HomeMy WebLinkAbout1993-005657 - mechanical PERIliIIT
��+IT�OF ORONO PEl�MIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: �`��:-:��'�`�'�:{;=_
Orono, Minnesota 55356-0815 ;i;.°`�r,c? ,�
Date Issued:
(612) 473-7357 i :=i;'��°1. , _ -. .
SITE ADDRESS: �
- -: � �,.
-------- ------_ _- -- ----- ----
�3E��f���'T!C?�:
L•1 !t• L"" �+�L�77t'.
t�.Lp� _.r. ___
lY�i TLL L/�li.lLl�
' 1!1 i�LflFliilti7 f
1J1JJL VV�!V
t�.( LL!� �lJ�i%Vy
't':!':�i)f}�1f�t1 �
1LL�6.t.VY VL
[ t ��
l�1 17L� a I 1�
'}�t�7 i )ilit(�r� ''`.
1JJ1fC�VVVV •
��1 VL!� 1 e y.Li
t�'13�1'�' Tt ��:r "_
L•11LUIt 16 —'
��Lf�i 1lJi_�L�rlEtk� F'�f?
)S�LLL17 ! !7!!7tf!\ 1L'U
!S:_.'+"_ i;i:}'f t.bi2 •7 '::
.._._! !!.. LVll1 t1V1 f.i.l. _V
'_.'_'_' .._'__..__._ .__........ .... ....._ . . . ... .. . . . .. ... .. .1L�i�ill•i�.�.
�������.
��` V�,•,11/�/�'�\��.
'i'r--t1 �S�t`� 1��Eit1 � � ...� .
� [1.'.
v(— -.-. �{ y
� r• r
�
�i:_i-Fi ''F_N �.�.'1 �_!!,! ��lt�"�I.L ! �t .... .... .. .. .. ..�.... - �...
�_- � 'i „ _ .._ � .
� . ; ; . "
•��-�`:~L��i t�°��_ _.__�._..�.�..�.._.......?y..: . . .'. �. . ..`���.� . . . ..
CONTRACTOR: _ ;�, ,�:; �,.�;_�. _ I�WNER:
,�;;-i-;�; i-�, - i;- =�,�.-,:��,-+'�s',! ;��€-ta.v:'_'_±�: ;�.`;i-�'l(�f.=°_� ,
_ .,, �-�t_c... _, _ _ ._ . _
'�F
- :•`t.!1 ' {�'•-:yi i-.'� �•1 Y r' ' .- _ — `::,�-I_�,_`s,'' E:..i'v���
__... _ _ �`:!-ii _
_:?- i�i?+i - --''' t ��.° `c _ . _��_=I E!?'. �'1t.( ;�;=�::i
_ ..-- - -. _ . . ..;;�.. ���� _ _ .. _ . _ _ _ . ..
—�,�_ "�-.• "_� :. t't !�`--.`s '-'F-} `-.1� r �'il'.— ' _�._. _. . _;.: �... -��-r.t ,. r �:_ i ��._. ��,_;,
�.._ . .. _._. ... _. . , ;�. _ ,
, - _
� 7 F
� . .__ '_�:�������... .L�.�l��r.._.. �6?.', t . .�.._:r _. . _. . ��: .. ._. _. _. _ .... . .. �.P"t•..... . .'iI', r'tS�...}ii._ _f:�f?�.�.��'�.t�t . �I : _.
.__._. , � i
s'_., � _ 'R,;; ....iviiY':,'e'�, i�it.��..:� � .� .,.f-`
—�='?__i�'���!=: ::i;�t �:;iT;.;:;:'3:�� ��f_.z �°�i ' fi '3�:' �;�! i i �� eqi= �";-3 'i t"'' ;
_. .__ _ _._J . � . . . . .._.._._ �.` ._ _ . . _� •� �''::', _ . _ . � � _ _ . __. . _ . . . ._._ . . .
S.y;� '.���T". `hii '.} ' 4 ` ' 3�.' �e i S`. . _ .. ! _ j4;,� ".tr.:i" zL.j�3� . . . . _
� :. . . t ry�
� t..�3":�_��'��..` . .i�:.!�P�i�u�-� ~it+iE.' ..� i 9� s ._. _ . ��v 3,tr`�r_`_�1�� i, . _ . �.f.._'E_:.�..�f..� _:t_��.I:.._ . ._.. , 3 i �'�"�E�.�:` � . . I
�
. �
�/1 J �% �> _ ���--�_ �r
-- ---- --
APPLICANT�PERM rEE SIGNA i URE � � � � � � �
' !, •
CITY OF ORONO APPLICATION FOR MECHANICALTPE�t1VIIT 993
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAI. INFORMATION �r--�
1. You may apply for mechanical permits by mail or in person at the City offices. Applicati�s will be J I�! �!
reviewe d an d a permit wi l l be issued within 2 working days. • '�_- ' --'
2. Permit cazds will be sent by return mail after a review is comple[ed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERM�T. 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
sha11 also be 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 natice 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
Reside tial Commerciai
JOB SITE: ' ! I Zip: 3�
Owner's Name: � i �P Telephone Number:
Mailing Address: �C_��;rnc�G�S Cc ��ti'� City: �1'CE�QS�(,�` Zip:
Contractor'sName: V 0 G T H E AT I N G & A/c TelephoneNumber: 9 2 9-6 7 6 7
MS111IIgAddress: 3 2 6 0 G O R H AM A V E Cl�: S T L 0 U I S P�lp: 5 5 4 2 6
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make: �r
Model: 3�--
Fuel: /��- �c�
' Flue Size:
Input BTUs: '��
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
,. •
WOOD BURNT�IG 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, sid� , rear , min. flue dia.
