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HomeMy WebLinkAbout1997-008809 - mechanical � . � PERMIT CITY OF ORONO PERMIT TYPE: ?750 Kelley Parkway- P.O. Box 66 - " � " Permit Number. -`- `-'''''`=;� ''-'`. Crystal Bay, Minnesota 55323 - - �� - - (61�) 473-7357 Date Issued: SITE ADDRESS: `--- � � F. ; ;:u , -. : -: _ - - - - .:_,_ . . �. ... ..:. , , , ., : . � �_.; ;-.. ; :;:, . � � � .:. . ..�:.:i M DESCRIPTION: a _ � _. . .. ._ .. � : : :.:w�_;T�.:� - ,� � : ,. :... 'E,�'�j _• =1°_� :_;i;�? ^ _ . . ._ _ . _.. ._ :�I_��.'�__ i , ) y�-�— f_:t_J _ _ 1_�I,"'' � G . . {7._:i 1 ;,kyi'`t:'• 1 �S_J:_1� •.7t.•�i„; REMARKS: FEE SUMMARY: ,;`z;: ;f,i r F—,;,s �,f ¢ �;.�:�fY' . ._.._ �_`= ,:.'';�' !'•If-?!?.._ . . ______.__ ��.c�:s:i �;E{l+'�i-�;.�}�:-i::a �—___.._ ...____ �* _ .i_�''..�< <"�'r' . ; . . _�� ���_�}..�'E.i,_ ..;�i 4.y . _ .?-'f_; CONTRACTOR: -- ��;�:�:.�; ; : .�,a:}. - OWNER: :::: ,: � ; ;;- � ;. _ . _ �. .. ..��. , ; > ; ;; . , _. _�_ .�_.�%..j t�%`e�r.`... . _%r� f`�'.-.�`�E..�%:i.��. fi';:.� . . - - - - ' ' ',i;� - _ - ;._f�: ; S.� - - - _ ;yi ; - j:- - - 'T:�i i���»:^ T.. _ "":t} •+• . � :--�. ; '- __.�_. :-�'-;•; y , ._ , ..�•_, • f_,�• � _�°-.:'� `t` "'Y' ' ._ _ .._ : . +�'_ . . ;', :ri i ! :_.. �_���, •,, �.: i s�__:''•'• t . , �,_..°y ..._ . . .. . . _. _.,, _ _._ .._.,.._, ... ._ ...--'- - - �_w.•w: ; �. � f i } r :�� ';� ��" F: 'i; i S� t ,.�r. t k..: � i.. � t , : . . � , , , : . '. _ . . _ . , _ . . . _. . . . , . ... _ . . . .�._. _ _ . � . _�1 ___ .. . _.___ . . ... �_.. .._...__ . _ _ _. _....� . . , , ., t r;=:�:�,s�"'. :;;�;;: - - ,. _ _ -. - `' '., �'�'�. . . .._ .� i"'_. . .;t.:�� _� € �'�_•'•i i._.I_ _ t ! .,.r,__ +_�;s s,_k._,,E .•�'I !; � .�.�:�. E . . '�3 ` i' {,..r.i_ i i�:: �1 4 . ... t... .. _ ... . .� ',} .... .._. ..._ � . ._ . L . , . _ ._. J �`%�'1��� ��-c� APPLICANT�PERMITEE SIGNATURE ISSUED BY:SIGNATURE � � — . �, CITY OF ORONO APPLICATION FOR MECHANICAL PERMTr Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 ;:c� `� � ���� GENCRAL INFORNIATION � l. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit 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 Designs - Complete calculations, details and specifications are required for each heating, ventilation, humidification-dehumidiYication, and air conditioning installation including heat loss/hea[gain calculation, design temperatures, equipment ratings and iden[ification as to type, manufacturer and model. Data shall be presented on form provided. Idcntification 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. Plcase check onc: New Addition Repair ,X Replace Residential Commercial JOB SI1'E:_ �� � „rZ� ��' Zip: Ov��ner's N:.:rce:_�;�� ' ` ' ' Telephone Number: �y � — i 5 3 �= .�_ Mailing Address: �.,e ��' City: (;,�,•�-���� 'Lip: Contractor'sName� - ' i _{..