HomeMy WebLinkAbout1997-008917 - mechanical � PERMIT
. CITY OF ORONO PERMIT TYPE: - :-: -.- - -
2750 Kelley Parkway- P.O. Box 66 - =:-==r `' � `.�"
Crystal Bay, Minnesota 55323 Permit Number: `_��.�.�.-��.y�;.�i� � � ��
(612)473-7357 Date Issued: _ _, ..
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHAIVICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
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 cards 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 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 SITE• L � 7� �,V ���, �.�lJ Zip:
Owner's Name: Chc;.r I�eS C�rC� �h�i�!O Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: �C,,,S f�,�' �e�, � Telephone Number: 4 q�— 7� �
Mailing Address: 3 � City: VY��O Zip: ��
i
SYSTEM DESCRIPTION
HEATING SYSTEMS '
Quantity:
Make: �rC,b l����,
Model: C�D�O�U
Fuel: Nc,��c��
Flue Size: � '�
Input BTUs: �b�p�`,
Output BTUs: 4 a,OGc�
CFM:
COOLING SYSTEMS
Quantity:
Make: � r�o ���.
Model: /�C-�U Z�
Tons: �Z
H. Power Z. �
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.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. 2 Bath Exhaust (must be ducted outside) C�', _ 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% of Contract Price* or Minimum Fee ($35.00)
3So� G� X .oi2s $
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
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) $
* 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 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 certifies that all statements made on this application are complete, true
and correct.
Applicant's Signature: Date: �"� !
Approved By: Date: �b ��
' �D��'i 1 ---._.._ _
-. .---___._
,��.---...-------
—W— —L— —H—
12 23 8
EXPOSEU �REA 3z6 STRUCTURE TOTAL
3� 1�. C�i B. 0 �
`�� 3� 1410
i_:��'''i '�
' HEAT LOAp ,22956
— _ PARTITN AREA 0
�A I I NG TEf1P 68 W I NDOWS
/f1IN OUT TE�1P —20 li 3i 3 13i 0 ��
� 80. Bi 3303
CFf1 UENT I L TN 50
DOORS—NONE�
k�GM !? r ('CC."I
�1N(;L1'S1� CEILING
---- 44. Bi 368
J . �i 7(�J
I'I rsD�'�1
------ F L 00 R—
CONQ FLOOR
W� ��— —H— DUCT LOSS e
21 23 g
EXP�SED AREA 503
3� 19. Bi 0. 0 TOTAL LOSS 5423
ti . 3i 2171
���f`�(.�T11�r� i-a�'t�_Fa r� —
i,nrti ..
WINp�JWS
li 3i 3 �2i g
BF�. Bi 3803 —W— —�_ _H_
12 14 8
4i 3i i 2Ji 0
5%• 2� 1573 EXPOSED AREA 188
3� 19. (�i �. B
1� ,'� 2 g� (� 4 . 3� )»
88. 0� 12�1
f'A�T ! f�y Fah��A �
DOOR�—NONE WINQOWS
�i 3i 2 13i 0
CEILI�G g�, 0� 22�2
49 . �i 448
1 . '3i 863
FLOOR— DOORS—NONE
CONp F�OOR CEILING
44. Bi 168
DUCT �OSS i� � . 9i 323
FLOOR—
CO(�p FLO�R
TOTAL L0�SS g891
DUCT LOSS 455
?OTAL LOS�� 3801
. , , . _
. __ HUtTs�_ti tF. i ING TES�f RECORD - — - _ __ ___ .
ADDRESS �"������\ti L/v � v�W�O --- -
�� ' OCCUPANT —APT. FLOOR CITY SUBURB
� ; HEAT LOSS —OWNER
DATE HTG. INST.�''�—�7 A ,�
SOLD BY �'� � INSTALLED BY 'v`U� p�
iElsctrical Work By i � — Gas Lins By___ � Pr , �
TYPE OF HeAT GA FA .�Hw �STEAM _ s�nCE HTR, ,�.___UNIT tiTR, OTIIER .._._.
MAKE W �'��I��l�s�f SIGN CONVERSION '
, Mod.l , (y_` �'� "� Ml,KE CF DURNER _
Seria� Model
(NPUT��n . Cyd(� Max. BTU Rating
___ MAKE OF FURNACE
Model
CONTROLS ��l
� THERMO TAT �7 � '"�
� Heat Plug Vent Size
Valve � i�� ��/� Q � �
� _ Q --- KIND OF LIN�E� SIZE NONE
Limit_.�.�c u Draft Houd 1"/� `�
Regulator --
Limit Setting ��+e Filters �Size ���'•'� � Number �
Fan Setting rd C. L �
f C,himney Location Iaside��( � _Outside
Pilot Type � � V T '��� ✓L� !/C)� Cl�imney Constructio� _.12V«II T
� ' Pilot Make � W�- —
� Ptlor Modol _ S�„oke D���n� _ Wjriny �
P�lor TI���I„9 -- Tesr Tap
i S�L C�-----..._.__— --" pr u 1 r __
L.W. Cut Off Door Prossuro Llyhtiny Inst, l
� Prossuro �� (�Percent CO2 � d Date Tested 7� `"
.�
� Input CFH Percent OZ Coropuny Testing y -� �
Stack Temp. Percent CO �� Name of Tester
Form 235