HomeMy WebLinkAbout1999-011572 - heat/ac/humidifier PERMIT
CITY OF ORONO PERMIT TYPE:
�, 275d Kelley Parkway- P.O. Box 66 :=s��:�-tt���,�?i:�:��
Crystal Bay, Minnesota 55323 Permit Number: - � �.-._
Date Issued: t s'' - ���`
(612) 473-7357 _ ... _. _. _s=z
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: — �=������ i���Ft. — OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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a
r CITY OF ORONO APPLICAT'ION FOR MECHANICAL PERMTT ��D��
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 retum 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, equipmeni ratings and identification as to type, manufacturer and model.
Data shall be presented on form gmvided. Ideatif cation of and specifications for water heat;ag eqnipment
shall 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 notice required.
7. House Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Compute the pemut 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
Residential Commercial
JOB STTE: L - - Zip:
Owner's Name: elephone Number:
Mailing Address: City: Zip:
Contractor'sName: TelephoneNumber:
Mailing Address: 3260 GORHAM AVE. Clty: Zip:
ST.LOUIS PARK,MN 55426
SYSTE:VI DESCRIpI'I�iV LES 929-6767 SERVICE 929-4011
HEATING SYSTEMS I
Quantity:
Make:
Model: -7�c
Fuel: ct
Flue Size:
Input BTUs: ��4'ln
Output BTUs:
CFM:
COOLING SYSTEMS ,
Quantiry: � J`J� � ` ��
Make: �/Y1C;�1'ICJ�
Model: G �I
Tons:
H. Power
WOOD BURNING EfJUIPMENT
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.
Total
VENTILATION
N�. Kitchen Exhaust ductecl recirculating cfm
No. Bath Exhaust (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
PERMIT FEE CALGIILATION
1. 1.25% of Contract Price* or Min' u Fee 35.00 �/ , �
� x .0125 $ «
(contract price)
2. State Surchar�e. ** Add the State Buildin Code Division
Surcharge to each permit. x .0005 $ �, � _
(contract price)
or $.50, whichever is greater
3. Posta�,e and Handlin� (Only mail-in applications) $ 1•
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 chazged 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 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 conect. �
� ���--t ����/ Date:����1.'1
Applicant s Signature:
Approved By:
� �Date: ���
... . _
L 4 • .
• : u�.�,::3 Q �
. : - :. .
x�r�c.oss cat.cv�anoNs :. . �. . .
Weathentrips . �� - . �.Coostruetion No. � � ' Ieuulatioa'
windo.ra Dooa ReEaeace Ouc.WaII In�WaII � Ce�in� RoaE Ftdoc Kiad � � How�A�l;�d
Yc: a ( ea o ' . 19_ - . . _
Ft.1 OvdlRi+�- Room Lea=ek W�'d�Iz�-( O H�he F1.) Roo� L�ength Widtk � _ . HeiBh�
Windows and Dooa—�CracSca�e aad�ei 1/ Wia�ow� and Doars—Cracic=�e tad Arei
wy�A- l/ntws N�.�! Ltaul tt A[�� ` S� 16th ltN�Yt Nw�t e��l!t As}� .
No. �[faee �•t N�� . Iltfa �t Kaetc N.�- �_ � l��. �t/��� �C��u� I/tAu ��CtaCY .W:�K.�
`O- �� ' ( Q
1 Go � � 2 Z°1 � �
2 lG G � 1 Z g
$ ' 30 Z. p Coef. Besi ;- Ccef: B
—. _ _
.. .
Is�Itratiao ,;_: _ :: _ � . :
z Z Iuhltration -
Glass ( Glus .
Exp.wall . Esp.wall
- . _ -�
- _ .
Net ezp.wall �Z Net ezp.wall
Int.wal[ Int.•.aA -
Ceilin4 3g. � Ca�ipg .� � '
F!:,or _ - ' Flooc � . � . . -- .
Totsl Bcu: O Z Tocal Btu. . ' '
RcQuited sq. f� ED.FZ ot iQ.ias.Q/A.Leader:rea - [Z�u�tq. ix, E,p,R, or sQ.ins.WA L.eidu area
-I Ov�t.�4�GC Room�Len4th Width�{ Q Hei�ht El.f Rooas l LenQth Q!i th eig.c
Windo.�n aad Docrs---Gac�.afe aad Area ��� Windows and Door�—Ctacica�e and Atu
W1dch H�t�Ac N�.H a.al Ct Area R lac`•► H•ltAc :��:�l Llaul.tt- Ana
No_ •17a�• �C Oan� Iltnu �t eraek q.tc �� Ne. •f Oana ef iaa• Itsltta et craek . sC.�t4
( L• •� . �
6 c i �o (S,qq7
` C, 1 .
Gef. $tu
InFltratioa � 3 Ili�leratiop • �
Glass Glaas
E�cp.wail p F�cp.wa(1
i�ct c:p.waq I\et exp.wal!
Int.waQ � Iat wall '
Ccitina Ceilin�
Ffoor p 300C� Floor
Toca[ &u. Tocal Btu.
Reqni�ed iq:`f� ED:R:o�iq:ini:Q/A[.eidei ii+ea : :�.• -. ". -."Re�uue� iq:'h:ED:R.�o�iq"`"tai'W�1.'"L.e:e'f�a"..
F[. Room Leasth Width Hei=ht ' � fl,� �Rooet I Leageh •Widtk Heiahe
Winda.+s and Doors--�Crac�ate and Area Window: aad Doo�s--�CracicaQe aad Aeea`�
�ata dsae �.K n�at t6 wna lAtn ltashe M..K� n•a o I►e�.
Ne. •t/a�• •t�aw• Ill�u �t�raek �C.[C Y�. •f Oaw• •t 7as� It�tl� �!eraek �t.'R
Co�f. Btu 1 Coef E
!nfiltration Infiltration
Glaas Class
E�cp. wall Exp. wall
Nct e:p.wall h'et ezp. wall
Int_ wall Int.wall
Ccilinq CcilinQ
F Icor Floor
Total Blu. • Totsl 6tu.
� - _ "
� �.��� �2����
���� i� � T�t ��U������TIN,� TEST RECORD ��Lj �
ADDRESS � �' � � �PT. FLOOR CITY SUBURB
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST. y/
SOLO BY INSTALLED BY 1L�,� � � ' � �
El�ct►icol Work By Gos Li�• By �5���
TYPE OF HEAT GA FA..�HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE f � MAKE OF BURNER
M�.i C—� 3 �- 3 �— 7� — ►�d.i —
5�►iol -,� Mox. BTU Rarino
INPUT ��«��J --- MAKE OF FURNACE
Mod•I _
CONTROLS �( ,..
THERMOSTAT_� H t Pluq � V�nt Sis•_
ya��. ' KIND OF LINER `L�i � SIZE ' NON y��
Limi� � Drah Hood � R�pulawr
�� Filt�rs Sis• ►rumb�r
Limit S�ttiny �
Fan S�ttiny afmn�y Loeation Insid��0ut�'d,�
Pilot Typ� �} � D+i�n�r Const►uetion _��t�� � °L��
Pilot Mok�
Pilot Mod�l �7 Smok� Bomb Wirinq
Pilot 7iminy � .S�/( D.aft T•at Toq
L.W. Cut Off r— �ow Pr�saw� LiyhNno Inst.
Pr�asu�� �� 1 P�rc�nt CO2 Dot� T�at�d � �
Input CFH �C� P�ro�nt O� Comoany T�atiny d `
Swck T�mp. P�ro�nt CO 0` Nanw of T�st�r