HomeMy WebLinkAbout1997-009821 - mechanical PERMIT
C€TY �F ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66
Crystal Bay, Minnesota 55323 Permit Number: _
(612) 473-7357 Date issued:
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIG TURE
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, CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
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 within 2 working days.
2. Permit cards will be sent by return mail af[er 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 �emut must be cbtained.
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 pernut 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 /1 Replace
Residential Commet�ial
JOB STTE: �� li� ' Zip:
Owner's Na�e: TelephoneNumber:
Mailing Address: � � � City: Zip:
Contractor'sName• TelephoneNumber: �
MailingAddress: • ST LOUIS PARK MN 55426 City: Zip:
SALES 929-6767 SERVICE 929-4011
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantiry_ :
Make:
Model: S
Fuel: �
Flue Size:
Input BTUs: �✓�1 —
Output BTUs:
CFM: ��
COOLING SYSTEMS
Quantity:
Make: �
Model: ��
Tons: � �
H. Power
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�." #,:,. �-.;-�-�•-.,.-^�� �....,-,:_:— —•.��.�.,. „.,�..,.e�-.m _,F.._,.�,�..-f� - . �r,.m r� � 7:
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WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on `�'`
�;:
Factory fireplace with flue '�
Factory Fireplace (s) Freestanding Masonr� �
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 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) , ;:�
�(��C_� ,— x .0125 $ i �% '�
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. ����-�� � — x .0005 $ �-�5�
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � �<<�C�
* CONTRACT PRICE or J�B COST means the actual or estimated dollar amount charged for the pemvtted
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 parry the reasonaole 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. ,�
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Applicant's Signature: ' / � ��33� Date: ,/ �� �
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Approved By: , Date: (� � �
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l�EAT LOSS CALCUI.ATIONS !
Weathenlripi A�Guide Conatruetion No. In�ulation
Window� Doon Referenee Out.Wall lnt.Wall Ccilin` Roof Floor Kind How Applied
e�}�o I e�o 19_
FI.� Room Length Width Heieht i FI.� Room Len�th Width Heish
Windowe and Doon—Cnckage and Are� Window�and Doon-�nclu�e aad Area
\VIOt� ' Hel[�t No.of Lln��l ft. Art� WIUl11 H�If�t Ne.of LIMaI!4 AH�
No nf D�ne of D�nt Ilf�l• of tr�ck �p.f�. No. of O�n� o(D►n• 11[�l• of C��CY �O.fl.
• �./ �- /
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Coef. Btu Coef. Btu
Inbltration 7 In6ltntion
Gla�a Glu� �7
F�cp.wall j . i Es wall �
P, i
Net e:p.wall " Net e:p.wall
Int.wall Int.•+all
Ceilmg .� �J Ce.�ing ,� �
Flvor �) � O Floor
J O
Toul Btu. Total Btu. ,3
Required sq.ft.E.D.R.or�q.in�.W.A.Leader area / Required sq.ft.E.D.R.or�q.in�.W.A.Leader area
Fl.� Room�L.ength Width Height �"' FI.I Room I L.ength Wideh e' t
Windows and Door�-Cr�ckaQe and Area Windows and Doon—Crackaae�ad Arca
WIAIb X�If�{ Ne.o[ Lln��l It. Are� WIAIA H�If�t Ne.ot Lln��l fl. Ar��
Ne. f Dane of p�n• 11(h1• �ek W.tC. '
No. of p�n• ef p�m IIf�U Of er�tM W.ft.
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Coef. Btu u
Infiltution � p In6ltration
���� Glau
Esp.wall r E�cp.wall
Net e:p.wall ' �. , Net e:p.wall
Int.wall Int.wall
Ceiling CeiGng
Floor - Floor
Total Btu. Toul Btu.
Required sq.(t.E.D.R.or�q.in�.W.A.L.eader area Required sq.ft.E.D.R.or sq.ins.W.A.Leader�re�
Fl.i Room Length p Width Height F7,� Room I Len`th Width Hei`ht
Windowz and Door�-Cracka`e and Area Window��nd Doon—Craclu�e and Area
wia�n e.irn� no.or un..i n. wr.. wia.n N.irn� do.et u�..i n. wr..
No. f O�n• f Oan� 11f�1• of cr�ek �p.ft.
No. et�p�w ot p�n� Ilt�t� ef cr�ek �a.ft.
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Cocf. Btu Coef. Btu
In6l�ration .'� Infiltration
���� Glaa�
Esp.wall F�cp.wall
Net e:p.wall L Net e:p.wall
Int.wall Int.wall
Ceilin6 ;J ,:} 9 Ceiling
Floor .,) J Floor
Total Blu. Toul Btu.
