HomeMy WebLinkAbout1993-005847 - mechanical PEI�M`IT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: ���t�h'!�`����~�
Orono, Minnesota 55356-0815 `-�'-��°�=�•��
(612) 473-7357 Date Issued: : .�,�i,;;�,�:�;
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: — ���;_�? :.��:_��—;�. — OWNER:
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APPLICANT/PER EE S NAT E ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMTI'
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 o�ces. 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, 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 sepazate 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: � New Addition Repair Replace
� Residential Commerciai
JOB SITE: �' ?�D .r �t.����r,- Zip:
Owner's Name• �11Q,�r< �t'� �/ TelephoneNumber: �����-�Sy,f'
Mailing Address: City: Zip:
Contractor'sName: c�—��--' C��� �'�6��'�ephoneNumber:_���3�a
MailingAddress: l/� t�'Q,,.���� i�v-� rty: /��r���/� Zip: „� ��i 3
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity• �2
M�Ce: /���'m 6,."� �j�-/.r.. ;c�.r SzL.,�:_.✓
Model: �-�r e
Fuel: N�G
Flue Size: ,1 '' � �' z
Input BTUs: 8'o,,a�•�
Output BTUs: �.�,��=�
CFM: ���
COOLING SYSTEMS `
Quantity:
Make: l��m3t���°�Im�.�.�w,. �t���.�._�
Model: %� �
Tons: � z���s
H. Power _
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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. r Kitchen E�aust ducted � 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 CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
/.3 /0 � 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.ge and Handlin� (Only mail-in applications) $ —�-
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ,/ 7 Q , 3 c�
* 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 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 v�luations 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:
C," 9L �� � /�/ \ Date: �/-/S,-5�
Approved By: . Date: /OZ /� ,3
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Weathcrstrips Guide Con�drnc.tion No. Insdation
�lindowa Doon Reference Out.Wall Int.WaH Ce1ing Roof Floor Kind How Applied
e� s-- J�o ( Yca—N'—o 19_
� F7.� ` Room Length � tlWidth �4 ight \�� u Fl.) Room Leagth Width Height
Windows and oors—Cracicage and Area Windows and Doors--Crackage and Area
Wldtl� Helsht Nu.of Llnwl IR Ar�� WIdt4 Hd�bt tlo.ot LIONI�L. Area
No. ot Dano ot p�ne Il.ht� ot crack p.[L No. ot pan� ot pas� It�pU et enok ea:tt.
� 1�11 �\ � � G�1 C1
1 2�0� �C?" 1 2�10 �
2 �3"Ca`" �a` ` y 1
ry " �`p� � 2y Coof. &a coef, Btu
Infiltratioa � �� In6ltration
Glasa 1p 1 3� Glau
Exp.wal� VS Exp.wall
Net exp.wall �,`► 6 3 Net esp.wall
Int.wall InG wall
Floor Floor
ClI�. 6 Crl��
Total Btu. �1,�, � "�. Total&u.
Requircd sq. ft. E.D.R. or sq. ins.W:A.I.eader area Required aq. k.ED.R.or aq.ins.W.A.Leader area
�, Fl.) � m� Length�y� '"Width �p� Height 0�,°ON Fl.I [�oom(].,ength Width Height
Windows and Doors—Crackage and Area Windows and Door:—Crackage aad Area
Wldth Helght No.o[ Llneal tt. Ar�a Wldth Helsht No.�oL Lln�al tt. Area
Na ot pans ot Dane Itshu ot onck q.tt No. ot D�oe ot pan� ll�et� ot er�ck �p.tc•
2� " � � �
� . , � 1 '�
Coef, Btu Coef. Btu
Infiltration 2 le� In6luation
Glaat ��p Glass
Esp.wall E�cp.wall
Net e:p.waA � ��\ IYet ezp.wall
Int.wall lnt.wall
Floor Floor
Cei1. ie Ceil.
Total Btu. . Tota1 Btu.
Required sq. ft. E.D.R.or aq. ina.W.A.l.eader area Requued sq. ft. E.D.R.or aq. ins.W.A.Leader area
Fl. � Room �Lengtl� ��'Q Width �, � '"fieight 9'` � Fl.� Room I Length Width Height
Windowa and Doors—Crackage and Area Windows and Doors--Crackage and Ana
Wldth Helght No.ot Lln�al t� Area Wldth Hel�ht No.o[ Llnaal tt. Are�
No. o[pane ot vans Ileht� ot cnck ep.[t. Na ot Dane ot,p�n� Il�ht� ot crack �p.tt.
�yN \ � I
� ��� V�ey � Z2
Coef. Btu Coef. Btu
Infiltratioa �� Q "Z2 O Infiltration
Glau g� 2 CJp Glau
E�cp.waU F.�cp.wall
Net exp.waU ,,, \ p Net e:p.wall
Int.wall Int.wall
Floor Floor
Ceil. \ Cei1:
Total B.u. Total Btu.
