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HomeMy WebLinkAbout1986-8673 - mechanical GENERAL PERMIT CITY PERMIT N� 8 6'7 3 CITY OF ORONO P.O. BOX 66 Date � �'`� CRYSTAL BAY, MINNESOTA 55323 (612)473-7357 Owner d ` a` Address `�� �� � / /'�-S1'l • Contractor �.�T�-Y1�a�r/ '�" �- Address i � ! �lJ � ,'I /`� City License No. �'� City REMARKS AND SPECIAL CONDITIONS PERMIT TYPE AND FEE: ❑ NEW ❑ ADDITION ❑ REPAIR ❑ REMODEL Inside Plumbing (#fixtures ) Fee $ Water Well Fee $ Water Meter(Size ) Fee $ Mechanical Equipment Fee $ � Meter# Fireplace/Wood Stove Fee $ Remote# Moving/Lifting Buildings Fee $ Municipal Water Connection Fee $ Land Alteration (Excavation, ❑ Copper ❑ Grading Filling, etc.) Fee $ Design Review Fee $ Municipal Sewer Connection Fee $ Fire Fee $ ❑ PVC ❑ Cast ❑ MWCC SAC Charge Fee $ Sprinkler Sys m (Fire� Fee $ Other: `-1-C -.�Ly�---- Fee $ � �s� On Site Spetic System Fee $ After-the-fact Investigation Fee $ ACKNOWLEDGEMENT TOTAL State Surcharge: Fee $ � �� The undersigned hereb�� acknowledges receipt of this limited permit, ��� (J'Z) including acceptance of all special information, terms, conditions or Total Amount Paid to City Fee $ reywrements written above. The undersigned understands and agrees under penalty of law[ha[this permit is stricdy limited in scope to the work, activiry or improvement specified;that this permit does not grant any authority todo work orac[ivities requiring zparate permitapprovals;and that this permit does notgrant authority to violate any provision ofany City ordinance or State law.rule or regulation.Au work shali be done in strict This permit is not valid until the proper fee is paid and it is approved compliance with all City ordinances, building codes and/or health department regulations,and shall be subject[o inspection,approval or by an authorized City Offieial. rejection by the City. Whenever so ordered,the undersigned agrees to correct any w�ork found ro be in violation of the conditions of this permit. Signature of Applicant Signatur of City Ofticial � � � ,� i� �-��� Codr. Whitc—File Copy Canary Inspector's Copy Pink—Finance Copy Gold—ApplicanPs Receipt � � L� � C� ���� ^_ D _--�-� _ S�, - 8 � ''' ; , , , CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT GENERAL INFORMATION 1 . You may apply for mechanical permits by mail or in person at the City offices. Mailed-in permits are subject to the postage and handling , fees shown below. 2 . Permit cards will be sent by return mail the same day the application is received. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3 . When any new construction or remodeling is inv�lved , a separatP building permit must be obtained. 4 . All work must be done in accordance with State Building Code requirements. 5 . Al l work must be inspected (rough-in and final ). Cal1 473-7357. 24- hour notice required. 6 . 