HomeMy WebLinkAbout1995-007503 - mechanical . - � PERMIT
CITY OF ORONO PERMIT TYPE: _ ..
2750 Kelley Parkway- P.O. Box 66 � �`S"�" �
Permit Number: ���"�`":;i':�i "��``"
Crystal Bay, Minnesota 55323 � � � � � � _. ..
(612)473-7357 Date Issued: _;. ,:�;;-�;�:;.;
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO A.PPLICATION F�►_ . � � �T
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 offices. Applications will be
reviewed and a permit will be issued withi.n 2 worki.ng days. •
2. Permit cards will be sen[ by return 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 Desiens - Complete calculations, details and specifications are required for each heating,
ventilation,humidification-dehumidification, and air c�nditioning installation including heat loss/heat gain
calculaiion, design temperatures, equipment ratings and identificacion 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, WLen any ne��' consL-ucti.on or remodeling is invoived, a sepaiace �uuding p�r�'L..:� nus: be oh.c�� �.
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: �ew Addition Repair v Replace
Reside i Commercial ,
JOB STTE: CJ.S � � ' 7ip:
Owner'sName: 1� Teleph eNumber•
Maili.ng Address p City: � Zip:
Contractor'sName• ' f Te honeNumber: %
MailingAddress: .
' City: , � �S Zip:
SYSTEM DESCRIP'I'ION
HEATING SYSTENSS i �
Quantiry:
Make: --� --�—� `I��
Model: — --
Fuel: ,,
Flue Size: ��
Input BTUs: 1 l
,
Output BT`CTs: �,C�Z� q� �--
CFM: .
COOLING SYSTEMS
Quantity: � �
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 �
� " wooa sco�e (s) Franklin, other �
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia. �
.,`'" Total
VENTILATION
No. Kitchen Exhaust ducted recirculati.ng ��
No. Bath Exb.aust (must be ducted outside) �� �
No. Ctil�: Fans: T_:�c•ati�r.s ----- cfm .
_/�,, ( 'rotal�
�b . � `-�'P '��_ R- L� � �-- � ��j
FUEL STORAGE (MUST BE APPRO D BY h�A���-)
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 ($35.00lX 0125 $ ��C1� U�
���,D(�
(contrac[ price)
2. State Surchar�e. ** Add the State Building Code Division ��o
Surcharge to each permit. x .OQOS $ ��`J'�
(contracc price)
� or $.50, whichever is greater $ 1.50
3. Posta�e and Handlin� (Only mail-in applications) � ,, /p✓ J�
4. TOTAL PERNIIT FEE (Add lines 1-3 above) -
* CONTRACT PRICE or JOB COST means the a�rual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and o[her fi�ed cosrs. It is the amount to be charged to the
� customer for the work done. If any material, equipm�nt, Iabvr,or instat�acion��`�Y�����
� tenant or any other party the reasonable market value of such items must be added to the estimated cost
or con[ract price for permit fee purposes. In[he event that there is a dispute on the amount of the job cost,
the Ciry may ier;uest the submission of a signed coPY of[he actual contract-
** The STATE SURCHARGE is .0005 0�the contract price under $1,Od0,000 or $.50 - whichever is
greater. For valuations over $1,00O,OOo call the DePartment of Inspectional $ervicxs for the price.
The undersigned hereby applies to the City for issuance o�a���ao��t�e M�innesota
all work in strict accordance with the c��emen madle on this applic aon are complete, true
State Building Code, and certifies tha
and correct - .- , ' ,
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_ Applicant's Signature: �
- _��/ Date: J
- APPro�ea By:: � �
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� E R 0 N S T R 0 �I S � Residentia/