Total
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath E�aust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
�� �C;��C� ���;�'YY�i �� �
PERMTT FEE CALCULATJON
1. 1.25% of Contract Price* or Nlinimum Fee ($35.00)
I i ��35;L�C� x 1.25 $ �� �. ��
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. �' -E, "�� , � x .0005 $ d 7 �
(contract price)
3. Posta�e and Handlin� (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 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 fumished 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 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 Ciry 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: �<J J � � .l�(
Date:
Approved By: � v Date: �� af� �
1�1f'tDlscK.
�/�S� ���- 2�1 k.=z-�r P��
- ��Y ti�ss cat..ccn�►noNs ��''
Weatherstrips A' ' ' ' Coastruetioa No. In�ulation
Guide
Window� ( Doors Reference Out.Wall Int.WaU Ceiling Roof Floor Kind How Applied
Yes�10 Ye�—No 19_
ZF1.� /y�.v Room Length 1 Z Width 3� Height � ' Fl.� Room Length Width Height
Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area •
tVlat� HN�ht No.o( Llnul ft Area Widt� H�I�ht � No.ot Llnul tt. An�
No. o!D�ne o!vane ❑�hts o!crack p. [t. No. ol D�n• of Dan• Ilihu ot cr�ck w-tt. ' .
Coef. Bcu Coef. Btu
In6ltration 37 Z �/Z In�iItration
Glass y 3 �� Glass
Exp.wall S�Z Exp.wall
lVet exp. wall 7� /3 Net exp. wall
Int.wall • Int.•+all
Ceiling /�ia �r'. ZLY Ce��ing
Fivor ' Floor
Total Btu. /�/97 Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ina. W.A. Leader area
/Fl.� .F Room� Length Zz.Width �� Height F' Fl,� Room I Length Width eig t
Windows and Doo���rackage and Area Windows and Doors—Crackage and Area
Wldth HN�At No.ot Lln�a!tt. Aro� Wtdch Hd�ht No.ot Llneal ft. Area
No. of pane ot pan• Il�rt• ot cr�ck p.tt. No. o[D�ns ot D�n• II�Rt� ot erack �C.tt. .
� Coef. Bcu eE. tu
Infiltration g 3� 7 1n51tration
Glass y(o $�O� Glass
Eup.wall !I-�'i �- Exp.waU
Net esp.wail ff� �i, 39� Net exp.wall
Int.wall Int. wall � • '
Ceiling 22� .'- %�/'g' Ceiling � .
Floor Floor
Total Btu. /�7D/ Total Btu.
Required sq. ft. E.D.R. or iq. ins. W.A.Leader area Required sq. ft. ED.R. or sq. ins.W.A.Leader area
/'�'Fl. �+7�.�..- Room Length �Z. Width ,3.� Height j-� � �,� Room I Length Width Height
Windows and Doori—Cracicage and Area Windows and Doors�rackage and Area
Wldth HN�ht No.ot Lln�al tt. Are• Wtdlh HN�ht No.oL Lln��l!t. Are�
No. o[Dan• o�Dan• Iti�t• ot eraek �a. !t. No. ot Dane ot Dan• 11[ht• ot e�aek �Q.tt.
COtf. B�u COtf. B�U
In6ltration Infiltration
Glaas Glass
E�cp.wall �G `fi�`3 Z 8 Exp.wall
Net e:p.wail lf� �Z�/ 3�L,p Net exp.wall
Int.wall Int.wall
Ceiling Ceiling '
Floor � � Z /3y� Floor
Total Btu. / /)� Total Btu.
Required sq. ft. ED.R. or sq. ina. W.A.Leader ares Required sq. ft. E.D.R. or sQ. ins. WA_ Leader arca _
Fl. Room �Length Width Height � F1,� Room I Length Widch Heighc
Windows and Doors—Crackage and Area Windows and Doors—Cracicage and Area
Wldtn H�I��t No.oL LIn�a1 ft. Are• WIAth Hs1�At No.ot Lln�al tt. Ara•
No. ot Dane o[Dan• tlihts ot crack p.tt. No. of Oan• ot D�n• Ilthu o[cr�ek �a.ft. .
HOUSE HEATING TEST RECORD ���� � ���
ADDRESS ��� I ���7 ��`M j APT. FLOOR CITY SUBURB ��`'"�"�
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST. '!/�/�
SOLD BY INSTALLED BY�Gw G
Electrical Work By Gas Lins By ��.�'���
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
/' p��OAS DESIGN CONVE�SION
MAKE �^'�L MAKE OF BURNER
Model Model
Serial � Max. BTU Rating '
INPUT MAKE OF FURNACE �"�
Model (1 v � ,�, .
CONTROLS i�
THERMOSTAT � H a Plug ^-^ Vent Size
Valve KIND OF LI R SIZE N
Limit � � Draft Hood L �� R�yuloror �
Limit StHing � Filters Size Number
Fan Setting n`, Chimnsy Location Inside y OutsideJ��
Pilot Type r�kl� Chimnsy Construetion �'-�!� ^
Pilot Make /
Pilot Model Smoke Bomb Wiring v
Pilot Timing L Draft T�st Tap
L.W. Cut Off '� Door Pressurs Liyhtiny Inst.
Prossuro 1 Pereent COZ�f � Date Tested �^ �
Input CFH � Pere�nt OZ Company Testing
Staek Temp. V P�rc�nt CO G� Name of Tsahr
Form 235