�t Recoad wuet be eubn�itted be6oae 64na1 - •ee attached. 4`�� Y 1' Cowp[etc a!l itewe on thi� a l.ication. Com uie th¢ � ��'� }�� " INSTRUCTIONS pp p penmlt 6e¢, S<gn`'d'r�'Q"`Q$.CY-��eh�i6ication. INCOYVLf7E APPlTCA7JONS WTIL NOT BE VROCfSSfD, i6 yau hav¢ Queet<ona, call 173-1357 (�'ALK- IN PFRMITS App.�y a.t C�,.ty O�b�.ced , 1335 Sau.th Bnowvt Road (c�y. Rd. 14G ) MAIL- TN P�RtitITS Fne�2aae �ee - Ma�.� �a : P. U. Box G6, Cny�S.ta.2 Bay, Mn. 55323 * � s *,► �*��►y*�►��vs**�►�k**��►k��s�r*�►s******+►�v�*�****�*��k**��**��**��a*******s** JOB S ITE � � �GL �� L� �.J�t�/!%�-_ Occupancy 7ypt+ _ 1t�4dteti � � eow■eacial; Othea Owner' s Name � L?jG Telephone Number Mailing Address � �-� � � �� Contractor' s Name RAY N. WELTER HEAT4��G CO. Telephone Number �I,�.J vd�/ 3 �cago ve. o. Mailing Address Minneapolis, fVlN 55407-3592 *********************,r*****t�•2r��8"0q********************************************** MINIMUl1 FEE (520.00 p�r pzo�act) •••..•.••..•.••••••••.••••••••••••••••••.••e••••.••r••••i•r••••••••••••••••�•.•.•r•�••�••••••••.•••*•�••..••••.w••••■�*f••.• HEATING SYSTEMS $15.�Geach unit FUEL ✓nat, gae, lp gae, ail, elect. � ocher (�pecify if combination burner) ��S ��2G� �i�� J(,�� EQUIP. (if tnore than 1 uait per bldg., liet each eeparately) No. Type 8tuh Inpu[ �rand Name Model No. Lf. a, furnace "_�� G//f-J hw boiler ' _ unit heatez solar htg. %��G� _ equipment �SU•U�each syetem Total •��f��1ff1��A��A��r�f��iff��ff��}*f��iff��i�fA��kA�►fffw��ff�tff��lf��rt��f�ff�if�lMlr��t�• A--I�A C —ITIO—NING $1�j.�� each unit 1/ Central Aiz � Separace Central Air Syetem w/furnace / ��} Brand Name %�- Hodel No. / �� Tone � -��=.f.^t�'_ � Total ��. _.�, •��ff�►�f�f��f►��tf��ffi�ff��f��f*fl�fff�f��it��r�tR+f��tifA��fA►• i�k�1�t��f��}�f1�fr��A�A�f�Afif�ff�ff�►fi/rf�Rk4�fi tipoD BL�F�NtNG EQI7IPMENT (attach copy of mfgr'e inatallation speca.) �15.VU each unit Wood stove with flue Fectozy Fireplace(s) freestanding built-in $3�.�� each unit Wood combination or udd-on unit wood Stove(s) _ franklin, other $15.�Q each unit factory fireplace with flue Bzand Name Nodel No. Mfqr'� Min. Cleazances, side , reaz , Min. Flue Dia. Total •��l��f��d��R}��f�►��lfff��te�\��flfff�riiAR��t��/�it�i��fr*►�if��4��Miif��#*f��ff�f*k��1 �T�Ti� - S 5.00 each exhaust fans (bath, kitchen, No. _ Kitchen Exhaust _ ducted _ recirculating __ cfm attic, etc.) No. Bath Exhauet (must be ducted outside) cfm No. _ Other Fans: Locetions _ cfm Total •��t��ff��f��t�fii�f��i��it��f�f�i�plwfif►f�f��if��1t�f��fi�r�I�f��r►►�►��f�f�rff�r�0�0• rT i 520 n^. . (must be approved by fire marshal) _ Fuel Oil, _ qallons _ underground � inside ^ outside Lp Gas, gallona Other, •�•��•��r��r��rr��►�:��r�►�aa�t�r*r+rrrs�.