HomeMy WebLinkAbout1994-005853 - furnace/ac PEI�MIT .
CITY OF ORONO PE�iMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 � ; PermitNumber: ''`�_`-���'''�r'`-'' `--`��-
Orono, Minnesota 55356-0815 '-'`--;�_;`�'�=
(612) 473-7357 Date Issued: :^:� �!^;:_, .:,��,:
SITE ADDRESS:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
� ^ CfiY OF (';,
• 'O �ORONO ��j !�
�GCJ�'�`�' �
CITY OF ORONO APPLICATION FOR MECHAi�1ICAL PERNIIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
_UtC 2 3 1.���
GENERAL INFORl�IATION �c�n�
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 retum mail after a review is completed. PERI�IITS ARE NOT VALID
UNTIL YOU RECEIVE A PERM-�T. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical DesiQns - Complete calculations, details and specifications are required for each heating,
ventilation,hum.idification-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 natice 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
X Residential Co ercial
JOB SITE: � �-a�' �t' /�� Zip: ` �
Owner's Name: �� ._�, � � �,t. Telephone Number:
Mailing Address: City: Zip:
Contractor'sName: V 0 G T H E A T I N G s A/c TelephoneNumber: 9 2 9-6 7 6 7
MailingAddress: 3 2 6 0 G 0 R H AM AV E Cl�: S T L 0 U I S P�IP: 5 5 4 2 6
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: �I }
Make: LP �tl rl�
Model: ' -
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Fuel: � �z�_
' Flue Size:
Input BTUs: �)�i�y�
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: f� 1
,
��, L' Make: � �
� �� Model: �S - o'-i►
� Tons: � �T_
H. Power
n � .
WOOD BURNIi�TG 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, sid�, , rear , min. flue dia.
Total
VENTILATION
No. Kitchen Exhaust ducted recirculating cfin
No. Bath Exhaust (mu�t be �ucted outside) cfm
No. Other Fans: Locations cfm
Total
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 �'rice* or �linim�.�m �'ee ($3�.Oa)
y��Q , " x 1.25 $ �,�'�, CU �
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each pemut. �—I C.lUC1,� x .0005 $ a•��
(contract price)
3. Post�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ _ ��. z'=���
* 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 pe:mi�fee purposes. In th��vent 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
ail 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.
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Applicant's Signature• 1 C� r� o�� � Date: I G�'
Approved By: Date: �
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HEAT LOSS CALCULATtONS
VVeatherstrips �•S.H.V. . Construction No. Insulation
Guide
Windows Doors Reference Out.Wall Int.Wall C.eiling Roof Floor Kind How Applied
Y�s—No I Y�s—No 19_ I
� Fl.Ip�{?��!sN Room Length�Z..Width 3 Z Heightp,,�-�p FL� Room Lenqth Width Heiqht
Windows and Doors—Crackage and Area �L'indows and Doots—Crac�age and Area
�Vidth Helgnt No.of Llnul ft. Aret W'Idth Heleht No.o[ Llne�l tt. Are•
tio. o(p►ne o(D��e 11`hta of crack •Q. Ct. No, nf pan• of Dine 11`hu ot crack •a. <<.
,1:�` Z [9 � E3� �� i
�I� 1 g 2G• N
i
Coef. Bcu � ' CoeE. Btu
lnhltration 2.t� � �ZZ.S� Jnhltration
�a�s �i� 7 `t �l �ase
r.zD. W3II �-�� .� Esp. wall
Net ezp. wail ��3 � Net ezp. wall
Int. wall Int. •+all
Cti�tn8 � � Q� Ce��ir.q
Fl�or $� � �'f'� II ^ F!cor �
To�.ai B�U. " To�ai BcL.
Required sq. ft. E.D.R_ or sq. ins. W.A. L.eader area ;i RCquired sG. f:. E.�.P.. or sq. ir.s. W.A. Leader area
Fl.� Room� Length Width Height 'i ��,; Room I Length Width Heignt
Windows and Doors---Craeiage and Area �I Windows and Doors—Cracicage and Area
WIGth H�I�ht No.ot Lineal Ct. Arca
No. ot Dane ot Dans Ilthts o[crack sC. ft. t�'idch 1 He:xhc Nn.ot Ltneai !t. Area
� !:^. aC Ca.;� ' of..;ans I:;Lyt� of crat!� ep ct.
i
I I � I
! '
i
Coef. Btu � L` ' __ Coef. tu
Infiitration Inhi_rz',icr� , (
Glass (',lass
Ezp.wall Exp --- —
Net exp. wall i`et r::� _
Int. wall — II jlit. w'.'!-- —
Ceiiing j� �,,:;�;� l
Floor �� Ficcr �
Total Btu. � Tota1 �t�.
