HomeMy WebLinkAbout2001-P04730 - mechanical 1
PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P04730
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: �2it�i2oot
SITE ADDRESS: 1165 Ferndale Rd w
Wayzata,MN 55391
PID: 02-117-23-43-0026
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS: i
Approved per resolution#:
Separate permits required:
��� ' L�� � � �1� ��
/ HOUSE HE ING TEST RECORD
ADDRESS /l �� '"+ ' ' ,�k "�l� �"'"' APT. FLOOR CITY SUBURB ����
OCNPANT OWNER -
HEAT LOSS DATE HTG. INS7.
SOLD BY INSTALLED BY u�7 � � � '
El�ctricol Work By Gas Lin� Br ���'`tl'�
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE ��� MAKE OF BURNER
Mod•I � 3d Mod�l
��a� Max. BTU Rotiny
INPUT 7� � MAKE OF FURNACE
Mod•i _
CONTROLS �f`�
�' " !
THERMOSTAT , H�ct Pluy V•�t Siz._ �
Volv. �= �` KINO OF LtNER _ SIZE N NE
Limit 7�' ` Droft Hood �� r R�qulowr i ' 1 �� ��C�"��
Limit S�fti�y J FiltNs Sis• Numb�r
Fan S�ttiny � aimn�y Location Insid� x OuH'd•
Pilot Typ� �� aim��r Construetion W ��'� "'
Pilot Mok. � � �
Pilot Mod�l a S�nok� Bomb w���^9
Pilot Timiny 3 Sr�l Draft T�st Taq
L.W. Cut Off �� Dow Pr•saw. Liyhti�p :.. !.
Pnswr� �i ti P�rc�nt CO2 Dat� T�st�d �� �� �/
Input CFH ��i V� P�rc�nt O� g�� Compony T�stinq � r
Stack T�mp. ._ -J__s__�-P�rc�nt CO ��J Nom�of T�st�r
���u�c�. �-� ��c w��nirures nequtreal, l-HDpllCant, 1-MOnthIV Kepo1'ts. 1-ASSBSSin�. 1-FlnanCO Pa�TC � I
' � ry�%
P � i�
� ` CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, NIN 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 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 Desiens - 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
shai� 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 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 permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600.
I'lease check one: New Addition Repair �Replace
� Residential Commer ial
JOB SITE: � � � -�� <-L� ��� � '� ,�t Zip:
Owner's Name: '�-"1� Telephone Number:
Mailing Address: City: Zip•
Contractor's Name: V�G�T HEATtNG&RIR CON�iTiGs.r�,�; Telephone Number: .
MailingAddress: � RN�+MAVL. City: Zip•
�T 68a'�('hRi4-n�fd���9.
sn�es�»��-ii76� �FF�����L��9-�';�;Z�
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quan�ity:
Make:
Model: � �r�t j�•,
Fuel: .�� �
Flue Size:
Input BTUs: �n �y�
Output BTUs: c
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES ' �
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
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
l. 1.25% of Contract Price* or Minimum Fee ($35.00)
�, �.,�
��: .� ,�'+ ` x .0125 $ ��C}� ,
(contract price) �
2. State Surcharge. ** Add the State Building Code Division � ,
Surcharge to each permit. ����:i; j ---- x .0005 $ L��
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) $ `-��,,;j� '���
* 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, equipment, labor, or installation are furnished by the owner, tenant or
any other party the reasonable 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, [he 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 $.SO - 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.
, �
A licant's Si nature: r�� . ����f �/<� �' Date:���� ��
rr �
Approved By: Date:
� '
F,�T LOSS CALCULATIONS
. Weathustrips A•S• •�• • Conitruction No. Inwlation
_ Guide
Windows I Doors Reference Out.Wall Int.Wall Ceiling Roof Eloor Kind How Applied
t'cs—No Y'es—No 19_
' F7. Room Length Width� Height � FI.� Room l.�ngth Width Height
Windows and Doors—Crackage and Area /�� Window� and Doors—Cracicage and A�ca
� \VIAt� HN��t No.o( Llnul t[. Area / - /� WIQIR H�I[�t No.o[ Lln�al tL Ana
.'�'o. oC D�ne of Dane Il�ht• of erack • (t. � C.-� No. o(D�n• of Dan• II[�t• of erack w.Ct.
/G 3 1y v ��� ✓
�- � C.- p � ! �j
�-- � �- r � i�,
3 � � j� � �y �c7 Coef. Bcu Coef. Bcu
Inhltration 2 Z 1�� Inhltration
Glass S 2 ¢ C// Glass
Exp. wall �% ' Exp. wall
,1et exp. wall �" I�let axp. wall
int. wall Int. •+all
Cciling ,� �-U' Ce��ing
r l�or p �f�U' Floor
Cotal Btu. Total Btu.
Requited sq. ft. E.D.R. or aq. in�. W.A. Leader area Required 5q. fc. E.D.R. or sq. ins. W.A. Leadcr area
Fl.� Room� Length Width Height FI.I Room I C.enqth Width Height
Windows and Doors—Crackage and Area Windows and Doors—Cracicage and Area
Wldch H•I�At No.of Llneal (t. Area
��o. oC Dine oC Dan• 11[Au ol crack w. [c. Wldth Hel[ht No.ot Lln�al tt. Area
_ No. of Dane OC Dan• 11��t• o(cratk �G-![.
Coef. Btu ef. tu
nfiltration Inhltration
�lu� Gla�s
:�cp.wall Ezp.wall
Vet e:p. wall Net exp. wall
Int. walf Int. wall
Cei�iag Cei�ing
Floor Floor
Total Btu. Total Btu.
Zcquired �q. Ec. E.D.R. or iq. ins. W.A. I.eader area Required sq. ft. ED.R. or sq. ins. W.A. L.eader area
El. Room Length Width Height � �,I Room I Lenqth Width Height
Windows and Doors—Crac{cage and Area Windows and Doors—Cracicage and Area -
Wldch H�Itht No.of Lln�al fL Area Wldth He1[�t No.o( Llnul[c. Are•
�o. of Dan• o(Dan• I![hu of crack •a.ft. No. o!Dane o[Oan• 11[hu at cratk �Q.tt.
Coef. Btu Coef. Btu
(nfiltration Infiltration
Glaas Glass
F�cp. wall Ezp. wall
yet esp. wall Net ezp. wall
�nt. Wa�� Trtt. wa��
_ci�ing Cei�ing
t=loor F!oor
Total Btu. Total Btu.
Required 3q. fc. E.D.R. a� �q. ins. W.A. �.eader area Required sq. ft. E.D.R. or sa. ins. WA. Leader arca �