HomeMy WebLinkAbout1998-011000 - mechanical PERMIT
CITY OF ORONO PERMIT TYPE: p
2750 Kelley Parkway- P.O. Box 66 S'{P:S_.I"{F•�[!�v i a::�:::�,.
CrystaT Bay, Minnesota 55323 Permit Number: ;.;� ��n;;_S;_'
`(612) 473-7357 Date issued: ` ; .;4 j,.;`Y;;_;
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT'PERMITEE SIGNATURE ISSUED BY:SIGNATUR
CITY OF ORONO APPLICATION FOR MECHANICAL PERNIIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INF'ORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a pernut will be issued within 2 working days.
2. Permit cazds 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 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 X Replace
� Residential Commercial
JOB SI�'E: 1920 Concordia Street Z1p: 55391
Owner's Name: John weist Telephone Number: 471-9017
Mailing Address' 1920 Concordia St Cjty' Orono Zip: 55391
Contractor's Name: Blaine Heating A/C & Elec Telephone Number�l2-757-6200
Mailing Address' 13562 Central Avenue NE City' Anoka Zip• 55304
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: 1
Make: Tempstar _ __ -- — -- ---_ -- ---
,� Model: NTc6o75
'�' Fuel: na gas
� Flue Size: 5"
� Input BTUs: 75,000
��° Output BTUs: 60,000
CFM:
COOLING SYSTEMS
Quantity: 1
Make: Tempstar
Model: CA9024vI�D
Tons: 2
H. Power 2 �
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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.
VENTILATION
No. Kitchen E�aust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
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%o of Contract Price* or Minimum Fee ($3�.00)
$3000 x .0125 $ 37.50
(contract price)
2. State Surchar� ** Add the State Building Code Division
Surcharge to each permit. S30oo x .0005 $ 1.50
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin.� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) g 40.50
* 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 ins:allation aze 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 pernut 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 $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accordance with the ordinances of the City and the regulations of the Minnesota
State Building Code, and certifie that all statements made on this application are complete, true
and correct.
Applicant's Signature: � Date: 9/9/98
Approved By: Date: ��� o�
-�
;����9�;++'�L�
6��, � HEATING HOUSE HEATING TEST RECORD
N AIRCONDITIONING o�T � :3 �99a
AND ELECTRIG.INC.
ADDRESS ��� C�+"hG�r'aC:�a- S�I— APT. F/LOO-R CITY��(�k�F►`'t' ;�;�&ll��$�.��
OCCUPANT OWNER .�s�+�
HEAT LOSS DATE HTG.INST. Z
SOLD BY � INSTALLED BY �cr-aM� 1�j.. � £-I�P<._
Electrical Work By Gas Lina By �" ` " - `�
TYPE OF HEAT GA FA ✓HW EAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE _ �-�mns�s.r MAKE OF BURNER
Model _ —�_��f �� w���.s-�b.�1 Model
Serial � �.3�j�.�"f..,S Max.BTU Rating
INPUT �� ��Cy MAKE OF FURNACE
Model
CONTROLS ��
THERMOSTAT Heat Plug Vant Siza S�
Valve KIND OF LINER g�� NONE
Limit Draft Hood � w-.+t Regulator
LimltSetting Filters Size �f���r� I Number /
Fan Setting Chimnay Location Ins(da �� Outsida
Pilot Type � Chimnay Construction
Pilot Make ��'lti.'
Pilot Model Smoka Bomb W(rfng _/"
Pilot Timing �L> SGG— Draft Test Tag �'�
L.W.Cut Off Door Pressure Lighting Inst. G�
Pressure 3 S Percent CO, (�, , y Data Tasted
Input CFH ��r�� Parcent o, 7- J Company Tasting
Stack Temp. �7�� Percent CO���� Nama of Tester
Form 235
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