HomeMy WebLinkAbout1992-004776 - mechanical _ .
�'ERMI� �
�I�Y OF ORONO PERMIT TYPE: t,��;.��;�,�;;:;,-::;
1335 Brown Rd. South • P.O. Box 66 PermitNumber: �_�t;�.?;rN,
Cr.ystal Bay, Minnesota55323 Datelssued: i �. ;��_��.���;::�°
(6�2) 473-7357
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SITE ADDRESS: ____ __ ___
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CONTRACTOR: - �F��=��= i�:�fi,�. - OWNER: �
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APPLICANT�PERMITEE SIGNATURE � ISSUED BY:SIGNATURE
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CITY OF ORONO
APPLICATION FOR MECHANICAI, PERMIT
G�ATERAI� INFORMATION
l. You may apply for mechanical permits by mail or in person at the City
offices. Mailed-in permits are subject to the postage and handling fees
shown below.
2. Permit cards will be sent by return mail the same day the application is
received. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT
BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE.
3. When any new ,construction or remodeling is involved, a separate building
permit must be obtained.
4. AlI work must be done in accordance with State Building Code requirements.
5. AI1 work must be inspected (rough-in and final). CaII 473-7357. 24-hour
notice required.
6. House Heating Test Record must be submitted before final.
INSTRIICTI�DNS C�r�,plete aIl items on this applicatior.. Compute the permit fee.
Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.
If you have questions, cal 1 473-7357.
WALK-IN PERMITS apply at City Offices, 1335 South Brown Road (Cty. Rd 146)
MAIL-IN PERMITS enclose fee - Mail to: P.O. Box 66, Crystal Bay, MN 55323
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Please check one: New Addition Repair �Replace
JOB SITE: � �I � � �-� �•. �'`.4� 1� �--� Zip:
Owner' s Name: � �p �, �� ���� ,� Telephone Number:
Mailing Address: � �i��: ?zP=
Contractor' s Name: VOG? tfAM�� Telephone Number:
Mailing Address �i� City: Zip:
********************* ��'�Y �*******************************************
MINIMUM FEE ( $30. 00 per pro�ect
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SYSTEM DESCRIPTION: $15. 00 each unit
Heating Systems:
�
Quantity: � - � v--�.�,� ....� . I ,'�--''_.;� � t � � � �� .
Make: � ..�-tx--.,.�,�- -
Mode1: �'Y L( - a �� L" f: 3��
Fuel: � -�
Flue Size: °
Input BTUs . �7 C ^�
Output BTUs
CFM:
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Cooling Systems:
. Quantity: ____ _.�
Make:
Model:
Tons: '
H.Power:
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N GV 5 :���2_
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*WOOD BDRNING EQIIIPMENT $15.00 each unit
Wood stove with flue
Wood combination or add-on unit
Factory fire�lace with flue
Factor Fireplace (s) freestanding Masonry
Wood Stove (s ) franklin, other
BrandName Model No.
Mfgr' s Min. , Clearances, side , rear , min. flue dia.
Total
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VENTILATION $15. 00 each project
No. Ritchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Loca�ions �fm
Total
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FUEI, STORAGE (must be approved by fire marshal)
' $30. 00 Permanent/Temporary
Fuel oil, gallons underground inside outside
LP Gas, gallons
Other Gas opening
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GAS LINE INSPECTION
High/Low Pressure $15. 00
**�*****�*x*xxx�x*��***��*�***�**��x******�*�**�*x*****x******xx****x*�*********
P$RMIT FEE CALCD'i�'ATI�ON• ' -
1. Total of above Installations or Minimum Fee ($30.00) $ `? � C C�
2. State Surcharge. Add the State Building .Code Division
Surcharge to each permit $ . 50
3. Postaqe and Handling on all mailed-in applications, S 1.50
4. TOTAL PERMIT FEE add lines 1-3 above $ 3 =� :�, D
The undersigned hereby applies to the City of 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 tha� all
statements made on this app lication are complete, true and correct.
Applicant' s Signature: �� Q -� � e -��.Q Date: `�� (�� �� �.
