HomeMy WebLinkAbout1996-008592 - oil to gas furnace � PERMIT
'CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number: �'L�`-��'�"''`'' `"��`
Crystal Bay, Minnesota 55323 :,:;_�;�;°���:
(612)473-7357 Date Issued:
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: � � � OWNER:
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APPLICANTlPERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHAIVICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 ,, r
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GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications�.dy✓i11 be
reviewed and a permit will be issued within 2 working days. �
2. Permit cards will be sent by return mail after a review is completed. PERMITS A�NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Designs - 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 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: New Addition Repair � Replace
Residential Commercial
JOB SITE: o�� �r r� ��Ji � . ;-e.�6i.�✓I Zip:
Owner's Na�ae:��,�.�t � Telephone Number: `�7 -� - ��"✓�i
MailingAddress: ��%�v `Y! ��`� hG-� City: 'Lip:
Contractor'sName: , Q��h.o�. `��.-1?".�-� TelephoneNumber: ���'�9/
MailingAddress: ���i -�� �u� G�� �o City: �' �-��cf" Zip: ,5���i�_
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J, SYSTEM DESCRIPTION -�
, �
,��` 7 �.
HEATING SYSTEMS J� ���'�-���-`��'�`��'�"��
Quantity: / / �
Make: , �..,
Model: I`L�L� iy� -�Uc� ,fL'vG US��
Fuel: ^;y�l«� _7 z.,�.,����.z
Flue Size:
Input BTUs: j�p�vc��� _�C�� v oc:'
Output BTUs: �'j j, ��� J _��,n�� �
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
,
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.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST �3E APPROVED BY FIRE 1VIARSHAL)
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
�IG' , t,' c x .0125 $ �{ rJ,� S—�
(contract price)
2. State Surcharge. ** Add the State Building Code Division /, � �
Surcharge to each permit. �,���c.'� �•�� x .0005 $
or $.50, whichever is greater (contract price)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 5 D, �t U
* 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 markei vaiue o�sac1� ;tc�:�s .::,:st b� zd�Pd I�? the esr;mater� 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 S'fATE 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 accurc".ance 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: l�—r Date: ��� "���L
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Approved By: ���`�, + > Date: ) �
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HEAT LOSS CALCULATIONS DEPARTMENT Of BUILDINGS
Weatherstrips A.S. .V. . Construction No. Inau!stion
Guide
Windows Doors Reference Out.Wall Int.Wall Ceiling Roof Floor Ki�d How APPlied
ti'e��o I Yes—No 19_ �
/ FI.I f✓ oom Length Width Height FI.� Room Length Width Height
Window� and Doors—Crackage snd Area Windows and Doors--Cracicage and Area
�t'�ain He��ni Ko of L�neal tc wre• µ'Iain He�tnt No.�t Lln��l ti. Are�
No. �f Dane of Daee I��hla ot crack �p tt. No. ot Dan• of D�na Ilint� ol eraoY p. tl.
..o -� p 3Z- �Co
�-�o G �-- a �d— 3
�-o G �.- o C Z.v
2 y / Coef. Beu Coef. Beu
1n61tration 1n61tration
Glass Glaas
Exp. wall �cp. wa�� �--
Net exp. wall IVet e:p. wall _
Int. wall Int. wall
Ceil�ng Ceiling _�
Floor Floor
7�ota1 Btu. Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Requir�d sy. fc. E.D.R. or aq. ins. W.A. L.eader area
fl.� Room� Length Width Height F'�,� Room I Length Width Height
Windows and Doors—Crackage and Area Windows and Doors—Cracicage and Area �
Wldth Hel�ht No.o[ Llneal ft. Area WIdtA HeI�At No.oL Llne�l(t. Are•
Nn. ot vane o!Dans II�At� ot er�cl[ �Q.tt. No. o[pan• ot D�n� Iliht• ot cratk �Q ft.
O �" L C
2- !L
S 2-d tiE� G� � .
Coef. Btu f. tu
In6ltration 3,S' Infiltration
Glaa �z0' �d Gla��
E�cp. wall Eup.w�ll
Net e:p. wa11 Net e:p. wall
Int. wall 1nt. wall
C�iling L� � Ceiling
Floor l Floor
Total Btu. �Tota) Btu.
