HomeMy WebLinkAbout1999-012042 - mechanical 7 , PERMIT
�ITI�i OF ORONO PERMIT TYPE:
2750 Ke�ley Parkway - P.O. Box 66 - - - " ::.:r-=:_
Crystal Bay, Minnesota 55323 Permit Number:
(612) 249-4600 Date Issued:
SITE ADDRESS:
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DESCRIPTION:
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REMARKS: I
FEE SUMMARY:
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CONTRACTOR. "" , ';:.�..^ f 7 �,,;6 i E;. -� OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE i
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CITY OF ORONO APPLICATION FOR MECHANICAL 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�ehumidification, 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.
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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 249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Compute the pemut fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600.
Please check one: New Addition Repair �Replace
� Residential Commercial
JOB SITE: �„hl� �L,�,a r�i C'� �,�1-(',- Zip:
Owner's Name: '�t,rn + �,��� FfL u-��cl Telephone Number: :�- ��l
Mailing Address: �'�� �-yu� City: Zip:
Contractor's Name: ��p�{����L� S�s��;�� �,;;; ;����ALETY, lf�C. Telephone Number:
Mailing Address: ��T� �c�,� R�PIDS EOULEVAR�1 � ZiP:
Q N RAPtDS. Mid 65433 �
SYSTEM DESCR�I�N
HEATING SYSTEMS
Quantity: �
Make: � �r,�,l.a� �
Model: u��"i.t,�.l.�V �� � �xv ��`
Fuel: l�w-�� G\w� ` ai- c cr_�
Flue Size: �3
Input BTUs: ��,, .-�� l�-f:�� .l:��-t`_
Output BTUs:
CFM:
COOLING SYSTEMS �
Quantity:
Make: "���,1,1D
Model: 1.1��. E�t��_�3�1�Z.
Tons: �'I�-',
H. Power
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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 Exhaust ducted recirculating cfm
No. Bath E�aust (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% of Contract Price* or Minimum Fee ($35.00)
�.���.t� x .0125 $ � ;� ,,����—
(contract price)
2. State Surchar�e. ** Add the State Building Code Division C,
Surcharge to each permit. ��;�,l� x .0005 $ ,;� ,�b
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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
cu.�tomer for the work d�ne. If any material, equipment, labor, or installation are furnished by thP owner,
tenant or any other party the reasonable mazket 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 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 ents made on thi are complete, true
a�rrect. '
C%ry1 C . c
Applicant s Signatu • ate: I
Approved By: Date: /D • � -°��
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ti ��20 Fairview La
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47,:—?'W 67
By Mi..neyasc�
?ob# Snb Dr�yer
W'thr '_�iir.n�aptslis/St._Paul A"c A''.tJ
Zutze EnC�re Hou�c
U,!L'J'1'L:k llL�l(�N C:UIVllT1�Wi`JS SUivllvli�}t 1)li�ICEN CC)NI?i7TC)N5
+.�utside db: —1: Ueg F Uutside db_ 6 9 D:��
Insi�o +3li' �0 Deg F Inside c�l�� 7 a De�,F
L)esi�,n iZ?• 8 2 i]e�,P Desi�: `iTJ 14 Deg F
DaiiY R�n�e `'�
Rel.Hinu. : 5 0 °ie
C'rta2s►s water �� �
11L;111�i:;:t iM.N]1L,K Y SL;�+(ti1131L C�)c)L1Nt�L(?UlY LU��1"L,LN��
�ld�.Hest�oss '7 4 4 4 6 �itu� Struchue 2�2 5 5 Stuh
�Te�,�slaaor A�r •� CFlvi Veuti.latiou 0 Bt�:h
Vent Adr T.oss � :ttuh Desi-�;u'femp. Swu�;; 3.0 Ue�,;
£ksi�,:�Heat Luad %S'��h �h� Use Mfg.Uata T�
Rate/a`�a,g Ml�lc �•°5
L�F'ILT!RAIIUIv` Tutu1 Scns�c�uip Load 2 3 9 92 F3tuh
M:ettYu�i S i�ap l:i f i ed 1.ATFNT CO�LII�C Ec1UtI'LGAA SiZ.IlVG
Ca�shttdtiutl;�uality, Ave r a q e
Fire{1i�Ces 0 T1IIe[ri�t CYaiS15 920 BYu:1
V�nrilauon 0 Btuh
I��T['�TCT CQOLTNQ Tut7ltration 2"0 9 d �tu.'�
!',sea(sq:�t.j
�5 0 C :5 0 0 Tot I,atesrt Equip Luad 3 6 i� Btu1x
�%ulutue!cr�.tt.) l�0 Q 0 1 E��:r
,'lir Chnzl�t'slF�vur U.'7 0.� Total�t]uip Loac� ?7 610 Btufi
Eq�.l�valeriS C�tv1 �10 12 Q
l�i:A'1'INC�i;'�1l li�'l.LILPd'1'SUlki[�ilah.Y C:UUl..I.I�(�i:�UlYN'al'.N'1'Sll!vL.'vf.(LKY
?4�,ke 1��.�ke
����I Madel
1.Y pc: �1 YP�
�t�ictency?Fi'SPF 0.G G COi/�R1S�EIZ U• '��'
He,rau�,I�iut 0 Btuh Sensibie Caolsng � ���
HeRtiz�g tratpui Cti Fituh �.atetit C'sx�Jsilg 0 Iitah
Heatin�,Te2n�:Rsse 7 Deg K' Tofal Conling � �h'�
Act�ial Hca�ing�au ?35:1. C:i^M Actuat Ccuslu�z.�a��. i 3�1 CFM.
Htr Air F1oti��F�c:or �J.�18 C.FM/Bt�ai� Clg Air Flow Factor 0.0 5 3 �FR�1/f3tuki
Spac�ihe*nast�►t Luad Ser.s HeAr R�tio �7
2r'IAN'sJ:AI.J;?tk�.�d_ RIGHT-.i:Vl _.0.i 4 S,2v ''_:Q i 3
Pi2:ltovi certified hy ACCr�to tneet ail requ�nzccts�f�wuul Fc�im?
D TE TIME
CITY OF ORONO CALLED IN ���6 ��
INSPECTION NOTICE SCHEDULED � /� >> �•�� �
PERMIT NO. I�U�� COMPLETED � �-" ���
ADDRESS �� �
OWNER � �-c' CONTR.� � ..�r�
TELEPHONE NO. \' 13 - � � ����
� DESCRIPTION � uu�...�-ao . � � Cl . .. ycc�,
l� 01 FOOTING �f 11 MECHA L RI 18 EXCAV/GRADING/FILLING
Q02 FRAMING " 3 MECHANICAL FINA 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WAI.L BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 1 BING FINAL � 36 FOUNDATION/REMOVAL
OW R/CONTRACTOR TO MEET YOU: YES_NO
v, COMMENT :
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W��WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W� ❑ CORRECT WORK&PROCEED i ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �, pHOTOTAKEN
INSPECTOR WILL RETURN �
- CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContra tor on site:
Inspector.l� �! �-�'� �-�i-�L�13
White Copyllnspector's File Canary CopylSite Notice