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HomeMy WebLinkAbout1996-007980 - mechanical � PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Permit Number. - Crystal Bay> Minnesota 55323 -�°�-�•'�-��=�`�-F (612)473-7357 Date Issued: '_ . ._ _. .. i_�'=�i'_:`i. i'-��.:: - -- _--_..__——-- -- ------ SITE ADDRES�: -: .;::::., :-;�:�. - _:�-: :.: ::. •:. _..; �,.:�. : .� : :i;._ ,_.... _. _ _.. _... , : .,., , _; . _. : :_... ; , :_.. �:: __ - , __ __-- - — -- _ _ __ __ --------- — —---- ---- DESCRIPTION: � ,�__ . _ r_:, W tr F� I [,�; •_:, ; ,.�� . ..- ._. i .E . : ._ :::�.. � :'_; -. . ijfl}�� � - _ _ . . . �'� -' - RElVIARKS. FEE SUMMARY: '�HZ t if���=_ft`� ��. � f�r'� ���.t�� ��� �:=��; . i�i? t=i��j�,_ T�.� __�—____ �.�.L�`t,�l --� �_�U't`C i-i•�t t'�°•= _ �'s..���: ��=�L•ti.L {'!�_ �_�i . ��::� '��l.d1�,{.��t.ti 1 -------�^!� . %� I CONTRACTOR: _ �;�,�,� ; ;.�;E�. _ OWNER: =�Tr-�i�if.-a�=��;G �-i i u �; �j�L� i�:;�� � _.��.��+���+�� r�:�{jTi-i��t ;w,��3I� �.1�_, I s���::� '::T �� ::�.,=,� c:�;`i`:�T F���L. �'L ��i t��i�l�Hi='��i_I°�: t•1�� ���.x��,� ��il��_���)�i i•��i �;�:�;_;:� i:r.i ���y r z��t—;�F:�:,r�, t(.;'1 —;t=a;'�. TH� �_����t:+#=t:'T�I;;t`,l�y} �-;;��'��.Y` �;'.t�i;;i 1�:=�'�'= �`���+�3''�;'.�;i�';t.� �'i=► tit i���:� !�-I�� �°�:��.. i i�;;4'i<�}�ft��;�i•�c1�;�- - �z:i 7i- 3 i 3 r.Fv-y -, � `�-E�:= ��t-t 1'tl�t ''I f �:;1i�! t'.' '•(' -; i�Li�f 4r' ` .f ii''�'� � i:t:� ? 'i �-: i�t! I i:1-:�'�:' !';;� -���'".... :J. �_ . . 'L_ i-�L_�._.---' . _ h��_.,_ _.3"!.�. _. y _. : i ��_. i s`__ f-i�. -4• . � _ . . ... f l�+;i�4j�di_i I i�'+'�i i i`�1��w�i�'•�� �i�i�.J ��!i=?I i= i_�}' 1 i 1.i�!'�!�'._�i_E�'-� +.�.�t i 1�u.1 i jtil;.� �.j_�U� ��{yFi i i�`.���'i(rl a!`•� I � J c ' /�/1� 1��cc.�, APPLICANUPERMITEE StGNATURE ISSUED BY:SIGNATURE � . �, CITY OF ORONO APPLICATION FOR MECHANICAL PERMTT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 � GENERAL INFORMATION �.'n r� �'995 1. You may apply for mechanical pemuts by mail or in person at the City offices. Appl�a�ons will be reviewed and a permit will be issued within 2 workuig days. 2. Pernut 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 Designs - 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. 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 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 � Replace Residential Commercial JOB STI'E• � � � , Zip: ;t,^�, � - Owner's Name• � , - i Telephone Number: �, � , - �c � '� Mailing Address: � ti � ,;%� r' City: ,y;_.� Zip: _ , s;t� Contractor'sName: TelephoneNumber: MailingAddress• ' - �°',�aiRco�;CITIDNINGC6, Clty: Zip: '�,MN 55408-2398 SYSTEM DESCRIPTION ' �"`r� HEATING SYSTEMS Quantity: ' Make: t'. � Model: �'� � Fuel: � _�� Flue Size: ;`` Input BTUs: � % Output BTUs: - CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: 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. Total VENTILATION No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. ` Other Fans: Locations cfin 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%o of Contract Price* or 1Vlinimum Fee ($35.00) J�/� ;� �. x .0125 $ ,, , (contract price) 2. State Surchar�e. ** Add the State Building Code Division Surchai•ge to each permit. ��) � c � x .0005 $ , �'; (contract price) or $.50, whichever is greater 3. Posta�e and Handlin� (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 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 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 $1,000,000 call the Department of Inspectional Services for the price. The undersigned hereby applies to the Ciry for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the Minnesota State Building Code, and cert�es th�t all statements made on this application are complete, true and correct. � Applicant'sSignature:. � � C� Date: � r. ,� ; 1 Approved By: � - Date: 410 W. LAKE ST. 1072 PAYNE AVE. MINNEAPOLIS, MN 55408-2998 ST. PAUL, MIV��101-3892 612/824-2656 HEATING AND AIR CONDITIONING C0. 612/772-2449 'c$ervinQ The Twin Cifits Since l930" ORSAT TEST RECORD ADDRESS �,.��/8.�" �- ;� t� � �a l ,f-�i CITY ��, r J ��a� � � OCCUPANT .:.�-���-� OWNER ✓��c �1i p,e. .t�, DATE HTG. INST. ;'C/- 3 1'-cy5-- INSTALLED BY� �� y�r/��t.�_��,�e� f�i�_ GAS LINE BY �_�ry� TYPE OF HEAT: GA FA�_HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE � MAKE OF BURNER M OD E L � ,� aG ' l.s'"2 G " � �� MO D E L ,-�--� ` SERIAL �j��i �i�S',�- � ��— MAX. BTU RATING�.---'"`�f� � � � I NPUT c�s`�%r;�+�� MAKE OF F�}RNACE —� � — CONTROLS M� THERMOSTAT '`�-�G�� HEAT PLUG ir,� VENT SIZE �% ( VALUE �% �L KIND OF LINER �} �v� SIZE/; NONE LIMIT��,-��� DRAFT HOOD j �::�. ,� RE�ULATOR�UJ/�� LIMIT SETTING ;�' �� CHIMNEY CONSTRUCTION - r i'r' �G- FAN SETTING �;+���J DRAFT '(� a � TEST TA(',�-��'t �j-� q ��J�,_7� � LIGHTING INST. ;)� /�'j�,}�� V��/� PILOT TYPE �-�p S ���,,�� � PILOT M,AKE �- PILOT MODEL — PILOT TIMING l�t, � ,��..� ¢ PRESSURE ��` i �^ '� PERCENT CO2_ l�� DATE TESTED��C�'- � ���'� INPUT CFH �� � PERCENT 02 �. � �� ji % STACK TEMP.�S�2 PERCENT r0 � NAME OF TESTER �-�� � -