HomeMy WebLinkAbout1998-010316 - htg/ac system PERMIT
C��'1"Y OF ORONO PERMIT TYPE:
y 2750 Kelley Parkway- P.O. Box 66 �°3��,;i�F�fv'z i;r�l._
Crystal Bay, Minnesota 55323 Permit Number: _s i�;:;;�:
(612)473-7357 Date Issued: s j�,r t,�_;�•F�_�
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: — �����-�i i c��t��� — OWNER:
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APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE •'�� �
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CITY OF ORO�O APPLICA'I'ION FOR MECH�ti`ICAL PERtiiTT
Bo� 66 (27�0 Kelley Parkway)
Cr��stal Ba��, ti1I� ��323
GEti"ER.1L I�'FOR�IATION
�. You raay appl� for mechanical permi[s by mail or in person a[ tbe Ciry offices. Applications will be
-evie�ved and a permit will be issued within 2 working days.
^ Perrrut cards wili be sent by return mail after a review is completed. PERMITS .ARE NOT VALID
'�.'tiTIL YOI; RECEIVE A PERMIT. �VORK MUST tiOT BEGIN UNTIL THE PERMIT CARD IS
�OSTED ON THE JOB SITE.
�. `fechanical Desi�ns - Complete calculations, details and specifications are required for each hea[in�,
ven�ila�ion, humidification-dehumidi�ication, and air conditioning inst�illation including heat loss!heat Qain
�alcti?acion, c'.esi�n temperatures, equipment ratings and identification as to rype, manufac[urer and model.
Dzta shall be presented on for7n provided. Identification of and specifications for water heacing equipmen�
<h�ll �lso be provided.
.:. �Vhen Znv ne�t� construction or remodeling is involved, a separate building permi� must be obtaiaed.
�. �,11 �t�ork must be done in accordance wi�h the Lniform Mechanical Code!State Bui'.din� Code
� requirements.
h. �.11 �.�ork must be inspec�ed (rough-in and final). Call 473-i357. 24-hour notice required.
House Heaeing Tesc Record must be submitted before final.
(n�tructi�ns Comole;e all items on this application. Compute the permit fee. Sign and date the cettifcatiea.
;�CO�IPL�TF APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call d73-7357.
Pie,s: c',eck ene: Ne�v x Addition Repair Repiaee
Residential Commercial
�n� ���: 9 35 Edgewood Iiills Rd Iip: __ _
(�«ner's\"a:ne: owen TelephoneNumber: _
�Iailina r�ddress: ewoo s City.: Orono Zip:
C��ntractor'sNaine: �idland Heating TelephoneNumber: 869-3213
�tailina:�ddress: enn ve_ o City: Richfield ZiP; 55423
S1�ST�;�1 DESCRIPTION
HF��TING SYSTEVIS
Quanti�v: 1
�Iake: ennox
�todel: '
I=uel: .
I=1ue Size: �" p��C
Input BTlis: 4�.�00 _
Oumut F3TUs
CF`1:
COOLI:�G SYSTEMS 1
(�nantit���
�t.1�:C: T. nnox _
�Iod�l: HS26-018 —
�rons 1'-s
Ir. Po«er
�
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« O O D �LR��'G E Q UIP?�iF�1T
��Vood stove with flue
`�'ood combination or add-on
F�actory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
«'ood Stove (s) Frailklin, o[her _
E3rar.d \ame I�lodel No.
�1fgr�s '�1in., Clearances, side , rear , min. flue dia.
��E�TIL_�TION
ti��. Kitchen Exhaus[ ducted ___ recirculating cfm
;�'�. 1 �3ath Exhaust (must be ducted outsi�le) cfm
�o. 1 Other Fans: Locations Laundry room_ cfrn
I�L�1=L ST(�RAGE �:�fUST BE APPROVED BY FIRE MARSHAL)
1�s�alla�ion Removal
Fuel oi1: �allons underground inside outside
LP Gas: Qallons
Other _ Gas openinQ
I'ER�1IT FEE C:�LCLZ�ATION
: . 1 .��� of Contract Price* or �Iini►num Fee (�3�.00�
72f��.D0. x .012� $ _ ����� ----
(cvuuact price)
�. S[ate Surchar�.�e. ** Add the State Buildin� Code Division
Surc}l�r�e to each permit. �2��r� x .0005 S 3.60
or S.�0. w}lichever is greater (con�rac� pr�ce>
_ . P��sta�e and ��andlin� (Only mail-in applications) � 1 .�0
TOT.�L PER:�'fIT FEE (Add lines 1-3 above) � �3.-6�0 _
` CO�TR.-�CT PRICE or JOB COST means the accual er estima[ed dollar amount charged tor �he pe;r:;�tec
�xor:� inc!�.idir.� materials, labor, profit, and o�her fixed cos�s. It is the amount to be chareed [o [he
cus��me; 1or che ��ork done. If any material, equipmen[, labo-, or installation are furnished Uy che o�4ner.
