HomeMy WebLinkAbout1999-011646 - heat and a/c PERMIT
� CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66
Crystal Bay, Minnesota 55323 Permit Number: -_ - - +:. � - -
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(612) 473-7357 Date issued: ;� _,,;�;-, � � ���
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SITE ADDRESS:
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REMARKS:
FEE SUMMARY: I
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CONTRACTOR: � OWNER:
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AP ICANT PE ITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMTTy b ',`T`"
Box 66 (2750 Kelley Parkway) P '
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 RECENE 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�ehumidification, 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 249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Compute the pernut fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600.
Please check one: New _�Addition Repair Replace
?� Residential Comme cial
JOB SITE: �/�a~' 1 �� Zip:
Owner's Name• Telephone Number: y�6 -��s 6 7
Mailing Address: . I ' .s � >.,.t y� 6Z� , City: C"�z,,....,� Zip:
Contractor's Name: �' Telepho e Number: /Y_3 - � �I�
Mailing Address: / 76 City: - Zip: �,�3 �'6
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: l�
Make: cnv� a `� _. —
Model: G,�(.,o.� -��
Fuel: ��a f-
Flue Size: �, �� �.V G-
Input BTUs: _7�� o � �
Output BTUs: � - . o v c�
,
CFM: /,�v,�
COOLING SYSTEMS
Quantity: �
Make: L �r► v� v �
Model: ' /�?,�A ��
Tons:
H. Power ,� �
/ �Q�
WOOD BURNING EOUIPMENT
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) S o 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)
,� � �� L> � -- x .0125 $
(contract price)
2. State Surchar� ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
or $.50, whichever is greater (contract price)
3. Posta�e and Handling (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 chazged for the perm.itted
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 mazket value of such items must be adde3 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 $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accordance with the ordinances of the City and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and conect.
Applicant's Signature: Date: �—/ 3 -� � �
Approved By: uC�tn�r.-- Date: �' ��- ��
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� N�AT LOSS CALCULATIONS UEPARTMENT OF 1NSPECTION � a _
Weathcr�trips A•S�� Construction No. Iasulaf n
Guide, �'
Windows I Doors Refercnte Out.WaU Int.Wal) C,eiling Roof Floor Kind H w Applied
Y�:— 0 1'es—No 19_.� `�"
�,_._._._—_:=�_=�_ ----�-,--
�`..:.; Fl.� . ;;;; , � ! Room�Length Width HeiBht FI.� - f . Room l,ength Widt Hei$ht
Window� and Doors—Crackagr and Area Windowa and Doors--Crackage and Area
��'I.Ith Htlgnt No.of Lpna�l ft. Area WIdtA Halrht No.ot Lln�al tt. An
No. ot pane of vane IIRht■ at crack �q Ct. � � � No. of pans O[pan• U�ht• �ot erack �Q.[
_.� . � _
.� �2 � ,� �
1 � - / � � 7 � �
+ � ,
Coef. Btu Coef. Bt�
In6ltration 1 �� �_'. �> ,,3 3 '�' C� Infi[tration 3� � � �
Glass i`, ,: ; � ------ � c�
Exp.wall � Glasa _-- a Y c� 2 �
Eacp.wall ;.,
Net exp. wall � '- � _" � � Net exp. wail `� ' �/ /�''.
Int. wall Int.wall '
Ceiling Ceiling /6 y'
Floor ���;;� ,';� � ' � Floor �
Total Btu. `�- ' ' � "
� Total Btu.
Required aq. ft. E.D.R. or sq. ina. .A. L.eader area Required aq. ft. E.D.R. or�q. in�.W.A. Leader a ea
r------ - —
Fl.� d` Room� l.ength�/Y Width �}•' Hcight //' FI.I p Room�Length Width ^ Height
Windows and poors--CrackaRe and Area Windows and Doora—Crackage and Aree
WICt� Heirht No.ot Llqaal tl. Are� Wldth Hel�ht No.ot Llnul ft. Aro�
No. o!pana of p�ne Il�ht� of cnek p.tt. No. ot D��• o[pan� L�bl• ot erack �Q. [t.
G C� % �/�� 7 �i ^ � � �� .� / 3 ', •
V Coef. $w f. f3t'►.
In6ltration ;;,� 'i",�;, In6ltration � v �
Glau __ ___._.__ , , � � � � Gla�• �l ` c� �� ,
�p.well , t y� Exp.waU
Net e:p. wall � '�, ti < -` �,� Net e:p.wall < <. .
Int.wall ! lnt.wall
Ceiling ,� y - ,
S/C> > Ceiling O i
Floor , y � F'loor S/ ;j '
Total Btu. � U Total Btu. ' � . '
Required aq. ft. E_D.R. or sq. ins. W,A. Leader area Reyuired,q. fc. E.D.R. or aq. ins. W.A. Lesder ar a
/ Fl.� �-+: , ; Room �Length �_,�, Widch /� Height �. -, i;. Room I(,ength /�-- Width r' Height
� Windows and Doors—Crackage and Area Window� and Doon—Crackage and Area
W�dih H���ni No. of Lle�al ft eree Wldth Hel�ht No.ot Lln�al tt. Aro�
No. o!prn• o!vane IIRht� of c ack �p. (t, No. ot pane ot D�n• Il�hl� ot c�acic W•ft.
'� � .ZJ ti7 � L/� ' I I � ')
� /
f
Coef. Btu Coef. Btu
Inbltration .i u �:> � Infiltration ;;,7 �;�, � � .
Glaa �� ., r. �) J J Glass `,�
Esp.wall Exp.wall
Net exp.wall :% �' Net exp.wall �
��' `� ,;,.''
