HomeMy WebLinkAbout1996-008616 (mechanical) � PERMIT
� CITY OF ORONO PERMIT TYPE: - _ - r -
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2750 KE�ley Parkway - P.O. Box 66 - -
Crystal Bay, Minnesota 55323 Permi t Num ber: `.�_���;�,�r��
t612)473-7357
Date Issued: 1�;'x�:::i:�;-;
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY: i [
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APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNAT.UR�-��
� � � �� ��, _
CITY Or ORONO APPLICATION FOR MECHAIVICAL PERMI'r
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
G�N�RAL INI+OKMATION
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 RECENE A PERMIT. 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,humidificatio:t-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 bc 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 notice required.
7. House Heating Test Recard must be stibmitted 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.
Plcase check one: New Addition Repair Replace
� Residential Commercial
5�rn � JOB SITE:_ _�}�- -��2� � c� �OC�� Zip:
rn�1�\�---�Owner'sNs:r�e: T� i(Y1 _ -z,2.o.�n TelephoneNumber: �'�a.- 59�{-�
Mailing Address: City: Zip:
Contractor'sName: 5�1-.I�Y�a�'� Q � ���Vh�'�..T,�itC• TelephoneNumber: "�8'{-S� �
MailingAddress: pS �('��n C.l Rd� i City:S' ('��/ �-k1�� Zip: SS 3�
SYSTEM DESCRIPTION
G���
HEATING SYSTEMS
Quantity: ( I
Make: c K tr.o
Model: � W 8 CLl}�yS
Fuel: Nc�,�• �ca.a. l.��l-• �
I�lue Size: y' ��
Input BTUs: 51��o � S�U� _
Output BTUs: �UDv o 3c��o
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
` i
WOOD BURNING EQUIPn�ENT
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 STOFcAGE (MUST �E 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)
aso c� . X .ol2s $ 3 s. o0
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. �Sc�p. x .0005 $ ` �a S
or $.50, which�ver is greater (contract price)
3. Postage and Handlin� (Only mail-in applications) $ �
4. TOTAL PERMIT I'EE (Add lines 1-3 above) $ 3 Co �a'S
* 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,
the City may request the submission of a signed copy of the actual contract�.
** The S'CATE 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 a�pli�;� to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accurc'_ance 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.
� Date: � 'S�/ �
Applicant's Signature: � �� • �
Approved By: � Date: 91 1
� � HEAT LOSS CALCULATIONS
� .,� TOTAL BTUH —
• • r ����, �'}� t�r.{��� - � Z,� c_� ,`��: CT�C"��� , DATE
FROJECT / � � �Z � '- �
�.
----_ ._. _ - - ._ -_-- --- -
QM. NAME �r r - � RM. NO. RM. NAME �E� � RM. NO.
.iEA VOL. AREA VOL.
WIND. DR. WIND. DR. _
INFIL. AREA M.F. BTUH INFIL. AREA M.F. BTUH
GROSSWALL �� . pr� — GR. WALL �a v�y�-� --
GLASS r -- �u_._ G L. S`I�� �1 :
DOOR -- -- DR. �✓ ��•t� ���f�: �p_�
NET WALL �C� 13 :�_� /%���t; ,I t,U NET WALL I�� ?���,:� ly!��-�,�.
RF. ._-- — � RF. .�
FLR. -- — ---- FLR. _._
EDGE LOSS — ,.— --- �B&E-t6SS_.:s.-c� � � w;�v_ �_--".�: � "l,�G . (;•�S.kL '
INFIL. --' INFIL. `t��:,�,� c` yC't`C�' -��� �4,S1� t�..;,{!.
SUB-TOTAL ��;��-�,� ��� SUB-TOTAL ;�.,f �.,
TOTAL TOTAL
RM. NAME `�c:;:�:-�- RM. NO. RM. NAME � ���,r� RM. NO.
AREA ~ VOL. AREA _ �" VOL.
WIND. DR. WIND. DR.
INFIL. AREA M.F. BTUH INFIL. AREA M.F. BTUH
Z. WALL '}:� ��!�- —`_' GR. WALL •
�L. �;'' `� ,��: 3>I�- G�.
DR. -- _ . ____ DR.
� Q \ �\�("�f ��. _=�1 � �i��,. ���,.� ,�_�
NET WALL �; c� J��� •�c.�' -,,y�� NET WALL �
RF. --' _ -- RF.
FLR. — - __ FLR.
EDGE LOSS — — ----� EDGE LOSS
INFIL. ���; �v'��` �,,,,, �, `�j`, '?,�, �.,, INFIL.
SUB-TOTAL ; 3 3_ SUB-TOTAL atl.��iL-),�.:�--
- TOTAL TOTAL
RM. NAME ��-,� �1 RM. NO. RM. NAME RM. NO.
AREA VOL. AREA VOL.
WIND. DR. WIND. DR.
INFIL. AREA M.F. BTUH INFIL. AREA M.F. BTUH
GR. WA�L 3� �CS' — -- �R. V�'ALL
GL. --._ - GL. �� � , �-
— DR. `` ` -
DR. -- - - i
_ -------- �
. 'T WALL ' X:L ���.�- I�%�.P'"' NET WALL �,;
RF. ---_ .-- — R F.
FLR. --J --_ FLR.
INFIL. -- � EDGE LOSS
SU B-TOTAL S U B-TOTAL
TOTAL TOTAL