;enar,< <�r :ul�� o�her party the reasonable markct vaiue of such i�ems must be added �o �he es�ima�ed :.os�
o� cen��ac: price for permit fee purposes. In the event that there is a dispute on �he a.moun� of[he job cost,
_he C�,«� ma�� reques� the submission oC a signed copy of [he actual con[rac�.
-= i�.e 5;�:\TE SL�RCI�ARGE is .0005 of the contract price under S1,000,000 or S.�O - whic;�•��er i�
=r��a;e: F�r valua[ions o��er 51,000,000 call the Departmen: of Inspection�il Secvices for !he pr;c::.
�lhe undersianed hereby applies to the City for issuance of a Mechanical Permit, a«rees to do
all �,t�;,rk ;n strict accordanee with the ordinances of[he Ciry and the regulations of the �linnesota
S;a:� f3uifd:n« Code, and certifies tliat ali statements made on this application are complete. tn�e
�nd correct.
:�ppl;cant'�Si�nature: Date: 4-23-98
�r��r,���e� I3��: _ _ Date: �CJ � ��-
MIDLAND NEATING
6442 Penn Avenue SouU� • Phone �69-321 3 ' �+' r'
C/�( ,o UJ G L�� �� �� '� c.
ADORESS j • � ��p �� , APT.—_._F OR CITY SUBURB
OCCUPANT —OWNER__T •%'���'0Cw `� S
HEAT LOSS DATE NTG. INST.
SOLO BY _ INSTALLED BY
EI•�+►icol wo.k Br --Go: L��,• Br
TYPE OF HEAT GA FA�HIN STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
A�A`;F __ `� � _MAKE OF BURNER
Mod+l _ ' � � �!- Mod�l
S�riol � � Mox. BTU Rotiny
INPUT �� M MAKE OF FURNACE
Mod.l
CONTROLS � �J n�f C
TNERMOSTAT H�ot PJu9 V�M Si:• f���V
Valv�. "'`j' 1 KINU OF LINER SIZE_ N4NE
Lim�t ._ '"�w t/ �''� Droft Hood R�yularor —�"
�
tlmlt S�Hin9 U Filt�rs Siz• Numb�►
Fon S�tti�y f � "�- ' '" Chimn�y Location Insid� Outsid�
Pilot Ty�» � Chlm��y Construcfion
Pilot AAnk•
Pilot Mod�l Smok� Bomb� Wiriny ��
Pilot Timinq "'� Draft �/ '' T�st Top
L.W, Cut 0{f Dow P��saw� Liyhtiny ��1�- �`
Pr�ssuro� —�_P��c�MCOZ � Dot� T�at�d � ,
Input CFH �' PNc�nt 02 Company T�stiny � G�-� �
Stack T�mp. ��P�rc�n/ CO � NawN of T�st�r � �%'""
For�a 235 �
DATE TIME
CITY OF ORONO CALLED IN � �' �
INSPECTION NOTICE SCHEDULED ��s � �ca c>
PERMIT N0. ��/ 3 �_ COMPLETED
� � �
ADDRESS �� � (r , �1 .%�.�i c�
OWNER CONTR. �'�yyu��.t
TELEPHONE NO. '� 73 '�F��C�
� DESCRIPTION �'����.Q�' �' .� .s.e,T�•� w.�-t,���/,�;,�,�
� 01 FOOTING 11 MECHANICAL RI � 18 EXCAV/GRADIN ILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? PLUMBING Rf ' 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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d�WORK SATISFACTORY:PROCEED _ PROJECT COMPLETE
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� f 1 CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O f! CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
i i CORRECT UNSAFE CONDITION WITHIN HOURS. , pHOTO TAKEN
INSPECTOR WILL RETURN
�1 STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C': INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor n site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME�
CITY OF ORONO CALLED IN �� �-s--yd� /- /�
INSPECTION NOTICE SCHEDULED /c ��7-`�'/ � .'o a
PERMIT NO.� ��r �� COMPLETED � �
ADDRESS .� � c' r� o c c� r�,� / � SC�
OWNER �,�ct> C.�'� � CONTR. �-�-�i�.uco�
TELEPHONE NO. ��--� �' � � � ���
� DESCRIPTION �� � — �
LL 01 FOOTING 11 MECHANICAL RI 18 AV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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d WORK SATISFACTORY:PROCEED C PROJECT COMPLETE
W
� ❑CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERINC, PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR i CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next i pection 24 hours in advance.473-7357
Owner/Cont r on it
Inspector.
White Copy/lnspector's File Canary Copy/Site Notice