HomeMy WebLinkAbout1997-009676 - unit htr , PERMIT
` CITY O� ORONO PERMIT TYPE: .,
2750 Kelley Parkw'�- P.O. Box 66 `- '"���
Crystal Bay, Minnesota 55323 Permit Number: �`��;~!:-�:"�;�
(612)473-7357
Date Issued: ; ': � i�'. ."
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOFi: - _ - - OWNER: ''
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—T APPLICANTPERMITEESIGNATURE � ISSUEDBY:SIGNATURE �-�-���` �
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CITY OF ORONO APPLICATION FOR MECHAIVICAL PERNIIT `� ' �`
Box 66 (2750 Kelley Parkway)
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Crystal Bay, NIN 55323 " ' �
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GENERAL INFORMATION
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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 ' }�a
POSTED ON THE JOB SITE. • ` `
3. Mechanical Designs - Complete calculations, details and specifications are required for each heating, ",
�t 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 , ���
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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 i.- , �,.��„
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re uirements. ,`� 'K'`
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6. All work must be inspected (rough-in and final). Call 473-7357. 24-hour notice required. x r
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7. House Heating Test Record must be submitted before final. , �
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Instructions Complete all items on this application. Compute the pernut fee. Sign and date the certification. �:�� "�
WCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357. �'
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Please check one: New Addition Repair Replace ! � = ��' ;�
�'� Res; ential Commerci� �
JOB SITE: �%d'�' �- vm�. �3- " L�•� Zip: ��'.�3�� �
Owner's Name: a�-u�- ��..�-�.� Telephone Number: � � � �
Mailing Address� � � �'�-�' City: Zip: � '>
Contractor's Name: � �'-� ' ���
y, :� �'S� �' - �� Telephone Number: -�yi ,--{G�i
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Mailing Address: ���10���,`-° -��-��ity:�.�1�.� � ' �'P:-�:S���/ �;� � �
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°�' SYSTEM DESCRIPTION - �� ��
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` HEATING SYSTEMS ���� y� ' $
"s� � � � �+
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Quantity: / i� ,:& �, �
' Make: �,� �
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'��� Model: � .� i ` �; ���
Fuel: ��' � r���� ,`.
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Flue Size: �"'' ; � �' �-�
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Input BTUs: ?��� � ,�'�p �;
Output BTUs: �" `� �
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CFM: �' < "�
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COOLING SYSTEMS `� . ° �- �
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Quantity: �
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. Make: '�"�
Model: ' `�
Tons: ��
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H. Power � ` ' �
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. ... . _ . , _ _. � , . . , � . . , a _ t7... ....... .. .. s.._ � _�4 ,_t �� p., _ . . :�. _ 4 x _.. .� �a ... �. Y k'w_`
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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 E�aust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) 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 :
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1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�/�'o�, ,.�� x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division �
Surcharge to each permit. x .0005 $
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
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4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the pemutted
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 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.
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� ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
„ , greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
.; ��; The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accordance with the ordinances of the City and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct.
Applicant's Signature: � � ���� Date: ��l"s1 1� "
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Approved By: Date:
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BUILDERS ,fOHN50N S JOHNSON BUILDERS �lokR ORDER 019739
HGhiE GNNER Dou 6 Mary Sams p���� 11/7/97 JOB START DATE:
AUURESS /•/�„l�j„ls3- Loma Linda Aven�e P{ii�N[ Ji (H) �W)
Orono, !IlV 55358 JUb PHOPIE 1l
SALESh1AN �;t E�MAN P10BILE PHONE � OR BEEPER If
Nlap 61-4D
EQU I Ph1ENT:
FURNACE MAKE ?!I f; COND. MA:E
FURNACE M��DEL A[I: CONU. MODEL
FURNACE SIZE Flf: C�ND. SIZE
fURNACE TYPE (FUEL) IIi:E 5ET S[ZE & LENGTH
HUMIDIFIER MODEL !/ A[H CIEAP�ER f400EL N
MISC. EXTRAS illt f?�IOSTAT
SPECIAL FITTINGS D;, L F[TTINGS COMPLETED
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3. '
' VENTING: _ �;�,,._�IP1Nf,• WATFR HFATER
RAWGE HQUD JENN AIR k��.VGE FIRE PLAGE
DP,YER QTHER ^__ ^ I�RY-R OTHER X SDeck
t3ATfl FAiJS X (1-Basement) _ _�,��g X (Garase)
CLOTFI[S (:iUT : �� �'
STYLE C�F HU1I�E 3 FI.AN NAME _ __�_.__
'fOTAL ESTI`I4T[D JpH FIOURS
CHECK IF NFEI�ED DATE COMFLETED Iitiii: f'.5PECTED HOUR$ TAKEN HOURS LEFT
PER�I[T __
A[R fEST — —_--
�•tANOMETER TE�T --
OIt�A S ___.
kOUGH N
FIfdA
N[ —
FEGISTERS __
SPEC[AL EQUIPh1ENT CARAGE: Reznor FT-75 Unit Heater —
PO /� — .
OPENINGS SPEC[.�L 1'aSiRii' TIONS
IIARM A[R RETURM A I R Warm Ai r_Batl� 6 Familv••oom
q �� ; 2 3 Cold Alr:_ F':imilvroom 6 each bedroom
�4A1N F100R: _—
uPPER FLOOR: --.
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' SUBCONTRACTS
ELECTICAI YES NO
BRICKI"II�RK YES NO
HEAT LO;�: OTNEkS YES NO
HEAT GA I(1_ -
Form t Gyron Pmmt co.
DJ�S HEATIP+G 8 alk �.0�l�:IT[ONING, INC.
DATE TIME
CITY OF ORONO CALLED IN �/ / ' i
INSPECTION NOTICE SCHEDULED �i i� �> %- 3C
PERMIT NO. ci Cc'�� COMPLETED �
ADDRESS �/��'=� ����z<-;,���,��
OWNER��.;�� CONTR. /v�4
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TELEPHONE NO. '�iL� 7 -�Ca C� i
� DESCRIPTION �- ', � � Z';����
� 01 FOOTING � 11 MECHANiCAL RI , 1B EXCAV/GRADINGlFILLING
�Q 02 FRAMING AL FINAL 19 LAY�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Z 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
~ 07 DEMO�ITE 27 SEPTIC MAINT. 21 COMPLAINT
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� 07 DEMa—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBINO FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d C WORK SATISFACTORY:PROCEED
W� - PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERT�FICATE OF OCCUPANCY
O ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. — pHOTOTAKEN
INSPECTOR WIIL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR '= CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the 'ns ction 24 hours in advance.47�73ST
OwnerfContractor ' e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice