HomeMy WebLinkAbout1999-011135 - mechanical PERMIT
�,�TY OF ORONO PERMIT TYPE:
�.2750 Kelley Parkway- P.O. Box 66 Permit Number: ��-'' �'''�'`-'``'�-�
��Crystal Bay, Minnesota 55323 Date Issued: �"�_ � ��^��
(612) 473-7357 4-'=;�:'w,:"="=�
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APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHANICAL PERNIIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION �
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 RECEIVE 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, 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.
+. When any new construction or remodeling is involved, a separate building permit must be obtained.
�. 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 l/ Replace
_�/ Residential Commf rcial
JOB STTE: 8�0 �v0�f �GI.1�AI 1�G1�.d Zip: S53Z�
Owner's Name: � � Telephone Number: 47(�j-- 73l/
Mailing Address: ' /I1 City: �j�tp Zip: ,��,3
Contractor's Name: , �' Telephone Number: �//
Mailing Address: City: �I'erj/y� Zip: �c,�
SY5TEM DESCRIPTION
HEATING SYSTEMS
Quantity: �
T�Take: LPGf
Model: � pp
Fuel: j�(2
Flue Size: 3�pI/G
Input BTUs: /
Output BTUs: q � .
CFM: 3-4 �
COOLING SYSTEMS
Quantity: / _
Make:
Model:
Tons:
H. Power �
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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 STORAG� (MUST BE �PP�OVED 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 .ol2s � 3 7•,Sa
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. � x .0005 $ ��J�
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ .50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ Da,S�
do� �(,��R1e
* 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 chazged to the
customer for the work done. If any material, equipment, labor, or installation are furnished by the owner,
tenant or any other p�rty the reasonable market va�:se of�;.ich items must b� 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 Ciry 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: G{ 7
Approved By: _ Date:
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HOUSE EATING TEST RECORD
ADDRESS � �� /��� 3 "��M "�� ' APT. FLOOR CITY ���54i9U,R�,,----
OCGUPANT ��� r ��' OWNER
HEAT LOSS A E HTG. INST. '��
SOLD BY � �N�� INSTALLED BY c�� ��` � ��� G-- +
Et�ehicol Wwk Bp � �t Gos Lin� Br i� 1 1
TYPE OF HEAT GA FA �HW STEAIN �___SPACE HTR. UN�T HTR. OTMER
GAS DESIGN CONVERSION
MAKE L . C AU►KE OF BURNER
►�a.i �(e a3 -� 'o� -- _._►�e.i _
SMiol _ 3 __ h{ox. 9TU Ratlny
INPUT r���UIaL� ���1 _� MAKE OF FURNACE
Mod•I _
/,� CONTROLS ��� ^��'
`'�' V�nt S�:• �`'
THERMOSTAT H•at Plup
Volv. __ �lt�('Ifcy'�� _ KIND OF I.INER— _ 51ZE NONEL✓��
n � �
Limit —�`��,,"). —_ Drah Hood ' R�yulowr
LimitS�Hi�y 6�jfi)�1�'.� - -- Filtirs Sit• ��jX��X� Numb�r
Fan $�rtin9 'f't��� �� ���'� �imn�y Locotion T Insid� ✓�� Ou sid�
�
Pilot TYp� — ��.,�.-- Chimnsy Conshvefion �—��,�`„�
Pilor Abok• —_
Pilot Mod�l _ Smok� Bomb _ ^—� Wirinq '��'
Pilot Timiny -_��.����_. Draft ✓� T�st Top �'� _
L.W. Cut Off _—•�— Doo� Pr�ssur� Liphtiny Inat. '��
Pr�ssur• ����� ` P�rc�nt COZ —� Dof� T•s�•d . �� - �-7'—� �
Input CFH_ r0� P�rc�nt 02 Cornponr Testi�y �'Pr1 �i�P'q�rP _ J.��� �
Srock Temp. � P�rc�nt CO NanN of T�sf�r