HomeMy WebLinkAbout1997-009743 - heater for garage � _ .� PERMIT -
CITY OF ORONO PERMIT TYPE: - �.�
2750 Kelley Parkway- P.O. Box 66 -�:;,L=�.;`�'"�`�`�""
� Crystal Bay, Minnesota 55323 Permit Number: =
(612) 473-7357 Date Issued:
SITE ADDRESS:
DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: ' ' {�- OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHA1vICAL PERMTr
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 5�323
GENERAL INFORI�IATION
1. You may apply for mechanical permits by mail or in person at the Ciry offices. Applications will be
reviewed and a pernut 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. �fechanical Desi�ns - 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 preser.ted on forr.i provided. Identification of and specifications for water heating equipment
shall also be provided.
: When any new construction or remodeling is involved, a separate bu;lding pe..,.it msst be obtair.ed.
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.
Insr :±ctions Complete all items on this application. Compute the pemut fee. Sign and date the certification.
IN< �IPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
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� Ple . ° check one: New �itton Repair Replace
� Residential — ommercial
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O�L rier's Name: 1'Y���2. (�,, �i �-ri1� . Telephone Number:
l�lailing Address: , , City: Zip:
Contractor'sName: ����a����„ TelephoneNumber:
l�-IailingAddress' ST LOUIS PARK,n�a� : City: Zip•
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SYSTEM DESCRIP'TION y26qGORHAMAYE.
ST L4UtS PARK,MN 55426
HEATING SYSTEMS SALES 929-6767 SERVICE 929-4011
Quantity: �
Make: L�r��1��c
Model: ��, �I-_�`�
Fuel: -'�--' �-�r�`�
Flue Size: �� �
Input BTUs: �,� �'�'1 �,"�'Y�i �- i�a �;'� i :�;�.
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
� Model:
L` Tons:
n,
�� H. Power
���.
♦ �
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) �
/����� — x .0125 $ '���%�J
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. j�L'�� ,�� x .0005 $ °��
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) $ �� �
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
customer for the work d�ne. If any material, equipment, labor, or installation are fumished 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,
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 conect.
licant'sSi nature: �i/�-1 ��� �C'?�1/ Date: �/�'��_�
App g
Approved By: Date:
;'���--� �� 7 `�J _�C�D�O� ���
HOUSE EATING TEST RECORD �
ADDRESS ������ ��\��` ���"�`�- ��"��� APT. FLOOR CITY SUBURB �� �/ '
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST. I /�,. �
SOLD BY INSTALLED BY L����
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El�cbical Work By Gos Lin� Br � �
TYPE OF HEAT GA FA HW STEAM SPACE MTR. UNIT HTR. OTHER
.' ^/ G�{►CS D,ESIGN CONVERSION �:
MAKE �Y ��� MAKE OF BURNER
Mod.l — — �-` S Mod�l —
S�rial ' . � Max. BTU Rorinq
INPUT �� - r��-��-� MAKE OF FURNACE
Mod�l _
�j/ � CONTROLS 2 ��
THERMOSTAT___��.1LL_ F}�at Pluy V•nt Si:._ �
ya�„� ��X�) KIND OF LINER SIZEj�� �'��� N y
Limif � �h_�"� LL� Droh Hood ���'�t�ir R.�..lero� �'�� ����
Limit S�ttinq �� FiltNs Si:• ►'�umb�r
Fon S�ttiny �'� C7�imn�y Location I�aid��0uttid•
Pilot Typ� f "��"< <<' Ci�imn�r Co�struetion � ���4}� S
Pilot Mak. �
Pilot Mod•I �— Srnok� Bomb Wi►inp
Pilot Timin9 •� � �' � D►aft T�at 7ap �
L.W. Cur Off Doo. Pr•ssw• L�qh�iny Inst.
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Pnssur� � ' ,� P��e�n►CO2 ,� �' Dot� T�at�d
Input CFH � ��L�� P�re�nt OZ Compooy T�stiny � .� ��
Swck T�mp. ✓ P�rc�nf CO �� � NanN ef T�se�►