��+��►r�rr*��tr�r��►*i*��r*w��*�tf*►�r�.��:��.,*��t��r• �P SNKi.F$��SmgMS_ c�� Tit_'S'1C1eI1C1�11 �Z�.�U ($20.00 minimum; $100.00 ma:cimum) Number of Heads No. ot Riaoza b� Commercial a��.00 Plan Review Type of System (3 sets of plans required for review) �2.00 per head Total _ •��t��f��f1�r��►��r��t��if�l��ff��i�1��Rf�►�f��A��1��1�fii�i��ff��f��fAt�Rf�t�/��t�r�• Commercial, Industrial t Multi-Family see Fee Schedule PERMIT FEE CALCULATION 1 . Total of above Installations or P�Iinimum Fee (�20. 00) $ ,�Q, � 2. State Sureharge Add tke Siate 8uild<ng Code Dtvieion Suachaage ta ¢ach pean4t � . 50 3. Postage and Handling Un aLG wa�Ctd-in appt�eat<on1, add th¢ po�tage and handCLng 6ee $ 1. �� ,,...—,,—�,?;-,T,�,�-._..-...... add f4nee 1-3 nbove :`!;;>'::`.".''�'�:.`;,'�`i`,!`:, '�i;i:; 4 . TOTAL PERMIT FEE t: ...�.:::.. �.. $::::'::;,':::::`.;.. ::�t�::...:.<::::>:�: he uRd¢a�<gned heae6y applie♦ to the C<ty o6 Ononu 6on leeuance o6 a Meehanicat Penrntt, agrte¢e to do aCC wo2k Ln 6I4LC.L • ccnldance with Lhe oadinancee o6 tht City and Zl�e ntgulafione o6 Lhe Ninneeota S4ate Bu<fding Code. and cenLi64ee that fl etate.�cnie wade oe thie appCicatton a4e ca�fptete, taue and coaaect. , '�� !�� `�` �-.� .___ l�OUSE HEATING TEST RECORD � ADDRESS '� '� APT. FLOOR CITY SUBURB OCCUPANT � ' OWNER HEAT LO55 DATE HC��':ST. � SOLD BY a�-� CC1 INSTALLED BY��'r� 111 ri , Electrical Work By Gas Line By � /� TYPE OF HEAT GA FA � HW STEAM SPACE HTR. UNIT HTR. OTHER MAKE ��/✓��L�✓T- 7 CONVERSION MAKE OF BURNER Model � �" Model $erial d Max. BTU Rating INPUT MAKE OF FURNACE Model " � ONTROLS r� THERMOSTA Heat Plug Vent Size Valve '' KIND OF LINER ' SIZE Z' NONE Limit Draft Hood RegulaTor Limit $etti9�� Filters $ize ' — Nu�r c Fan Settin ��j-rcy Chimney Location Inside Outside Pilot Type Chimney Construction Pilot Make ��L,� , Pilot Model Smoke Bomb Wiring �� Pilot Timing �' Draft �� Test Tag �`"� L.W. Cut Off Door Pressure Lighting Inst. � rl � Pressure Percent CO2 � D Date Tested �' '' � Input CFH �n Percant OZ Company Testing � $tack Temp. T_Percent CO I � Name of Tester Form 235 ! _._,. __ _-� �_ _._�.: . __- . --- - ,�* �� `Q1,p„�!L `�1,.BUILDING AND INSPECTION DIVISION DEPARTMENT OF 'p HEAT LOSS C CULATIONS ROADUBLOOMINGTONMM NNESOTA 55 31�L� SH881 5811 AS. .V. . Weatherstrips G�� Constructioa No. I N S U L AT IO N p�,i� � o�indows Doors Refereace Out.Waq Int.Wall Ceiling Roof Floor Kiad How Applied Yes I Yes 19 g� �ST �•� C v e vz� �` Room L.ength 3 Q Width � Height �' FI.