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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: ,_��-� �,_,-, i:_�.`� �i. SITE ADDRESS: � _ . - �r r:� �'-��`�� —=�`=—�i��s' tf;� :i a.�_i..�• ;'.�.3 -, , - _. .: - - - .... `--' . ," ' ,:�.�_._ � t r'�...' _ ;_'tt. , , .�., . .:.� �.-S— ' .-. �:t y-� . , - DESCRIPTION: � T ". ..... . ... _ ._. . . �";l:':�';.i<..,i�.;;... i,v:'�. , t ._ . . . `'Z. � . , ..,._..,.•- .-..:•_,'T_'w _ ' _ 7 . _. .. . . . ._ __.. ,_ . . .». `�7 � . _ ? l_:�' .. '�4._�:', _'li..._.. . �� ' ._'^.�:�'.._ :`?f'' �.. ^�_ �k'�•� 7'-'."•;`:' n' i 1 3'E i�i���'2 i i�•�+. •..1..; i"}i'. . r!--::�..�' ._f}..ti1,: ;��`,_i_.. . ,�.�f 1e':.:... ._ _ . _ _;i;�`�.E.f - _r �i{^�{;f +£t�€��; i'�' - ;y�_t ;'"t;'t � YY:"•T+. i:i�� - -� i -..r,i�� ��;"' s� _,�_ . ._ _}` � �-'' - .ei s _. . . _ . .. C.i ._ +..�.�:._ _ _...._._ �•''€�':t.•'�. . �"�_`��._. ^,�:..,: ! �_�h:i:�;; � (::�''•_ j�::� .._ :�i:"':'.;t'E;�� f:��_;�^.;y I " . �f�•.x: .+.t._,'�. ._. . _�._ ._ . ._ _. _,"t�..{_` t-�:1 . _.';1;„; 3�1;�-`t„i� �'?-.; t 1;_::_i REMARKS: FEE SUMMARY: . , ..__�_SC..S f ;'.`jete :�'t� s �i 1 L.�� -� L.-_:. 1:_ i -f i_ i�i� " �__.w;�! . ---- , ,,�a.,. . . .. rl.�i... EE`w ._.__.�_�� ��l) �'• �.-_.- ,.-,.-. ..-; � .•-. T •- � . • _ , , _ _ --V_'- = �'�.�E '..i 3?�� •,^i!:� ±� : -! i �•� .�1 I-r-:` .�;,� , ;:�..;�. � + .._.._..__.._�.��...��{,: _� :�_.. ..�;'A�1'�_f .�..�. ��.««....... ��-_ :-1 nl CONTRACTOR: -� �:�:��; ;. �__;;-�}. - OWNER: ;`:: __:_ .. ; �... _::-;i... ;,. . ._ _ .- _ _ � .;'..� - -�., .;_��=-; _ - _ _ . - - - . . ... . . . , :���__ . %_i . _ _�.�. _ -'-. �t i_�_1 ;Y;,%;:i=...�..E�..:_,. �!y i ;..._ }'t f! Y� . , � �._. . . _._ _ ". ;�- _ _ . .. . _. .`_�F`'?=__ . . .. _ :�'.�:. .. _..... ': :'::: : - - . � . , : __ �'xf..''�;W _. ...�.�j..� iiti_ ' ' j. iG�E� �,`�..�lzs _ e .",'+ ' ' ' _`C �'ei i..{i.. ' ' � _.. i .. • i:_i y+..' _ _.; : .�. .. k : ? i.... .:': :-„�._'..._i .» ..». .+._�...: :�'._? .�__�.. i. , .,.... _.._.. . � . .._ .. ..« .. ._ _ _.'�� � _ .. .. ...,.. '_.t �..,_ . .t„..� ...., i� .�. ._, s'i._!r._. � . .. '..�• �. ...,;_ _....,...__.;._ " ' ' ' ' " ' ' : . ,C_i 2 t... • >..i�. ;�. • r • � ^ . . . � � • _ ."�T. i_. r a : «..Lf �"':Isw+_• F _}� ._.._..•_' ; '.' .«.'»j . ._......... .. ... .. . .. . . .. . t-l...;.. . _. .... . ....j. .. ._..... i.'.'.. . . . . .F._.�. _. .. I . �.if ,_, ... �,...; ...ly . s.. : «.'.}i e r>.;'L.«' '.•.f-;. } ,-.r: L �_�r ._t *,.,t _..'�. _ <<3��,ay_�,__� ,,F�1`.•3 :.,: � r, ::= _. �.`s.�`•;;'d�._.,�,:..: � -? _ . ._._._ `#`•__ �_ _._� ... w° w. ..._. .._. . . .' . � ��� (/�Q'/YL �/f�/� 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