Int.wall Int.wall
Ceiling L , Ceiling t'j ,' .;,: 7 f ,,
Nloor ,�' `� �•, Floor c- !
�
Total Btu. � Total Btu. ,
Required�q. ft. E.D.R. or sq. in�. W.A. L.eader are� Required p. ft. E.D.R. or sq. ini. WA. L.eader are
N��IE HEATING&AIR COND.
Victoria Chaska
443-2819 448-3�3�
,� - .
_ a� ,
HEAT LOSS CALCULA7l0 DEPARTMENT OF INSPECTION
Weathentrips �� Con�tcuetan No. 1��+�
Window� I Doors Refercoc`e Out.W�U tnt.Wall GJwt Roof Floor Kiad How i�
Y��—No Yes—�iI o 19_
Fl.� r Room L.enQth Width / HeiQht Fl.� Room L,eaQtb Wi�h Height
Windows and Doori—Crackage,and Area Windows and Doort--Cracka=e and Area
wiain n•isnc No.ot L�p�al tt. An� WIdt4 HN�lt �.ot awrtt. Ana
Ne. ot D�ne ot D��� � Il�ht� 01 er�ek p.tt. No. of pan� o�paa� 1 !ta ot C►aolc �Y•«•
• � -� � "' '.2 �
li
Coaf. Bcu f. Bcu
ln6ltration 3 < <= ]nGltration
Gla:s a C,lass
Eup.wall / "' �[p.wa��
Net exp. wnll � �/' ' Net e:p.wall �
lnt.wall Int.wall
Ceiling � � ,'' CeilinQ
F;oor ' Floo�
Total Btu. � Tota!Bta
Required sq. ft. E.D.R.or sq. ia�.W .l..eader aroa R�„Red.q. ft.&D.R.or iq.ins.W.A.L.eader ateR
Fl.� C �, �r Room I.en�ch -, Widch -, Hei�l�t � Fl.) Room I I.ea�th W�deh Hei�c
Windowa and Doors—Crackage a Area Q/iudow� and Door�—Cr�clu=e and Ana
Wldth He1�At No.ot Lts 1 tt. An� VYldtk Hdfbt No.O In�d tt. Aw� i ..
No. ot pans ot wn• Ilsh[� ot e �ek p.tt. No. ol p�n� ot p��u 1 bt� ot er�ak �a•�t•
�
Coef. Btu f. w
In6ltration Infiltratioa _
G1au � Glau
E�cp.wall F�cp.wall
Net e:p.wall Net exp.wall
lat.waU Iat.waU
Cciling ' Cei�ing
=1oor (.:> � Floor
?otal Btu, eS � Total&u.
Required:q. ft.E.D.R.or sq. ias.W.�l.Leader area Requued w.ft.E.D.R.oc�q.ins.'Rl.A.l.tader area
Fl. Room (L,en�ch Width Hei�6t Fl. Room l l.ea�th Qlidth Hei�hc
Window� and Door�—Cracics�e a Area Wiadows and Door�--�CraekaRe aad Area I
Wldtb Hd�At No.ot Lta�� tt. An� Idlh di t a et Llsul tL Ar�� .
Ne. ot p�e• ot pan� 11 ht� ot ar k p.!t. � No. ot yan� ot P��� 1 bt� o[oraolc q•tt '
Coef. Btu Coe Btu
lnfiltntioa Infiltratioa
Glaa Glaa
Exp.waU Exp.wall
Net racp.wall Net e:p.wall
IOt.WiII 10�.WiU
Ceiling Ceilin�
Nloor Floor
Total Btu. Total&u.
Required sq. ft. E.D.R.or�q.ias.W.A.lw�der�na Rp�ired w. h.E.D.R.or .in�.W.A.Leader u,ea
I�/O �a / /�C.� � Lo ��$ �S/ b�D ��/r�,
�ATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED (� �C'�
PERMIT NO. I1lc��� COMPLETED �U �aV
ADDRESS �� �{S ��c��S-��� �� .
OWNER CONTR. i�C�.:v�Y :�'� �-t����\�
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TELEPHONE NO.
� DESCRIPTION �o�S I��? �. � ��v" T�.S�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAVlGRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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
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= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVA�
� OWNERICONTRACTOR TO ME YOU:_YES
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� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. n pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � ' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor on site:
Inspector.�Q K-G�*�Jt
White Copyllnspector's File Canary Copy/Site Notice
DAT TIME
CITY OF ORONO CALLED IN —r - �Q• �
INSPECTION N ICE SCHEDULED - �� �
PERMIT N0. o COMPLETED _�
ADDRESS / -� �-�tiz1L.���G . �
OWNER CONTR. �'� �
TELEPHONE O. '7` �3 � �1,�/�
� DESCRIPTION
� 01 FOOTING ECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 1 FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �, pHOTOTAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advan . 3-7357
OwnerlContra or n ite:
Inspector.
White Copylinspector's File Canary CopylSite Notice
DqTE J� TIME
CITY OF ORONO CALLED IN `C� `�'
INSPECTION NOTICE SCHEDULED �Z �_34
PERMIT NO. ����C�� COMPLETED !' �=' 3v
ADDRESS ���S . �C�QSS ��1NY'1 I2C�
OWNER CONTR.�� '�`���r
TELEPHONE NO. �I�3`a-�� "I
� DESCRIPTION
LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLWG
� 02 FRAMING 13 MECHANICAL FIN 19 LAKESHOpE/WETLANDS
�
Q 03 INSULATION 24/2 EPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL 22 FOLLOW�UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD CC�VER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNEHlCONTRACTOR TO MEEf YOU:_YES_NO
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� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL iNSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor on site:
Inspector.�� cc.K �Q�?
White Copyllnspector's File Canary Copy/Site Notice