HomeMy WebLinkAbout1999-011546 - htg/ac system �� PERMIT
'ITY OF ORONO PERMIT TYPE:
2i50 Kelley Parkway- P.O. Box 66 Permit Number: i�''-``'" ` �-:`�=
�rystal Bay, Minnesota 55323 ;_=,^l. i.=��.�,
Date Issued:
• (612) 473-7357 t-:;-,;�i ,�,,���;�=
SITE ADDRESS:
�.��.;;�,�_t ��;_�{�� °=_�;€�fi�°� C��
����
' �" . - . �`�E . � 1.i_i_.� .i:`---- -'i—i_kE_::i:=
DESCRIPTION:
Li_I'.iz;`t;t: � =;i�i�i
i s,=:.:-i�'i i;;f; _��:_;��f'•j'_� �i1;=� ;��Ei=�T!;{i`l-il fj�={`_� t,t��'�.� t_�(��v=��r[
� i1;_I�.i�i �;'_t�:t;�:�.�J.�—1 i�ii_i i�:s�-=,�JT ';t Ji�l, #_iE i{'t
1 l=3I�; _:#=}��fiiT;'Ii�i.:`;�If��.� t•;=����.�L t.��:i:�`c����_ �
REMARKS:
FEE SUMMARY:
��'F.�!f_tfnT�+_il',# x•�_�; �-,�ii
����sT �V?r' �r:�.�i , ::�(.� i'I'r'l 1 C._ �k`� `?�.b_���.�
., _ ..� ._�,_. .
_._____...
—`��� �-����'`�'= __.__...__.._. �1 .,Y� �'WtT..�,� ;=�.,k: �:=;.7 ;���; '
�'L-��'3 F.3:S�..�J, ——""' _ i
�=;�� . — —
CONTRACTOR: — �;�:��1 �F:��—:t. -- OWNER:
lt�ii�'� ``°_�'? _ �_t�� _�`_i�'�i=,•�`�.' i�;l�ijµs3=;;`{�`;' _''i.-.
-—`".i i �!�_;�",.s"�,-ifi`'t r;'.i�' - ,_i_tb<<l i C1f_i:i;�-; '.-:i-:_t#�i;= [iF;,
_:�'l�i�i�_t;`=� �'x;�'k:: �t;J _�.���.`:� ==i�;si�,�:s E•j;,j �.�,_�'�l
;,t���i.} `�,�'�-f,-�,.•`�f-.�
1�� t_�i�:�!i__Ft�:i t=;t�E��} �-(��t;��`�' �.�-�_i.�;��-r`_; r��F�;;':;:_;s t'ct� Ti.► tlt�'�F.r: �f:,�: ��G�f �t�,-�it_.�;t�';-�r;;v-i"`=
°==f`'�=:1"*=I`i�� �t=�� €�:��°E�:; �"s:t ���1 rai_�.. �;�_� °};: s�� — ;r�i t_.�' �_:iW�� .r_I:�,�v�:�= ��i �'� ��___�_ r?"`, �����
I_iF+,i_! .il_1 _ P '"L�.. ! • - �- ,
- - •
L � _��:i;T�y .:tj{:__��' ��'.� �� € a i �; J�tF �3 C.��:�,'=,��?"y i��f�F i#_�i 1'�.+_ i _S_ :. r.:._t� 1 i�;;i�'i-ii�f�.i�'::..� . �
—!
�7 "/� �-�f� ���',
APPLICANT;PERMITEE SIGNATURE ISSUED BY:SIGNATURE
� ` ��
{
' � CITY OF ORONO APPLICATION FOR MECHANICAL PERMTr
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
l. You may apply for mechanicai 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 aze 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 presente� on form provided. Ideatification 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: New Addition Repair � Replace
Residential C cnmercial -
�
JOB SITE• � v � 5 r ^' r� C.�� Zip:
Owner's Name• Telephone Number:
Mailing Address: �k'}� ���C� 'L'�- City: Zip:
Contractor'sName: �[�QCT HEeTING 6 AIR CONDITIONING TelephoneNumber:
MailingAddress: 3260 GORHAM AVE. Clty: Zip•
SALES 929-6767 SERVICE 929-4U11
SYSTEM DESCRIPTION
HEATING SYSTEMSI
Quantity: `
Make:
Model:
Fuel:
Flue Size:
Input BTUs: � �'
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: l ' �� ���
Make:
Model:
Tons:
H. Power
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. Kitchen Exhaust ductecl recirculating cfm
No. Ba�h E;{.haust (:�ust be ducicd outside j 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
PERMI� FEE CA.LCULATION
1. 1.25% of Contract Price* or Minimum Fee 35.00
� �G i � x .0125 $ �.,..���l
(contract price)
2. State Surcharge. ** Add the State Buildin�Code Division I
Surcharge to each permit. ���jC� � � 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) $ �, ��,� �i
* 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 conuact.
** 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 Pernut, 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 conect.
j� 7
A licant's Si nature: �� �C� "I � Date•
PP g
Approved By: �-- Date: a�
��,��� �o���
H USE HE�ITING TEST RECORD
ADDRESS �O�� �"""2� v �"2� D� APT. FLOOR CITY SUBURB ����
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY 0 �
El�ctricol Work By Gas Lin� By � ���
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
AS ES�GN CONVERSION
MAKE � o AAAKE OF BURNER
Mod•I '' �'_ Mod�l ...�t._���.���>>:�_.> �
SMial AAox. BTU Rotinq
INPUT MAKE OF FURNACE
tiAod�l _
CONTROLS 4 �y ���'�
THERMOSTAT H Pl�p V�et Sis�_
Volv KIND OF LIN � SIZ N
Limit � Dreh Heed � Rpulewr
Limit S�Min9 � � FiltNs Sis� Nuiab��
Fan S.ni�9 afm�.r Loaa��en lesid� � Outs d
Pilot Trp� �� O+imn�r Conatruetion d '� ��
Pilot Mok• �
Pilot Mod•I Smok� Bomb Wirinq
Pilo► Timiny Gait T�sf To4
L.W. Cut Off Dow P��asw. Li4hHn9 �-�+
Pr�saw� `'�� P�re�nt CO2 Z" Dot� T�s»d � �
I��r CFH_ ,Q� _P«e•�� 0� Co�wa�r T••�i�a
Stack T•mp. PNaM GO Non»ef T•abr