� Room L.eogth Width Height Windows and Doors—Crackage and Area Windows and Doors-�rackage and Area �Vldth Halght No.ot Llneal[t. Area Wldth Het�At No.o� Llneal tt. ArN No. o!pane o[Dane light• ot crack �p. tt. No. o[pan• o[pan• 11�6b oL crack p.tt. �� ' �`'� -� 1 � 10.�-_ 3 - -� ;=� n " \`-!.7 `'1 �- �` � � �- '� � 1 0 - 0 \3 � -7,� CoeE. Btu Coef. Btu Infiltration 1 �1 �. ��1 Q J-1,� Inhltrati�n ciass �� 8 � l ' c,��,. F.xp. wall Exp.wall s Net exp. wall I�let esp.wall Int. wall Int.wall Cciling Ceiling i Floor Floor j• Total Btu. 1'otal Bta h Requiced sq. ft. E.D.R.or sq. ina. W.A. Leader area Required=q. ft.E.D.R.or aq.ina.W.A.Leader area �S. �.� v e�c Y+t l Room� Length 3a Width �6 Hcight �' Fl.I Room�Leagth Width Height ! Windaws and E3oa�rs--Crackage and Area Windovv� and Dborz—Crackage and Atea j WIdt9 Hel�ht No.o[ Lfneal ft. Aros Wldth Hsl�6t No.o! Llneal ft. Ara� � Ne. of paed o[v�ne tt�hu ot arack �.ft. tda o[Dan� ot paM Itshb ot crack w,tt. ! i 3� oo eq�3 a� , - � , �-g - � L�oo l�,� i 7,e , . � i - Coef. Btu Coef. � Infiltratian 5 7 1 7 (q (� � In6ltration i Glass 5<o � C� 8 Glau �cF•�ai�3 o x a 6 x 3 o x a� ��1 T g9`Ln ' Fzp.wa� � Net exp.wall 7/o�L g Net ezp.wall ' Int.wall Iat.wall � ��R� \ � 0 a Ceiling Floor 30 ,� �(.� �8a 5 C�O Floor Total Btu. Total Btu. ReQ�aired sq. ft. E.�.R. or aq. ins.W.Am L.eader area Requirecl:q. ft.E.D.R. esr aq. iae.WA.L.eader area �r '�• 0 u �k2't�11 Roc�n �Len�ch 3 D Width (� Height �' Fl,� Room I(,ength Width Height 4�Jir.dows and Doora—Crackage and Area Windorw and Doors—Crackage snd Ana Rlldth Hel¢ht No.ot Lineal tt. Area WI@t� Het�pt No.o[ Lln�al tt. Ar�� 2�0. of pane o[D�ne IISAb ot crack �Q.ft. NO. ot ptes� ot D►nt IIiAt� o[crack W•tt• �`� c"- �" o ` �,S � e�� r� � �� , � �.�t a o � � .� C�ef. Btu � Coef. Bcn lnfiitration � � � 5 p Infiltration Clasa � (� �g 3 a� Glas: Exp.wall 3� r" � Y3� rv o r� h' ?�9(o Exp.wall Net exp.waU g�� (c�� Net ezp.wal! Int.wall Int.wall Ceiling �p X �;p . 7�'� (� Q Ceiling Floor Floor Total Btu. Total&u. Required sq. ft. E.D.R. or sq. ins. WA.L.eader area Required�q. ft. E.D.R.or sq. in�WA l.eade�area I - � -•- �o�C' �R L t�Z +�.�' L o s S 5 C9 � -]�7 8