HE�i iNC AND A(R CONDITiONING,INC. f/1lhole House Woiksheet
___._ ---..., -- - _ --- �L ',!
. Address l�B�-7 � 1'�:o�i1� �:.E�-
Customer's Name
.-��, State rp Telephone Number
' WINTER:Inside Design Temp °F-Outside Oesign Temp °F = Heating Temp Difference °F
SUMMER:Outside Design 7emp °F-Inside Design Temp °F = Cooling Temp Difference °F
�+� "s" •;::�COMMOfYDATA'SECTION�""'�`�,.�.�'�"��s� �COOLING:�-,;;c`:'-_
��:��HEATlNG��x'�: �+��•�>
a+c s' .-.�v.�....,.�y,.., �t.,..�.�,3rs�Ef�t i. s NO,'��, ir?i' ' ,�,. '
.;:v.:a�.�st'.'-Y�%�: v��iEATIHG"t,�".t ���`t#'.��"J�c43-t:i�""SUBJECT 'J' Zh3"'�t'C"�u��:f�� ��SQ,'f7. �r .;:�R y�ea r BTUHGAIN. .
'�BTl1H tD53 - '�tFACTOR r � ..�.:-^'r•.;::.�: _�
,� GROSS WALL � �`�O -•
'�j g� ` DOORS Ft WINDOWS lTable A or el
� 5�' ,�f Q NET WALL 3 7g �' 7
02 0 O l�Z 5� :!� �Y /g �� �'- �-
'� Q , � CEILING Zy Z•/
�
���!. �� �0 .�-�( FLOORS '�1 Z� � i�r��
�`
ID Infiltracion _ Mea6ng X'O X 1.1�60 X IC/auuFte) Cu�ftl X t.t�� X �T X 7ableD = Btu/hr
� dttt+hr � Taak D
�0 �� o � � X�.�� X X �.��� X ♦y X Z.� -
� 5 s' SUB-TOTAL BTUH LOSS(per 10°F)
��'���7 /� 9 ADJUSTMENT FACTOR(Table C)
��, TOTAL BTUH LOSS _
PEOPLE_x 300 BTUH GAIN '�"inia2pefOns
pu bedfooml
g��� APPLIANCES BTUH 12�
����� SUB-TOTAL BTUH GAIN(room sensible onlyl
x DUCT LOSS/GAIN FACTOR(Table Fl X
�,, SUB-TOTAL BTUH(Sensible Gain)
)O/o MOISTURE RE�IOVAL(sub totai x'1.3) x 1.3
�-g %
��O�J /3b�'j/5 TOTAL BTUH LOSS/GAIN
��{�')�'�TABLE A-HEATING-DOORS 8 WOOD FRAME WINDOWS TABLE 8 -COOLING-DOORS ir WINDOWS
. f PER 10°F) Factors assume windows have inside shading by draperies or venetian
�a+ For sliding glass doors-use factors f9r the same type window blinds and stiding glass daors are treated as windows.
�
ConstruCtion. ����� D00°�6� T"1P�6�
WIfldO�N ES Frames TEMP.OIFF. TEMP.OIFR. TEMP.O�FF. XAr�� �BTUMCAIN
Door Types Wood TIM Matal x Area = Btuh Loss
o�.c� ,s• zo• a• ,s zo� �• ,s zo• a•
Single Pane g.gp 10_45 i1.5b
Clear r, �s a ia �, u �a n iz u 2
With Storm '4.75 5.25 6.50 NE6NW ii +� +'s » 'si a �s z' m
Dauble Pane 5.51 . 6.09 7.25 � �2 j',� eaw s se ao " '6 y �e �' a Q
Clear �
With Storm 3.41 3.85 .4.90 sessw �s � s+_ 3s �1 a� a+ 3' ss
Triple Pane -3,gp 4.39 5.46 s m �z x a xs :� �s m =� 3L
Clear S,w,;9,,,, ,e+ ,en rrs ,., �a ,a i� ,x ,.o
alousie �r - 311.0 wooa: ts ,o.e»s a.e �n9,as ss ios u2 �
Single • - =
ingle w/storm - - 5.0' M.� i zs ..s sa 3.s .s s.s ss ..s s.a
Skyli9hts ��.07 �� � 12.� � fy�wooddoonsnd TOTALS
$if1 J�@ polystyrone eor�menl doon
Double •6.65 7.35 8.75' v F°r°'°�'°^°°°r°`^'�'�d°°"
