HomeMy WebLinkAbout1993-005800 - furn/ac/vent PEI�MIT
� CITY Q+r�RONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: s��-'�F��'t�?�F L:E�f
Orono, Minnesota 55356-0815 `'�'�'=�"�
(612) 473-7357 Date Issued: � h,,.•R_k;;�.�:_,
SITE ADDRESS: //�S
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMI'T
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAI, 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 cazds 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, 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 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 fina]). 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: X New Addition Repair Replace
X Residential Commercial
.TOB SITE: 1153 Loma Linda Aven e ZIP:
Owner'sName:Johnson & Johnson TelephoneNumber: 420-7659
MailingAddress: 13688-74th Place NOrth City:Maple Grove ZIP: 55311
Contractor'sName: D J 's Heati� & Air cond. TelephoneNumber:497-2661
MailingAddress: 6060 La Beaux Avenue N.E. City:Alber �»ii Zip: 55301
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: 1
iVlalCe: Amana
Model: Guzo7o -
Fuel: Natural
Flue Size: 4"
Input BTUs: 70.000
Output BTUs: 56,000
CFM: 1275
COOLING SYSTEMS
Quantity: 1
Make: Amana
Model: ARCF30
Tons: 2.5
H. Power 1/4
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1 • �
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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.
Total
VENTILATION
No. 1 Kitchen Exhaust x ducted recirculating cfm
No. 4 Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations ��
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 CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
$5600.0o x .0125 $
(contract price) -
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater ,�� �.��
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
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 aze 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 Ciry 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:, ate: �
Approved By: - Date: p2,- � �
DvATE TIME
CITY OF ORONO CALLED IN �':,� �a �7�3
INSPECTI4N NOTICE (��� SCHEDULED �.�-�f j%30
PERMIT NO. � COMPLETED t/� �
r185 ,- ..'
ADDRESS 'f �z � � �' �
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OWNER :' �iy+y" CONTR. .rf S � "'���f
TELEPHONE NO. y� � - .��� ��
� DESCRIPTION /7'ti � �� ��,�'�il�/��,^- �j�.� -�
� Q1 FOOTING 11 MECHANI AC L—Rf' 16 ELLTESTPUMP
Q 02 FRAMING 11 MECHANI AL FINAL 18 EXCAV/CRADING/FILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
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Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
'i 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
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i 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ORKSATISFACTORY:PROCEED C PROJECTCOMPLETE
� O CORRECT WORK 8 PROCEED C; ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINBPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r- pH0T0 TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
❑STOP ORDER POSTED.CA�L INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor on sit -
Inspector.
White Copyllnspector's File ( Canary CopylSite Notice
DATE TIME
CIYY OF ORONO CALLED IN � � 7 ����
INSPECTr�JN NOTICE SCHEDULED � -� %'� -��`
PERMIT NO. �� ���� �� COMPLETED � �
ADDRESS �I-5 � ��"-����� .���.z.:�1�:� (,��,�-z
OWNER �,j�����:��-e-�`�` ��-�:v�c�,CONTR. l� �J s ��
✓ 5��-�-r:,.�
TELEPHONE NO. � � � - � ���" �
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING �1 MECHANICAL FINAt� 18 EXCAV/GRADINGIFILLING
� 031NSULATION 24125 WOO�BIIFi1VER/FIREPLACE 19 LAKESHORE/WETLANDS
O
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Q
i 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: _.��C�<< /5 � .�/%-J
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W� �WORKSATISFACTORY:PROCEED i- PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED �- ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. i_' PHOTOTAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
Ci INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnerlContrac s e:
Inspector. -
White Copyllnspector's File Canary CopylSite Notice
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DJ�S HEATING � AIR CONDITIONZNG, INC.
HOUSE HEATING TEST RECORD
Permit No.
Owner
Address
Installed By
GAS DESIGNED UNIT
Make
Model
Serial
Rated Input
TEST
Pilot Timing Limit Setting
Pressure Percent CO,
Input CFH Percent O= :
Stack Temp Percent CO
Heat Anticipator Setting
Date Tested
Name of Tester