Required sq. ft. E.D.R. or iq. ine. W.A. Leader area Required iq. ft. E.D.R. or sq. iris. W.A. Leade� are�
Fl. Room �Length Width Height � Fl.� Room I Len�th Width Height
Windows and Doors—Crackage and Area Windows and [)oor�Crackage and Area
W�dtA Hel�nt No. of Lln�tl ft. Area Wldtn HN�ht No.ot Lle��l ft. An�
No ot p�n• o(D��• Il�ht• ot cr�ek �p.tt. No. ot D��• ot D�n• Il�ht• of craek �V• ft.
Coef. Btu CoeE. Btu
!n►�Itration 1n61tration
Glus Glaa
Eup. wail Esp. wall
Nct exp. wall Net ezp. wall
Int. wall Int. wal)
Culing Ceiling
Floor Floor
Total Btu. Total Btu.
Required �q. ft. E.D.R. or sq. ina. W.A. Leader area Required �q. ft. E.D.R. or sq. in�. WA. Leader area
. . .
HEAT LOSS CALCULATIONS DEPARTMENT Of BUILDINGS
Weatherst�ips A.S. .V. . Construction No. lnsulation
Guide
Windows Doors Reference Out.Wall Int.Wall Ceiling Roof Floor Kind How Applied
1'e� s�o I Yes--No 19__ �
FI.I ' Room�l.ength �.�'Width Height FI.� Room L.ength Wideh Height
Windows and Doors—Crackage and Ares Windows and Doors—Crac�age and Area
K'�a�h Nei�Dt Ko.o! Llneal tt. Are• VCldth Hei�At- No.�t Llneal ll. An•
No. nf D+�e ol D��e I��hia ot crack �V tt. No. ot Do�e of D��e Il�nt� of eraelc p. tt•
!�'� /
L !
Coef. Btu Coef. Bcu
In6ltration � 3 In6ltration
Giass �l � S� s'�d Glass
F�tp. wall �7cp. wa�� ---
Net exp. wall 'P Net e:p. wall _
lnt. wall Int. wall
Ceil�ng � � Z�� Ce�ling _�
Floor Floor
Total Btu. Total Btu.
Requir�d sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.� Room� L.ength Width Height �,� Room I Length Width Height
Windows and Doors—Crackage and Area Windows snd Doors--Cracicage and Area
Wldth Hel�ht No.ot Llne�l(t. Are� WIdtA HeI�At No.ot Llne�l It. Are•
Na. o!Dans of Dane II�AI• o[er�cY �Q.tt. No. of pan• ot D��• Iltht� ot crack �Q ft.
Coef. Btu f. tu
In6ltntion In6ltration
Glass Glasi
E�cp. wal) Eup. wall
Net e:p. wall Net e:p. wall
int. wall Int. wall
(,�iling Ceiling
Floor Floor
Total Btu. �Total Btu.
Required sq. ft. E.D.R. or iq. ins. W.A. Leader area Required aq. ft. E.D.R. or sq. iris. W.A. L.eader area
Fl. Room �Length Width Height � }l,� Room�L,en�th Width Height
Windows and OoorF—Crackage and Area Windows and [)oor}--�Crackage and Area
Wldt� Hel��t No. of [.In�tl fl. Area w�a�n Hd�ht No.o! Llnul !t. Are�
No ot p�n• ot p�n• Il�ht• ot cr�ek �p.tt. No. ot Dan• ot D�n• Iliht• oI eraek �p. ft.
Coef. Beu Coef. Btu
ln�iltration 1n61tration
Gla�s Glaa
Ea�p. wall Esp.wall
Net e:p. wall Net e:p. waQ
Int. wall Int. wall
Ceil�ng Ceiling
Floor Floor
Total Btu. Total Btu.
Required iq. ft. E.D.R. or eq. ins. W.A. Leader area Required �q. ft. E.D.R. or sQ. ins. WA. Lader area
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NQ.�ICE SCHEDULED ��d�
PERMIT N0. O5`l�v COMPLETED
ADDRESS a�'T� N- �orP �f�
OWNER CONTR. � *�r""
TELEPHONE NO.
� DESCRIPTION ��° �
� Oi FOOTINQ �CHAN RI 18IXCAV/ORADIN(3/FIWNO
�Q 02 FRAMINQ 3 MECHANICAL FlNAL 19 LAI�SHOREIWETLAWDS
Q 03 INSULATION 24/25 WOOD BURNER/FlREPIACE 34 TREE REMOVAL
Z pq yy/�gp, 12 WATER HOOK-UP 17 SITE INSPECTION
Q ps�� 14 SEWER HOOK-UO 06 PROORESS
2
� 07 DEMO—SITE 27 SEPTIC NWNT. 21 COMPLAINT
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W p7 pEAAp--F�NqL 15 SEPTiC INSTALL 22 FOLLOIN-UP
= 09 PLUMBINO RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
v 10 PWMBINO FlNAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
y COMMENTS:
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OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call for the xt i spection 24 hours in advance.473-7357
OwnerlContra o n s e.