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. WALK-IN PERMITS apply at City Offices, 1335 South Brown Road (Cty. Rd 146) MAIL-IN PERMITS enclose fee - Mail to: P.O. Box 66 , Crystal Bay, MN 55323 ************************ ** *** **************************************** JOB SITE l��O �(;/��� /`��'`'�'(, Owner ' s Name Telephone Number — , �' Mailing Address Contractor ' s Name .. , ' , � Telephone Number ,S�' Mailing Address � ,� � , ****************** ***** ************************************************* MINIMUM FEE ( $25. 00 per project ) *************************************************************************** HEATIN6 SYSTEMS $20. 00 each unit FUEL nat. gas, � lp gas, oil, elect. other (specify if combination burner ) EQIIIP. (if more than 1 unit per bldg. list each separately) NO. TYPE BTUH IMPUT BRAND NAME MODEL N0. � f .a. furnace 3� c , /�r.�� >- - :� hw boiler unit heater solar htg. equipment Solar Equipment $50 . 00 each system Total � c�• � *************************************************************************** � '• '=T� _ AIR CONDITIONING $20. 00 each unit Centra"I Air � Separate Central Air System w/�u�..�«. . � Brand name Model No. Tons Total *************************************************************************** *WOOD BURNING EQUIPMENT No charge Wood stove with flue No charge Wood combination or add-on unit $30. 00 each unit Factory fireplace with flue Factor Fireplace (s ) freestanding built-in Wood Stove (s ) franklin, other Brand Name Mode 1 No. Mfgr ' s Min. , Clearances, side , rear , min. flue dia. Total *************************************************************************** VENTILATION $5. Ot� eacn exhaust fans, (bath, kitchen, attic, etc. ) No. Kitchen Exhaust ducted recirculating cfm No. _ Bath Exhaust (must be ducted outside) cfm No. Other Fans : Locations cfm Total *,************************************************************�************* FUEL STORAGE (must be approved by fire marshal) $20. 00 Permanent $10. 00 Temporary Fuel oil, gallons underground inside outside LP Gas , gallons Other *************************************************************************** SPRINRLER SYSTEMS Minimum $20 . 00 each system Number of Heads No. of Risers $2 . 00 per head *************************************************************************** PERMIT FEE CALCDLATION l. Total of above Installations or Minimum Fee ( $25. 00 ) $ �j��n 2 . State Surcharge. Add the State Building Code Division Surcharge to each permit $ . 50 3 . Postage and Handlinq on all mailed-in applications, $ 1. 50 4 . TOTAL P�RMIT FEE add lines 1-3 above $ � �j, (�-� The undersigned hereby applies to the City of 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 ap�lication are complete, true and correct. � .% Applicant ,,� Date � � * WOOD BURNING STOVES Please note that there is no longer a fee for wood burning stove permits. We do however still require a permit to be issued. If the permit application is mailed in we do require a $1.50 charge for postage and handling. STti�fu�aili1 HEATI�iU & AIR CUi��ITIOidIl�G C�. Sci;VIiJG TH� Ti�IfY CITIES SI;�CE 1930 i�f�AT LUSS Cr�LCULriTIU�! FJR LEPPLN 818£�6 L}: ---------------------------------------------------------------------- i�iAI��� LE��GTri 