-� TelephoneNumber: �;,3 � --b��f�j MailingAddress: �-.j,� �:� ,y�'�� ��..; City: (���� ,E7�d Zip: _� S�/� � SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: / Make: "T�..-�-� <t� Model: ���J .5=/C��� Fuel: �.c.� ��� I�lue Size: Input BTUs: /�U, v0 �' _ Output BTUs: �' �'c:� CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power . , . _ �� � M � 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 Exhaust (must be ducted outside) cfm No. Other Fans: Locations cfm FUEL STO�'cAGE (MUST �E 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) � ��- �'C% `'` x .0125 $ 3.�, O �i (contract price) 2. State Surchar�e. ** Add the State Building,Code Division Surcharge to each permit. ��- C%c- ` � x .0005 $ ��% or $.50, which�ver is greater (contract price) 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT PEE (Add lines 1-3 above) $ � 7 � 3 ��' * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profit, and other fixed cos[s. 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 !he reasonable market value of s�ich items must be added to the estimated cost or contract price for permit fee purposcs. 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 S"fATE 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 appl i�� to the City for issuance of a Mechanical Permit, agrees to do all work in strict accurc!ance 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: G�-1 � -2� Date: � -� � � 7 � , Approved By: Date: � � � � � " r / � � ' ✓'��� . � _ � t..y., . � .._ ,�.. ... ..: .. ..._.._. ..:_..... :y r ,, . ..,. . � . d. .�-�'.!"!,w.�... ,,,rr � :�:c u �� �itarwd8t�a!L vC ` _ . .. �_.m�� . . , , � ;� ;;a�.x�vr � _. . _. _ . _., , �� � � .�' j.� �:x��s���. �-�o"' � , .�:r. . ,,'e � 'r � ..'`' . .., . .. .._ . �_�.. ,,.:..-«_. . . ,w. �.._�.m._ _.�_,.....>...._ :,, . _ iy � _ ��_ ....... _.._.....�.___ �- � T �� � - . . �` .. � : - , ., , ... �.. _ �r.,. _ .... _ _ _..,_ . ...._:-. : . _ _, �.q, �,, , ._ :�-� __ :.._. - . f� ,� � �, „ ` , � : �r���.��sr!� .�...�... _. �...�,- �f �a r � , � �..,.�.. � _r<.:,�. 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SOLD 81f ���'- INSTALLED BY �� -�u�-� �.� -�z� El�chical W�•� gy ttt-�'�4- ��-� ` Gas Lin� By TYPE OF HEAT GA FA�W STEAM SPACE HTR. UNiT HTR. OTHER �,/ GAS DESIGN CONVERSION MAKE n ��"�-�"�� MAKE OF BURNER Mod�l /!��,5��d �f��_ Model RE Serial y� � 3`� �y� Max. BTU Ratiny INPUT ��G��d MAKE OF FURNACE AQ Model J CONTROLS / // G�TY �F� THERMOSTAT -�� Heat Plug ' S V�nt Size Valvs y� KIND OF LINER SIZE NONE Limit � Droft Hood Rsyulator Limit S�ttiny Filt�rs Siz� /�xas� L Number t � Outside Fan Settiny Chimn�y Location �i���_ Pilot Type � � Chimney Construction Pilot Maks �� Pilot Model Smoks Bomb Wiriny Pilot Timin9 ����-�— Draft �f T�st Top L.W. Cut Off Door Prossuro Liyhtiny Inst. _. / L/_ _ � Pressur� �-S P�►cent CO2 Dots T�:ted Inpvt CFH ��� Perc��t OZ Compcny Testing t/ Stack T�mp. 3'�� P�rc�nt CO Name of Tsster ! ��''� Form 235