HomeMy WebLinkAbout1999-011788 - mechanical : .� PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66
Crystal Bay, Minnesota 55323 Permit Number: , V -
(612) 473-7357 Date Issued: '� ` :..�"._ _
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: -� �`-:�:r:f. r�y;,-;::. -�� OWNER:
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APPLICANT�PERMITEE SIGNATURE ISSUED BY:SIGNATURE � �!��
i _ � i���
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
1 �� t���
GENERAL INFORMATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within 2 working days.
2. Pemut cards will be sent by retum 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 be provided.
4. When any new construction or remodeling is involved, a separate building pernut 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
JOL S�: 4�Z C '�0 X ���-. Zip: `������ �
Owner's Name: ����,�,,� �a.� ��,� Telephone Number: �? - �_
Mailing Address: �G� ��� City: Zip:
Contractor's Name: E;�„�;�HTG.A,C ELEGT.,-,�� Telephone Number: ��j�� -[��.��(j
Mailing Address: 1�5�2CENTRALA4��� City: Zip:
SYSTEM DESCRIPTION
HEATING SYSTEMS �
�uantity:
Make: "' �
Model: ' � 'G
Fuel: , pr
Flue Size: ��� (� �„�r
Input BTUs: 1 l�L�IY��
Output BTUs: `��L ;U L�t,`
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
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%o of Contract Price* or Minimum Fee ($35.00)
`� (, �� x .0125 $ �� , l� :�
�,�`(J . �.i
(cor.tract pr;ce)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. � ��� .��' x .0005 $ _�_ (o (;
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) $ ��1 . �L�
* 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 pernut 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.
Applicant's Signature: � Date: c6-�� -C��
Approved By: Date: � �3'� �
�4JG-19-99 T�U 12 :�5 PM PAUL, qLSIMaON. �371177 P. 21
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DATE TIME
CITY OF ORONO CALLED IN I 7 f
INSPECTION N ICE���B� SCHEDULED q%3U
PERMIT N0. � cornP�ErEo � -� �C�
ADDRESS d
OWNER CONTR.
TELEPHONE NO. 73- S!`��
� DESCRIPTION
� 01 FOOTING 11 MECHA 18 EXCAV/GRADING/FILLING
Q 02 FRAMING ECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
D COMMENTS:
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� ORK SATISFACTORY:PROCEED C PROJECT COMPLETE
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� l�CORRECT WORK&PROCEED �
W L ISSUE CERTIFICATE OF OCCUPANCY
O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � PHOTO TAKEN
INSPECTOR WILLRETURN
❑STOP ORDER POSTED.CALL INSPECTOR �l' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contractor on site:
Inspector.�/�C'c ��[��t�-
White Copy/inspector's File Canary Copy/Site Notice
ll ��� �
HEATING
AIR CONDITIONING HOUSE HEATING TEST RECORD
AND ELECTRIC,INC.
�
ADDRESS APT. FLOOR CITY SUBURB
OCCUPANT OWNER
HEAT LOSS DATE HTG.INST.
SOLD BY "✓N'1Z c� INSTALLED BY � ��G
Electrical Work Bv �A--t ti� Gas Line By .a�i/V�
TYPE OF HEAT G� FA� HW STEAM SPACE HTR. UNIT HTR. OTHER
MAKE �-(y✓�� �-Ps�� GAS DESIGN CONVERSIrJN
Model Vent Size
! �
Serial ���Z 3/�"'g KIND OF LINER SIZE /r� NONE
INPUT ,f���tr� Draft Hood � Regulator
Filters Size �C- Number
CONTROLS Chimney Location Inside � Outside
THERMOSTAT Heat Plug Chimney ConsVuction '�`
Value
Limit � - " Smoke Bomb Wiring
Limit Setting Draft Test Tag
�n Settin � Door Pressure Lighting Inst.
Type Date Tested 7
�ke Company Tesling ��
d Name of Tester
�L
Percent COZ Pressure Percent CO2
�J"7/'v Percent O2 �h Input CFH Percent OZ
. � Peroent CO d� Stack Temp. Percent CO
���� �
HEATING
AIR CONDITIONING HOUSE HEATING TEST RECORD
AND ELECTRIC, INC. ��`�W '""
ADDRESS S 7i� � APT. FLOOR CITY SUBURB
OCCUPANT �•� OWNER
HEAT LOSS DATE HTG.INST. —�'-� `�
SOLD BY INSTALLED BY -
Electrical Work By r Yi,� Gas Line By i9-�^NC'
TYPE OF HEAT GA FA,�, HW STEAM SPACE HTR. UNIT HTR. OTHER
/ GAS DESIGN CONVERSIrJN
MAKE ��,�cf-P--r� �
AAodel �l/�'f-� ���rr�� Vent Size ��
seria� � �i'9�ZZ�/�"S� KIND OF LINER L> SIZE `�G NONE
INPUT �E�.Ut�tC7 Draft Hood�� Regulator
Filters Size G C.. Number
CONTROLS Chimney Location Inside � Outside
THERMOSTAT �— Heat Plug Chimney Consvuction �i`�r
Value�[� �
Limit y��G Q' Smoke Bomb Wiring
Limit Setting v Draft Test Tag
Fan Settin Door Pressure Lighting Inst.
Pilot Type Date Tested '-��
Pilot Make Company Testing
Pilot Model '�- Name of Tester +�
Pilot Timing �'1.1�i' S'Z'��Z.
L.W.Cut Off
Pressure ���' � Percent COZ Pressure Percent COZ
Input CFH�U� rJ`'C7r� Percent OZ � Input CFH Percent OZ
Stack Temp. .� � S� Percent CO f�a Stack Temp. Percent CO