37 ;iIJT�i 37.5 H�IGHT 8 ----------------------------------------------�----------------------- ;;Ii��u'.i� a UUi1�-:� - CRr�l.i:tlGc A:aD Ai�c% :iIDTH H�IGFfT I;U. LIii rT AR�/� i1U. Pf�;lt Pr��JE LIGr i S CtZNCK SG FT 4 23 7� 1 72 00.7 3 ?3 52 1 �2 :32.1 3 23 76 1 5� �15.6 1 54 �0 JD 33 50 2 32 �u U 37.3 35.6 Cu�FF E;i U 134 R.FT I i�F I LTi:i�7I Ui; .. .. . . . .. .. .. . . .. `L43.3 20 4806 GLASS ... . . . . .. .. . ... . .. . .... . ..... . 234 50 11700 �XP '�i;�LL ....... . .. .. .. . ........ . 134 �JtT EXP bIf�LL..... ... .. .. .. ....... �38 11 9?IE 3tL0'�:� G�;AJE. ..... �U� .. . . . .. .. ....... G 5 U CtlLifdG.... .... .... ..... . .. .... .... . 0 0 p FLUU��. .. ......... .. . . ... .. ... ... . U 0 0 Vt11TIL�TIUf�.. .. .. 0 .. .. ... .... ..... 0 0 '�t TUTALi;TU.. ..... . ... ..... . .... . ... . . . .�. . . .... .. .. . . ...... . 25784 ---------------------------------------------------------------------- ��CO;JD FLUOi� LEIJGTH 37 b�IUTH 37.5 HcIGHT b ---------------------------------------------------------------------- �JI1'�UOL�1S & dUURS - ChNCf:�GE AilD AREA I�lIDTH HEIGNT PdU. LIPJ FT AREA tJO. PAilE �ai�E LIGHTS CRNCY. SQ FT 11 23 52 1 154 1ll.6 3 23 76 1 54 45.6 1 4� £30 DD 36 53.3 COEFF aTU 149 f:.FT Ii�FILTf?ATIU,v .... .. . ... .. . .... 244 20 4880 GL!'iSS ... .. .... .. . . ... . .... .. .. . . . 216.5 50 1UE25 EXP �IAL� .. ...... ...... .... .. .. .. ... 149 iJ�T EXP �1��LL.. ............ . . ... . ... . 975.5 11 10730.5 3ELOt. GRAUE. ..... 0 ... . . . . .. ... . .. . 0 5 U CcILI!'l�... .... ..... . .. .. ... .... ..... 1387.5 11 15202.5 r�UU;�.. . ..... . . . . . .. . .... . .. .... 0 0 0 Vc(JTILATIOi;...... U .. ... .. ...... ... 0 0 0 TCTaL E;TJ.. . .. ..... . . ... . . ... .. .... .... .. .... .... . . ... ... . 41G98 -------------------------------------------------------------------�-- ��1�aIla LEI�iGTH i5 ;•(IUTH 8 HEIGr,T � ---------------------------------------------------------------------�- IJIfJi)0;!S & UUORS - CFZACKAGE A,JG IaREA 11IUTH HEIGiiT fJO. LIN FT AREA iJU. PAi�� PAldt LIGtiTS CNACK S4 FT 1 48 �2 1 18.2 2U.6 4 23 52 1 56 42.7 1 30 �'0 Du 32 40 1 4d 4D 1 16.2 16.2 CU�FF aTU 31 F;.FT I�tt=ILTfl�TIU,t .. ... .. . . . . ... . .. I'L�.4 ZO ?448 �L;�S� . ..... .... .. . . . ... . . ..... ... . 119.5 �U 5975 ,,:' -i�U t4fii�L ♦• • • • • •• • • • • • • • • • • • � �• • • • � • Jl . li�r1LIN.NilU;� .. ... ... .. . . .. . . . 1ZL.� 'LtJ L44ti GL�S� . . . . .. . . . . .. . ... . . .... . . . ... . 119.5 50 5975 EY,P IJALL .. . ... .. . . . . ... . .. ... . ..... 31 �;rT tXP ;1,�LL..... . . .... .... .. . .... . 12�.5 12 1413.5 :.'�LO'.; Gf:AUc. ..... U�... .. .. . . .. . .. . . D � U CEILI�J(�... .. ... .... . . . .. .. .... . ... .. 120 11 1320 FL�O�:. .. .. . .. .... . . . . . ..... .. . . u u 0 'u'�f�TIL��TIUi,.. .... .C1 .. . . . .. . ... . . . . . 0 C 0 T�TE�,L uTU... ... ...... . .. ... .. .. . . ... . ... . . .. .. . . . . . . . . . . . . 