Inspector. ''
White Copyllnspector's Flle Canary CopyfSlte NoUce
DATE TIME
CITY OF ORONO � CALLED IN
INSPECTION NOTICE / ��:� SCHEDULED �� i�%
PERMIT N0. � l OMPLETED ��
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ADDRESS •-�(J�-O (U , � 'lC t�� ���,!�`c
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
� Ot FOOTINO 11 MECHANICAL RI 78IXCAV/ORADINCi/FIWNO
y 02 FRAMINa 13 CHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z pq yyq�y gp, 12 WATER FIOOK-UP 17 SITE INSPECTION
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= 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
�` 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
2 09 PLUMBINO RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBINO FlNAL 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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0 BEFORE COVERING PERMANENT
❑COFiRECT UNSAFE CONDITION WITHIN HOURS. L PHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContra r n it :
Inspector.
White Copyll�speclor's F e Canary Copy/Site Notice
HOUSE HEATING TEST RECORD
ADDRESS a�y� �G��"�- �� �APT. FLOOR CITY SUBURB ��'G�/�
OCCUPANT � ca'`«� L/�i�i.�c�� OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY ��— iNSTALLED BY������
El�ctrical W�� g; �t�"`Sc'� ��� � Gas Lin� Br
TYPE OF HEAT GA FA�HW STEAM SPACE HTR. UNIT HTR. OTHER
'.'��GAS DESIGN CONVERSION �,i:,
MAKE � �""� MAKE OF BURNER `�`�-
Mod�l Gf /�t0 O — Mod•I
L� 9' 3�/y9��/ �y
$K{a� Max. BTU Rotiny
INPUT �� ��o MAKE OF FURNACE �
Mod•I
CONTROLS a�l
THERMO�S,TA� ��'� Heat PIu9 '� � V�nt Size
Volv� h� �� KIND OF LINER SIZE NONE�—
Limit � Draft Hood R�9vlawr
o� �
Limit S�Mioy � Fil»rs Si:e, � �r '1 J��umb�r
Fon Ssttiny Chimn�y Loeation I�i�� ✓� Outsid�
Pilot Typs Chimnsy Construction �`�
Pilot Make �–r+J
Pilot Model Smok� Bomb Wiriny
Pilot Timinp –� Draft ��A T.st Tao
L.W. Cut Off Door Pr�ssw� liphtin9 Inst
/
Pressur� -��s P�rcent COZ Dats T�sted – ' � `
Input CFH �U � Pere�nt OZ �■+5 Company Testing �
Stoek T�mp. �U`� Perct�t CO � Name of Tsater
Fwm 235
OUSE HEATING TEST RECOItD
ADDRESS a � �� " �r�-- APT. FLOOR CiTY SUBURB YO'h
OCCUPANT G�t.q�,��( �r/e � S� OMMER
HEAT LOSS DATE HTG. INST.
SOLD BY �G" INSTALLED BY �SC,�/��t�or Ca��i�� �S
El�etrical Wo►k By ��Cli`A>`--' = t� Gas Lin� By
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNiT HTR. OTMER �,•�-
GAS DESIGN CONVERSION y 6 y
MAKE � �` MAKE OF BURNER
Mod�l � - Mod•I
S�rial L' ��'3 �y�y Max. BTU Ratiny
INPUT ���Da'� MAKE OF FURNACE
Mod•I
, , CONTROLS / ��l
THERMgS,TAT� Heat Pluy 'S V�nt Size
Valvs `�''� KIND OF LINER SIZE NONEJ�
Limit � Draft Hood R��ulator
Limit S�Hiny Filt�rs Sis� f�/���f�'�_Mumb�r '
Fan Settiny Chimn�y Loeation Insid�� � Ovtsid�
Pilot Typ� Chimney Construetion �� C
Pilot Mok�
Pilot Mode) Smok� B� Wiriny
Pilot Timiny�",�� Draft �ea'.,l� T�st Top
L.W. Cut Off Door Pr�ssure Liphtiny inst.
Prossw� 3 5� P�reent COZ 7/ Date T�st�d �'� " - `
Input CFH �UG P��e�nt OZ �1+ Company Testing �
51oek T�mp. �a�� P�rcent CO � Name of T�ster
Fw�n 235