Requircd sq. ft. E.D.R. or sq. ins. W.A. Leader area Req��:red io ;. �z..D.R. or sq. ins. W.A. Leader area
FL Room �Length Width Height i Fl.� � ?.o:�rn i Length Width Neight
Windows and Doors—Craekage and Area `:J;ndons ana Goors--CracScage and Area
Wldlh H�I�ht No. ot L1nea1 tt. Area � R';.:t:� Hel�nt No.of Llnenl :c. Area
No. of D�ne o[D+�e IILhc• ot crack �q. Ct. tio. ot ya•�n� ot Cans Ii�ht� ot crack �V. ft.
Coef. Bcu CoeE. Btu
InFiltration Ir.filiratior.
GJass Glas�
Ezp_ wa11 Exp. wall
Net ezp. wall � I`�'et ezp. wall
Int. wall lnt. wall
Ce�ling Ceiling
F'foor Floor
Total Btu. Total Btu.
Fieqoired sq. ft. E.D.R. ,r �q. ine. W.A. Leadtr area � j Re;sirrd s:; �t. t.u ;�. er sa. ini. w'.r,. u�d�r s::: �
-�e�c��«��--z-� S8 s3
DATE TESTED I_' I_�1.����}_ HEATING TEST RECORD JOB NO.�����
. ` ,
ADDRESS �_� r ��' �( 1 ���.��� ��rY _ CITY lJ ��;r� '�
� �-Z- - -� y�,,,,- ___ _ _ _ . _ u_ _ --- - -
OCCUPANT OWNER
SOLD BY-- - -- -- - _------- -..._ __ INSTALLED BY `�-���__-�1�—p__�__.� �t
-- -___ _ _ - - _ -_. . _--- ---
MODEL � �__���l�_L�� `
MAKE_ . __ �N_�_j,,��- ------ - �-' - �
` n , �,1 ��
SERIAL NO. __���'E�)r�li���-'�-' INPUT __ ___������)
_ _ _ _ _
THERMOSTAT_ _����__ VENT SIZE_ "'t `+__
- - - --
_ _ _
--- -
VALVE __ �_I�C�G�__ TYPE OF LINER �-L��.:J �
_ - - --- -
1 - � -- --
LIMIT�`��,5������LIMIT SETTING �_����_.__ _ UNER SIZE __�___ _ ___ __ _ _
FAN SETTING__L�r.�•�_ _ _ -__ —_ _ FILTER SIZE�;��X._I NUMBER I ~t� � �Q�4
PILOT TYPE ���E_�' �____�C�1� ����- -- ._ WIRWG � _ ___--__ _ __ _-_____-------_-
•.�
IGNITION MODEL_ ��_ �_�J_���___ ___ -_ __ _ TESTTAG _V_- ___- -__---.__-___-__ -
PILOT TIMING__ _ ______ _ _ _ _ LIGHTING INST.�
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- _ __ __--- --- -- _ — _ _ ___ ---------- — — -- — —
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ll - i �J� ,..�
PRESSURE ___ _�_��_ _-_-__ INPUT CFH �S ____ -__ _ STACK TEMR _ �_(J��
c� _ , .
PERCENT COZ _ .; � PERCENT OZ .__ �__-_ � __ _ __ __ _ PERCENT CO __��__-_-. —
COMPANY TESTING������5�(���-- __ _ _ _ NAME OF TESTER _� �.��' ` _ _
FORM 235(REV.11/92)
DAT TIME
CITY OF ORONO CALLED IN �/� t �
INSPECTION NO�CE SCHEDULED � � 5 �
PERMIT NO. ?3 COMPLETED �rT ~ �
ADDRESS � ,L2: "' -� �
OWNER � -�- � CONTR. �����
TELEPHONE NO. �oZ�l' "G� 7� 7
� DESCRIPTION /ID�'1��z� ,C i".'�.�2��2�:YL:���..,�
�
� OIFOOTING CHANIC9I�AI � 16WELLTESTP P
Q 02 FRAMING �CHANICAL FINAL 18 EXCAVIGRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SET(TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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� WORK SATISFACTORY:PROCEED � PROJECT COMPLETE
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W '[� CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O CI CORRECT WOflK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. J PHOTOTAKEN
INSPECTOR WILL REfURN
C STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the xt'ns�ection 24 hours in advance.473-7357
OwnerlContr t on sit -'
Inspector.
White Copy/lnspector's File i Canary Copy/Site Notice