11156.5 ---------------------------------------------------------------------- 3�1S��iE(iT L�iIGiH 37 I!IOTN 37.5 Fi�I�HT o ---------------------------------------------------------------------- blIlJ�U��iS t� D"UOi?S - CiZF'tCY:/1(iE N;IU aREA tlIDTH r1EIGtjT fiU. LI(! FT i�REA �lU. P;=1P1E Pi��lt LIGHTS C���CY, SK FT 1 4d 78 1 22.5 3U 1 5� �u ;JU 38 0�1 COE FF 3TU 134 F:.FT IrdFILTRaTI0�1 .. ....... . . . ..... 60.5 20 1210 �LtiS� ... . . .. .. .... ...... .. . . .. ... 9U 50 4500 EXP ;ir1LL .. . .. . . . .... .. . . ... .. .. . ls4 i,�T EXP ;i��LL...... .... . .. . . . . .. ... 446 11 4906 CELO;i Gi:r�UE.... .. �� .. .... . .. ... . ... 530 5 2d�0 CtILIiJG.... ........ ... . . ...... . .. .. . U U 0 FLUOn. ... . . . .... . ... ... . .. .. .. . . .. . 1387.5 3 4162,5 VcfITIL�'�TIUi1.. .... 0 .... ... ......... 0 U 0 TOTNL aTU.. .... .. .. ... . . . .. .... . .. .. . .. . . .. .. . . . . .. . ... .. . 1745�.5 ---------------------------------------------------------------------- EAS�t•i�;�T LtIJGTN 15 �;IUTIi II � tiEIGNT 8 ---------------------------------------------------------------------- IIIt�DUIdS � UUORS - CF:NCKkGE AtdU A�:EA 4lIUTH HEIGNT tJO. LIiJ FT AREH ;j0. PA�JE P�fdE LIGHTS CRaCK SQ rT 1 23 52 1 14 10.7 2 48 52 1 36.3 41.2 1 32 80 D 18.7 17.8 COEFF aTU 31 P..FT IiJFILTRATIOiJ ....... . . . . . .. ... b9 20 1380 GLASS .. ....... . .. .. . .. . ... .... ..... 69.7 50 3435 EXP ;;ALL . ..... . ...... ...... ..... 31 fJET EXP �l,�LL...... . ... .. . .. .... ..... 23.3 11 256.3001 EELO:J GRADE...... 5 .... ....... .... . 155 5 7%5 CCILI�JG.. .... .. .......... .......... . 0 0 0 rL00R.. ......... .. .... .. ........ . 120 3 3ci0 V�iiTILHTIOi�i.. .. .. U .. .. . ..... .. . . .. 0 0 0 TOT��{L 3TU.. ...... .. ...... ...... . .. . ... . ......... . . . . . . .... 6?56.3 TOT�L 8TU Or �1LL F�OOi1S/FLOOi�S...... . . .......... ... . .. . ... . .... ..... . 102353.3 HOUSE HEATING TEST RECORD , �/�L,�-Y��; ADDRESS �E ✓ �+� ���'�''���� APT. F�0(�R CITY ��� yi SUBURB OCCUPANT OWNER . ����%,� � �"d./'' �'`" HEAT LOSS DATE�iTCi:,INST. SOLD BY �����- �'-=% � '��_ = ��-� � INSTALLED BY-���� � � I �� / Eleetrical Work By , Gas Line By '� � ' ��� ''�� �'��—r .,.,_ TYPE OF HEAT GA FA t'�^ HW STEAM SPACE HTR. / UNIT HTR. OTHER � � '' G�S DESIGN CONVERSION MAKE ���r' �'-i"�` MAKE OF BURNER Model 1/ % �' ? " Model $erial � ` � �� Max. BTU Rating INPUT � �����'� MAKE OF FURNACE Model ��-�. CONTROLS �.. i � . THERMO�TJIT� Heat Plug � x' � � Vent Size i Valve '��� KIND OF LINER � ,,.. '�'�SIZE NONE Limit ' � � Drah Hood� � Regularor =�3'"J Limit Se»i.,� Filters $ize � Z��� Number Fan Setting �� %'� "{� Chimney Location Ins� Outside Pilot Type � ''�" Chimney Construction � ���'" Pilot Make `2i-�r'' Pilot Model � $moke Bomb Wiring f� � 1 Pilot Timing ) L' � �� Draft �/'��''�` r� `'' LK Test Tag 'l �-t.i" -,r�� % L.W. Cut Off Door Pressure Lighting Inst. �y /' -�- �r _�- _C' �� _ Pressure � Percent CO2 ry Date Tested • �` ' l ,- J �'`/ �_ � �,, ; �� 7 Input CFH Percent 02 Company Testing $tack Temp. � �E ��� PercenT CO ' J ���t '�- Name of Tester .�-�'"` � l - ! y _----.__ Form 235