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NEAT LOSS CALCULATIONS
Weatherstrip� A'S' ' ' ' Con�truction No. lnaulation
Guido
Window� I Door� Reference Out.Wall Int.Wall Ceiling Roof Floor Kind How Applied
Yc�—No Yes—No 19_
' ( (�,. Room Lrn th Width� _ Heiqht U-� FI.) ;�' . Room l.ength Width _ Height p�i
Fl. ;���� B � � � -
Windows and Doors—Crackage and Area '-�• �� �� •�� ' Window� and Doori--Crackage and Area ��
lt'Idlh HeIR�� No.of Llne�l fl. Are• . WIAth Heltht No.of Llneal[L Aro� ..
No. nf p�n� ol Danr II[h�� of t��ck ■d it. No. of Dan• of D�na 11[ht■ of crack �a.tl.
� � � N ���. � ,� ir . ��1. ,
�1"�
,: + r' 1 �Z ' �" (� ��'���a�,,�'� / t t /U
�,, ��,
� i i/ . T/� / � ' }(
CoeL Btu Coef. Btu
In6ltration .S � � ` �'i � Infiltretion �
Glass r � Gla�s �� �l �
F�cp. wall �' � Exp. wall�� ! ,� •��
Nel exp. wall �� y 9�5 �.^�` ��'� �/ Net exp. wall �'' ���' �� v
jnt,wa�� ' �� InL '+aII __
'_: r... �..
r�i�ing .., � � C��ung 3 � l
FI_�or �� f'loor _ v �5
Total Dtu. !,J J� � Total Btu.
Requir�d sq. ft. E.D.R. or aq. in�. W.A. Lcader area Rcyuired sq. Ft. E.D.R. or sq. ina. W.A. Leader nree
Fl.� �i' Room� Leng�h • -� Width /�� F�eight' ��F�j��;r,., .. Room l l,ength Width 'L Heig t '� <�-
�('indoH•s and Door►—Creckage and Area Windows and Doors—Crac�age and Area ,• � .
K'Idth H�I�hI Na.o[ Llneal(l. Are• � R'Idth Hel�ht No.of Llne�l ft. Are� • �
N2 �f pane o(p�e• IIfhU ot cr�ck �O. (l. No. ot Dann of Dane 11[hU ot cncA �G ft.
' � ".7 � / �� ,-, � '.? � .� �M, � .
4�
� �. '�' % �� �V � .
� ia
Coef. Btu oef. tu
�n�i�tralion ! 7 �UG
In6ltration � � �
Glau ! � Glass f .�� " ���
Ezp. wall � r'/ r F�cp. wall,��"� t .,. -' •' ^ ,,,f '>
Net exp. wall b .s C'.•� Net up. wall ,�; - . 1 �� I>� �'V. S �^ -
Int. wall Int. wall i-' � + L ¢' `` '�'
Culing � .'l' � C�iling G 3 `� n �
Floor f=loor ` Z r
Total E3tu.
I� � U ' Total Btu. �
.. , ._ .- n n -- -- •-. \V A t __,!_. ..., R.,,,,;,,,7 .� A F h p --- - '.eader eree
f�' -�- �'�� 1 .
! ���� �7� � HOUSE HEATING TEST RECORD
ADDRESS � ``Y 6_��-�.��CL� C ���K, �`'� APT. FLOOR CITY SUBURB �����'O
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY � ' '
Electrical Work By Gas Lins By
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION `,�
MAKE � • �'� �' MAKE OF BURNER
i
Model l� Modsl '
Ssrial � Max. BTU Ratiny
INPUT �(�1 (r�.-. MAKE OF FURNACE
Model ^ _ �'�_
CONTROLS �I �OV � 2 ����
THERMOSTAT kleat Plug Vsnt Size
Valve « KIND OF LINER� S�Z N NE �
Limit Draft Hood _ � '{� ReyulaTor �
Limit S�Hing t�C�U Lf Filters $ize Nu ber
Fan Setting Chimney Location Inside� utside
Pilot Type ��-' � Chimney Construction ��� �
Pilot Make I L�
Pilot Model Smoks Bomb Wiring
Pilot Timing � 1� C- Draft �.� Test Tap
L.W. Cut Off � —�— Door Pressure Liphtiny Inst.
Prossuro �� � Percent CO ` Dote Tested ^ C �
2 6 ,
Input CFH ��"� Percent OZ Company Testing
Stack Temp. ������ Perc�nt CO � �� Name of Tester
Form 235