Door 4:�; c'_� TABLE D-INHLTRATION MULTIPLIERS
s•... �•
Wood Only •�: � ��- �nter Air Changes Per Hour
Wood w/storm �.� - �=--`^ z � Floor Area 900 or less 900-1500 1500-2t00 over 2100
U�ethane Core!R-5) - - 1•� g� 0.4 0.4 0.3 0.3
Urethan6 CO2 "^` r 3:
(R-5)w/storm �� - �1• � p„�ge t2 t.o o.s OJ
TOTALS Poor 2.2 t.6 t2 t.0
For each fireplaee add: Best Average Poor
p_� 01 0.6
Summer Air Changes Per Hour
TABLE C-ADJUSTMENT FACTORS-IHEAT1NG) RoorAres 900orless 900-1500 1500-2100 over2t00
Beat 0.2 0.2 • 02 0.2
°F.Tempe2ture Diff. 30 4� 50 60 7� � � Avewga 0.5 0.5 0.4 0.4
Adjustment Facto� 3 4 5 6 7 8 9 �� 0.8 0.7 0.6 0.5
Pub.No.22-8018-1 P.I.(L?
HOUSE HEATING tEST RECORD
ADDRESS ���� ��fl�'�-`^ ���'��- �� ��F� APT- FLOOR— CITY� SUBURB
OCCUPANT OWNER
HEAT LOSS • DATE HTG. INST --GAS CO. METER BADGE #
SOLD BY �r'on-'��''�'r+'rn� INSTALLED BY �`,`r�`���'�'nms
Electrical Work By Gas Line By
TYPE OF HEAT GA_ F!L— HW STEANI—_ SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE -T n QU�.. MAKE OF BURNER � '
Mode T Model `
Serial Max. BTU Rating - -
INPUT MAKE OF FURNACE ���
Model
CONTROLS
THERMOSTAT Heat Plug Vent Size �� �v
Vaive KIND OF LINER SIZF NON
Limit Draft Hood Regulator
Limit Setting � Filters Size Number
Fan Setting Chimney Location Inside Outside
Pilot Type � Chimney Construction
Pilot Make
Pilot Mode Smoke Bomb Wiring
Pilot Timing Draft Test Tag
L.W. Cut O� Door Pressure Lighting Inst
Pressure ' f� Percent CO2�Date Tested
Input CFH� '�� — Percent 02 Company Testing
Stack Temp.� �T� Percent CO � Name of Tester
HOUSE HEATIN� TEST RECORD
ADDRESS—c�lo n� �n r�� ��'LS``C-� �r l�l � APT FLOOR-- CITY�..CQ.l10 SUBURB
OCCUPANT OWNER
HEAT LOS � DATE HTG. INST. GAS CO. METER BADGE #
SOLD BY INSTALLED BYS�-'`�'�+��'�T'�rn�
Electrical Work By Gas Line ey
TYPE OF HEAT G�— F�— HW STEAM— SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE �T�L�,�-�F. MAKE OF BURNER _
Model Model -
Serial �3 "'�I jf�„`_"� � Max. BTU Rcting
INPUT G �, n t�� MAKE OF FURNACE �!�11f` �.Q9�
Model
CONTROLS
THERMOSTAT � Heat Plug Vent Size
� � ���
Valve KIND OF LINER SIZE NON
Limit Draft Hood Regulator
limit SeNing Filters Size �� �a <�� C Number
Fan Setting �„ Chimney Location Inside Outside
Pilot Type C�-� • �d � � Chimney Construction - -
Pilot Make
Pilot Model Smoke Bomb Wiring
Pilot Timin� �.,�.,� Draft Test Tag
L.W. Cut Off Door Pressure Lighting Inst- -
,�.. �s
Pressure � ���— Percent CO2�Date Tested - -
Input CFH Percent 02 Company Testing
Stack Temp. Percent CO �—Name of Tester