HomeMy WebLinkAbout1993-005751 - mechanical PERMIT
CI�Y OF ORONO PE�RMIT TYPE: �l�������`���-���-
t 2750 Keliey Parkway • P.O. Box 815 Permit Number: {-';-��'��
Orono, Minnesota 55356-0815 ''- �f i• !f='��=�
(612) 473-7357 Date Issued:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ��I�.�,
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CITY OF ORONO APPLICATION FOR MECHAIVICAL PERMI'T
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
l. 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 Desi�ns - 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 UnifQrm 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 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
�_ Residential Commercial
JOB SIT`E: 350 North Arm Lane Zip:
Owner'sName: David A. williams construction TelephoneNumber: 443-2244
Mailing Address: 1535 Bavarian Shores Drive Clty: Chaska Zip: 55318
Contractor'sName: D J 'S Heatin� & Air Cond. TelephoneNumber:497-2661
MailingAddress: 6060 La Beaux Ave. N.E. C1ty:Albertville Zip: 55301
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: 1
Make: Amana
TVIOdel: GUI 115
Fuel: Natural
Flue Size: 6"
Input BTUs: 115,o00
Output BTUs: 92,000
CFM: isoo
COOLING SYSTEMS
Quantity: 1
Make: Amana
Model: aRCF4�
Tons: 4
H. Power 1/2
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WOOD BURNING EOUIPMENT
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. Kitchen Exhaust ducted recirculating cfm
� No. 3 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
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or 'nimum Fee 35.00
�S�SIXJ '� x 1.25 $ � �'� ���
(contract price)
2. State Surchar� ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ ,�< 15'
(contract price)
3. Postage 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 dollaz 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 aze 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 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:
Approved By: Date: �� �
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EXF�USURE UR k VAL_UE HTG CLG L_EPJi�7N Eil'i:; Ll_.G
GFt05S iN>NPCJVE (�RAU� ::;�Citi� •
EXPf:1�ED (b) E{ELUId GRALE y��:�
WAL_LS (C:> E��.LU4J Gk IIV� �L�
WIND(JWS (A) DOUPLE CiLAZE 4�:. E3 �1:; ���1�4�:
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W I NUOWS NORTN �:� �1 �+��ti
& GLNSS EAST/WEST ;�,1 44� ��146
DOVRStCLG) SGUTH �i 4a 1�wi3ta
DOURS METAL :=8. S 7. � E�3 1/9� 41:3
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NET (fl) R 19 4. 9 1. � ��i�� 1;:;��►Z� :5�;�.�
EXPOSED (H> NU INS E. 7 � 9�Q� b164 kti
WALLS (C) R 1 1 4. :: �i] � �D �[�
CEILING (A) R44 �. 1 1 14�Fi c'��'7 ]tik�t�
(B) R 19 4. 8 c. ::; �Zi � +Z�
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FLOORS (A) PSMT �. 1 �t� 1�►[�fs c5�7 k�
(B) OVER HSMT 9. 8 � �+ �1 kti
(C) SLAP ON GRD 3�. 5 ►L� 4� 1��� k:+
IfVFILTRATIOIV ly6�Z'�� ::�r.�l��
SU�3-7UTNL HEAI LOSS & f�EFa-I GN I P�i E�E�b':,6 .��:y�?�1
DlJC7 LOSS/C:OI'�1HUSTIUN AIR BT'UH 68t�6
'TOTAL N�HTLUSS ��1 UH IJJC.�
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AP��L, L I GHT, E'TC �tl 1�►Z�� L�TUF I 1 1,����ci
NE'T SENS I HLE H"fUH i�A I IV ;3t,�1��+1
DUCT E�TUH GH I tJ ir:�
T�OTAL SENSI�+LE GAIPJ :�'c:,�[�i!�!
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TE TIME
CITY OF ORONO/y'� CALLED IN
INSPECTION NOTICE SCHEDULED `'7 �� .'3Z�
PERMIT NO. ��� / COMPLETED �� �
ADDRESS -�1v •
OWNER. ��.�Q-��� CONTR. '
TELEPHONE NO. ��7- �(O��
� DESCRIPTION � � �-�
� 01 FOOTING 11 MECHANICALRI 16WELLTEST MP ��
Q 02 FRAMING 11 MECHAN AL FINAL 18 EXCAVIGRADINGIFILLING
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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 FINA�
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� ]�CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY
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PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �- pHOTO TAKEN
INSPECTOR WILL REfURN `
❑STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED
❑ INSPECT�ON REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnerlContrac e:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED +�'Ls-t3 /�= T a
PERMIT NO. -��l_`-�� COMPLETED
ADDRESS 3SC7 NO AR�
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRAOINGIFILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETlTURN 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
� OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS: �� �'ff-.S �i�,-Q
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ._ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED
� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ins ct' n 24 hours in advance.473-7357
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OwnerlContractor n site:
Inspector.
White Copylinspector's File Canary CopylSite Notice