HomeMy WebLinkAbout1999-011886 - mechanical � �� PERMIT �
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 Permit Number. " - �=�{- `'�
Crystal Bay, Minnesota 55323 - - _ - -
(612) 249-4600 Date Issued: _
SITE ADDRESS:
_ __. _ .. ,
..
- -�. .. ._.:;�_..._ ;�:�: t:�
DESCRIPTION:
- :. . ,, �_ :�� ;:: _ , . _.._ _ _t_ F_ _i ._.:�f�_F
_
�4;.�,, ;.� s� st
; � ��.# .. _
REMARKS:
FEE SUMMARY:
_ _r��v : :
..__ . ..__ }'i+�� . �*�.�. i�S� . .rs� _.._.�,.._.�_ s:_:
<<;�; i: .� - _ �' _...�_m::_�
_ .�.. �.�..'7}'°�3 s _.,.._.......�...�.._._».. t — •4}Sf�.i..�. 3Y7"�}"a. i�i� _{_j
.�ee`s...i� . ._._ •�r�'�"��+
, .TOR: , .�._. ., ... v -.:_; ,; . OWN�R�
CONTRAC
_ ..:_ ,.� �:r :.� : ��
_ . . . .. . ._ _'__ _._ _. . . . . . _ _
_ '. � ,. . ,�' }. `t ,'� .. • _... .. _ _..�":. ._. �3
.- � «:
�. . _. . _ _ _... ... _. . . . �'c':
_ . _.. —,". —.'..—: : — ' '
. � .... L ,�—`.. _ ��„} _�yi
_�� __�_t'.. _ .. .'. .�.r�. �d _ _ -__... . ._. _ _ - _
"("t_;�� ; i`i' i �t;: � N ;•y'. .�� i,�_. .. ."`.?``.>'._ — ._ _ . _ . .. � .._ ! .. ._M.is.� . .. � _� ._t �. .
._ —. �—.: ;r
.- —
t •� t E
;� _� '« ��-.i�u;: _ ' . _.. .. _ . .. . _. _ �-.I ' t _ . . 't_T �.�t_ �. 4 i--� � _. . .
� t __._�.; .•, ; ;�f E Ii�S F.:� f .s, L'..�'�� : �� ^r . . ._.. . _ . ._..`__ _
. t ' ? '�
_. ., _ . .. .._ . .__ _.._..._. . _ _. . .... - !
_ _ _.._ _; _ ,
�.�, �-._ ,.. — _ — �. ',� , t_ t . S-; � ...` , t ...
. . .
; ; - ,���._y ; !`.r,�`• , `-,,:�{;`••�'.:�.".:—r `r���.(� ':_ � . . . �� ivi�' . . t . i�1. __�. i;.._s_ ...3.,� ._ _ . F_ . �:'._ .... .t��. .__. . . _ .
L . ._ .. . ... ._ .... .._ _ . J
G�I�� �2 , r�
� APPLICANT/PEFiMITEE SIGNATURE ISSUED BY:SIGNATURE
l �
s�'�/� - �
S
CITY OF ORONO APPLICATION F�R MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORitiiATION
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. PER��IITS 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 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.
Please check one: `�New Addition Repair Replace
Residential Commercial
JOB SITE: �O � f�J �=c r�cQ�l�-� ��c� Zi 5 5 �� /
Owner's Name: �J��c�n ,_ ti c�hrn � fa c��' � Tele phone Number: ��,� --/ �`�"
Mailing Address: City: Zip:
Contractor's Name: �'��� S Telephone Number: � — G^�/
Mailing Address: � � r G I"7 G� ;'?i� City: ;,!l�;'lc��s,�l-�' Zip: s �
SYSTEM DESCRIPTION
HEATING SYSTEMS ..�
Quantity: �
Make: --�-�,,�y-� �
ModeL• T L�i�l"X-((���i Z�(?��
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power �
� �
WOOD BURNING EOUIPMENT
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 Elchaust ducted recirculating cfm
No. Bath Elchaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FLTEL 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) `�!J� �-) S�
�; �, �� Z-� x .0125 $ �
(contract price)
2. State Surchar�e. "X Add the State Building Code Division ._ _
Surcharge to each permit. � � U Z� x .0005 $ � ,
or $.50, whichever is greater (contract price)
3. Posta�e and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ l� � , t
* 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
cusi�:r:er fo:the •,��ork 1ur.e. If a*:y r.�a�e:ial, �qr.ipr.i::n[, 'eaboi�, ur�utuiiatinn are n�mished �y the owne_r,
tenant or any other party the reasonable market value of such items must be added to the estimated cost
or contract price for pemut 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 all statements made on this application are complete, true
and correct. " �'j" /
� ,;�, C �' �- - ,,7, �_
Applicant s Signature: %�� • ' � <, � � � �� C s� �'
' ' ! � - �;f/'� Date: ��
°� �-��-�' �
Approved By: �� G Date: 9- i6- r 5
�y�;G �
PERMIT# G f l���
HOUSE HEATING TEST RECORD
ADDRESS � v c� �/� . l'-/�r��1,1 ( � �lii' • CITY O O
OCCUPANT - � Y OWNER �
HEAT LOSS'�3 DATE HTG. INST. �/ "- 1"- cf'C� INSTALLED BY �/'(���5�/.'YI�1_�
ELECTRICAL WORK BY ; /,1'�'�/ .S l��/J
�T
TYPE OF HEAT GA � FA _ HW_ STEAM SPACE HTR. UNIT HTR OTHER
� GAS DFSIGN
MAKE � � L SERIAL A " � ' C�
��--
MODEL INPUTBTU)
CO-�
I
KIND OF LINER �� SIZE NONE COMPANY TESTING
FILTERS SIZE � � G NUMBER NAME OF TESTER
PRESSURE �-��� PERCENT CO2���
INPUT CFH �'�7� PERCENT 02��
INPUT
.�y � �� 5-�
I1��
PERMIT# (i// ,y1�G
� HOUSE HEATING TEST RECORD
ADDRESS 9 v S (/'�l• ��`f� �CC [ e ,�G� CITY �/� Q��
OCCUPA[VT �J d C�� - `_ /D�G(C�l ��'DD IG�S OWNE��yy��
HEAT LOSS DATE HTG. INST C INSTALLED BY�� �"�/?.S'fl � % %S
ELECTRICAL WORK BY �Tti /�r SdY)
TYPE OF HEAT GA �FA _ HW_ STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN
MAKE �1��/L.� SERIAL ��'�/ �� �
MODEL �,t fi/� �d C, C1 Z�� INpuTcsTu> U d—'� .
�coNruoLs
,�
KIND OF LINER SIZE NONE COMPANY TEST[NG
FILTERS SIZE � NUMBER NAME OF TESTER /y' y � '�-�'��1
PRESSURE PERCENT CO2,��
INPUT CFH �L9� PERCENT 02�
INPUT