HomeMy WebLinkAbout1997-008774 - mechanical . � PERMIT
' CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 ..,_
Crystal Bay, Minnesota 55323 Permit Number: , .;�`
(612) 473-7357 Date Issued: ,_��-� �,_,-,
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SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT'PERMITEE SIGNATURE ISSUED BY:SIGNATURE
� . ',�`i���'
CITY OF ORONO APPLICATION FOR MECHANICAL PERNIl'r
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 , f
� �_�� �� R 1997
GENERAL INFORMATION J,_,,_,
1. 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-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 oe pravide�.
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 siibmitted 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: �Ll'SC-t��� S �C Zip:
Owner's N�:r�e: � ar�l�e s �h� "u� Telephone Number: y;�F, -��ys"a
Mailing Address: �p SC ���y�z;,�o� i/s City: O�';C�/�� 'Lip:
Contractor'sName: �o�� /'c/�ec��r,rl�`�� ��� • TelephoneNumber: j`��-S�aO
MailingAddress:�% r;z:,� �N`1 �/1�/s•% SS" ���l�ity: / . Zip: ��yy� -oFq9'
SYSTEM DESCRIPTION
�F✓��f��ce s) r,�+���-L
HEATING SYSTEMS / `'•'"� y���
Quantity: �_ �
Make: , f 1fRN I T�C�L �C'E�/1��2
Model: > C-sS�l- !oo �---C-7S
Fuel: /'�1«t- ��S il/��G�s.
Flue Size: ��'' r���� ���� S 've��'
Input BTUs: . ���c��c, _ � 5���
Output BTUs: _ c',�-=� � �
CFM: �
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
t ,
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 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)
��k� x .0125 $ `' `� -
(contract price)
2. State Surcharge. ** Add the State Building Code Division � � �
Surcharge to each permit. `f'� �(i x .0005 $ � . �
or $.50, whichever is greater (contract price)
3. Postage 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, equir�ment, labor, or installation are fi!rnished by the owner,
te�ant or any other party the reasor�able market 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 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 applies to the City for issuance of a Mechanical Permit, agrees to do
all work in strict acc�rdance 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.
i�1�/!
Applicant'sSignature: Date: ��/3 �
Approved By: Date:
��Ql�'��Vo "��� HEATING TEST RECORD ��"Zr�
ADDRESS �S" � � � �r�o
APT. FLOOR CITY .,�—SUBURB
OCCUPANT OWNER
HEAT LOSS DATE HT . INST. �-'�2�"'��
SOLD BY ����'�- INSTALLED BY �.j,-�L
Electrical Work By r�M'e Gas Line By
TYPE OF HEAT GA FA�HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION ��,��
MAKE AKE OF BUR �—��F� '
Model � ' Mode
Serial � Max. U a '
INPUT D � v E OF FURNAC
Model - "���j
,��E
1�1� CONTROLS �j� ��L ~'
THERMOSTAT Heat Plug Vent Size
Valve � I�IND OF LIALER.--
Limit Draft Hood Regularor
Limit �+++��� � �, �p Filters $ize mbe�� C/t-
Fan Setting Chimney Location Inside Outside
Pilot Type Chimney Construction
Pilot Make
Pilot Model $moke Bomb Wiring �
Pilot Timing � Draft� Test Tag
�
L.W. Cut Off Door Pressure Lighting Ir,st- � �_
Prossure ����' �� G Percent CO2 �' S�or� Date Tested 2��'Z� !�
Input CFH C 0 �� Percenr OZ � �d Compar,y Testing —Rouse Mechanical, Inc.
Stack Temp. Percent CO ��� 11348 K-Tel Dr.
Minnetonka, MN 55343
Name of Tester „�+�'� ��
��������� o ��� H EA11NG TEST RECORD ���, ��a(�
ADDRESS ���� � -'^� �a��'�� APT. FLOOR CITY /` SUBURB
OCCUPANT � � OWNER
HEAT LOSS DATE HT, G. IyST. �—'��-'"��7
SOLD BY �-f� INSTALLED BY ���
Eleetrical Work By �� Gas Line By
TYPE OF HEAT GA FA�HW STEAM SPACE HTR. UNIT HTR. OT���
�� �� GAS�DESIGyy CONVERSIO
MAKE �'�"^^'�� _'�'v�y'-�"'� AKE OF URNER
Model �� �0--�y7�' M el
Serial y��—���06� Max. U Rating
INPUT ��i7�;��D� MA FURNACE Cj���
18„� M e I
CONTROLS ��� ��G
THERMOSTAT y Heat Plug Vent Size
Valve ' � KIND OF LINER SIZE NONE
Limit .� p� � Draft Hood Regul ror /�^
Limit Setting ��'l� Fi Iters Size N�r t I�/�fy�'
Fan Setting Chimney Location Inside Outside
Pilot Type � Chimney Construction
Pilot Make `n
Pilot Model ' Smoke Bo�j b�� _ Wiring X
Pilot Timing --� ` Draft ��/ Test Tag� '
L.W. Cut Off Door Pressure Lighting Inst- ���'
Pressure �-�jwr�� Percent CO ` �c� Date Tested Z Z� '� �
Inpur CFH �Jv Q�� Percent 02 6�2-� '� Compar,y Testing —Rouse Mechanical, Inc.
° /'�6�.L 11348 K-Tel Dr.
Stack Temp. —Z PercenT CO
Min er1tonka, N�i,5534�_.
,
Name of Tester .�;��i� �1�
� � � `
���� HEATING TEST RECORD 7a�
� .� O��x.�.�
. ADDRESS ��SD � APT. FLOOR CITY � SUBURB
OCCUPANT V OWNER
HEAT LOSS DATE HTG. ST. �-�-Z��7
SOLD BY INSTALLED BY ��
Electrical Work By � u""�j.�? Gas Line By
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVEf���'i
MAKE ��Y�-� MA URNER �
Model /�� ���� �� �'� Model
$erial �t�0�� ��S� 9� ���7�- Max. BTU Rating �
INPUT �5,+ ���'� �r� MAKE OF FURNAC
Model
CONTROLS �j �
THERMOSTAT Heat Plug Vent Size
Valve KIND OF LINER � �� NONE
Limit � es� �vvd�� B�aror
Limit SeNing l 7'� r �Tharr $ize Number
Fan Setting Chimney Location Inside Outside
Pilot Type �r Chimney Construction
Pilot Make ��� �r✓
Pilot Model ������ $moke Bomb Wiring x
Pilot Timing �'���� Draft �'C► Test Tag��
�-i�Y:--Ev1�.p�f#- Door Pressure Lighting I.,st_
J/ O
Prossure_,��'� Percent CO2 � /C Date Tested �r'�'�' ��7
Input CFH �'�� Percer,r O �'� Company Testing —Rouse Mechanical, Inc.
$tack Temp. ��Perce�t CO
2 �J� 11348 K-Tel Dr.
( Minnetonka, MN 55343
�
� Name of Tester �17���-1