Required s:�. ft. E.D.R.or*q.iaa.�I.A.I.eader area Req;:ired sq. ft. E.D.R.,or w. ins.W.A.Leader area •
, ���Z
_ -T"t�l�L �I�. = i O b;t � � 1�-tv�1� ��C 1,`� =�'IAk 1 ZZ,1�(�, `��w,�-,
. ,, , .__
WeathcMrips G�i� Con�hncxioo No. Insalation
�Iindowi Doori Referenu Out.Wall Int.Q/all Ceiling Roof Floor Kind How Appiied
ea— o I Y s—No 19_
Room Length ' �Width \1`� Height q�� Room Leagth �,+ �Width�`3�b'"Heigh �
Windowa nd Doon—Cracicage aad Area Windows and Door�--Cracltage aad Area
Wldtl� Hsl�ht Nu.of LInMI fL Ar�� Wldth H�t�bt �Jo.ot I.laMl tt. Area
No. ot Dano o[pan• Ii►ht� of crack p.tt No. o[D�os ot pae� Ilitiu ot arack e�:tt.
� ` � ��`" Z 2'y++ V� n 3 Z
5� c, ���w � 1 a � �+ 1 2 `�o
Coef. &u Coef. Btu
Infiltration 1n5ltration '3 b
Glass 5l � � Glau q��
Exp.wal� E�cp.wali
Net exp.waU U , Net ezp.�vall 5
Int.wall In�wall
Floor '�'l � �� Floor 5
Ceil. C,.�
'I'otal Btu. '°Jls Total Btu. 3Csta
Required sq. ft.E.D.R.or sq.ins.W:A.Leader area Required aq. h.E.D.R.or sq.ina.Q/.A.Leader area
oom(Lengthy �p"Width �p" Hei�hc Room I 1-�Ae�2Z`4N Widch�Z�b'"Height � M
Windows and oora—Crackage and Area Windows and Door��rackage and Area
WIdtA Helght No.ot Lln�al It. Ar�a Wldth Hel�ht No.ot Lln�al tt. Area
No. ot Dans ot D«+s Ilsha ot cnct p.R. No. ot paoe o[paa� Il�bt� ot or►ck �p.tt.
� � � � - � tit
�f, g� Coef. Btu
Infiltration O O �io�Q Wiltration `1 Q
Glaas Glaas b �Q d
Ezp.wall �pp Exp.wall �
Net esp.waA '°1 � Net ezp.wall 12 .�a
Int.wall Int.wall
F7oor Fioor ���J .5 �• �
Ceil. Ceil.
Total Btu. \VC,L p y �R �`J Tota��3tu. C:. s-j'� I,p � �
Required sq. ft. E.D.R. or aq. ins.WA.l.eader area Requued sq. ft.E.D.R. or�q. ins.�f/.A.l.eader ares
1L• Room �Length � �Width �Z,� " He:ght q` � Fl.� �*t oom I Length '��bu Width�\�1p Height �p��
Windows and Doors—Cracicage and Area Windows and Doors—Cracicage and Area
Wldth Helgnt No.ot Lln�al tt Area Wldt� Hel�ht No.of Llneal tt. Area
No. ot pane ot pans Ilght• ot cr�ek �p.tt. Na ot pane ot,pan� Iltht• ot crack �p.tt.
2`�" `O" � � y tD�B`� O �-v
�1 ` � \b
, o .. � y � .
Coef. Btv Coef. Bcu
Infiltration � p `� Infiltration �b O �
Glau 3� Glass � Oc
Exp.waA Exp.wall
Net exp.wall \ q� Net exp.wall � �qQ$
Int.wall Int.wal)
Floor � p '� Floor
Ceil. Ceil: Z3� �e
Total B:u. �e1e io Tota!Btu.
Required s;�. ft. E.D.R or p.ias.W.A.I.eader area Req;:ired sq. ft. E.D.R.,or�q.ws.W.A.l.eader area
� ���
DATE TIME
CITY OF ORONO CALLED IN I'��� 9
INSPECTION NOT�E SCHEDULED 1 ��� � % �
PERMIT NO._ �`�� COMPLETED (�_ Ll
ADDRESS 3.��'b `� Cu�tl�z2���
OWNER .(���� CONTR. � `J' rn �d'T�
TELEPHONE NO. �o ��— �'y��
� DESCRIPTION L� ��
� 01 FOOTING 1 ECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 1 H L F 18 EXCAVIGRADING/FILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 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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d WORK SATISFACTORY:PROCEED G PROJECT COMPLETE
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� ❑CORRECT WORK R PROCEED n ISSUE CEFiTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONOITION WITHIN HOURS. J PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR
C CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContra o s e:
Inspector. ,
White Copy/lnspector's File Canary Copy/Site Notice