Required tq.ft.E.D.R.or�q.im.W.A.Leader are� Required sq.ft.E.D.R.or sa.im.WA.L.cader a�ea
Fl. � ,�' Room �Lenqth.- Width Height "� F7,I RoomlLength Width Height
Window� and Doon--Crackage and Area Window�and Doors--Cr�cka`e and Area
Wldi� M�If�� No.of L�In��l tt. Are� WIOt� X�I[At Ne.af Llw��l ft. An�
No. a/p�n• f D�n� 11(�t• f cr�ek �a.fl. Ne. of D�n• ot p�n� II[�t• ef craeM q.tt.
)
Coef. Btu �(, g�
In6ltration 1n61tration
CJau Glau
Fsp.wall � F.ip.w�ll
Net e:p.wall 7 f,�� Net e:p.wall
Int.wall Int.wall
Ceiline O 4 p Ceiling
Floor '7J '� Floor
Tot.l Btu. c. Toul Btu.
Required�q.ft.E.D.R.or�q.ins.W.A.Leader are• Required tq. (t.E.D.R.or sa.ins.WA.Leader�re�
DATE TIME
CITY OF ORONO CALLED IN ='.C%�'�'
INSPECTION �T E SCHEDULED �' -Z� / 3 i.�
PERMIT NO. /<�-L� COMPLETED �_
ADDRESS s�� 5 � �,�2�2� /� . �
OWNER CONTR. �j�
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TELEPHONE NO. 7,L�I -(r�^7 CF- '7
� DESCRIPTION
� 01 FOOTING �11 MECHANICAL-RI ��� 18 EXCAV/GRADING/FILLINQ
y 02 FRAMING 13 MECHANICAL FINAL � 19 LAi�SHORElWETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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= 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
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�Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 28 CEDAR SHINGIES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR -: CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO RRANGE ACCESS.
Call for t e ext i s ction 24 hours in advance.473-7357
OwnerlContract sit :
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN � ``�'
INSPECTION NOTpIC>E� SCHEDULED :�/�/9.r /(� :3��
PERMIT N0. lOs�/ COMPLETED
ADDRESS o��G'/�� (��r�e'Z.t�r�'
OWNER � ���-�_ CONTR. ����
TELEPHONE NO. �,�Z i� -Cc� �7 Co `7
� DESCRIPTION �����,-�e'��P �,����,�������, ��Z`-
� 01 FOOTINd ECH� 1B EXCAV/GRADING/FILLINO
� 02 FRAMING 13 ECHANICAL FINAL 19 LAY�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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= 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEM�SITE 27 SEPTIC MAfNT. 21 COMPLAINT
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W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 2a CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
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� ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
w
O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. , pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOPORDER POSTED.CALL INSPECTOR - CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex�inspection 24 hours in advance.473-7357
OwnerlContractor te: � � � �
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Inspector. ��_ � �� �V���-�
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White Copyllnspector's File ' Canary Copy/Site Notice
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HQUSE H�ATING TEST RECORD
ADDRESS ��� � � �����%' ��� `-�h��'/c�f- 1����c� APT. FLOOR CITY SUBURB �-����J��C�
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST. �l, f `
SOLD BY INSTALLED BY � � ` C" �Gf -r- C.
El�ctrical Work By Gos Lin• By �����G�`f� —
TYPE OF HEAT GA FA � HW STEAM SPACE HTR. UNIT HTR. OTHER
J GAS.DESIGN CONVERSION
MAKE "� ��f�p��� MAKE OF BURNER
M�.i �-G �, ;�; - �;� t- �d.i --
5«iol ti ����� �� � _ I r �f Mox. BTU Ratinq
INPUT �=-� �''�'` MAKE OF FURNACE
,
Mod•I _
CONTROLS � 'i
TNERMOSTAT �� , Hsot Pluq V•nt Sis._
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Va Iv
i�lt �-t-,► KIND OF LINER SIZE NONE ��
Limit S�r'-��' Drah Hood ��-�'`�j�_ R�quloror ��`�� ��`
Limit S�ttiny ^ k�, FfltKs Si:• Numb�r
Fon S�ttinp ��} Cri �' Cbimn�y Loeation Insid� � Outsid•
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Pilot Typ� _ ��r �(�- Chimn�r Canstrucfion �
Pilot Mak• ���� ��� f �
Pilot Mod�l T��� Smok� Bomb , Wiriny �
Pilot Timiny � S r'� D►aft 1--� / T�st Taq �
L.W. Cut Off Doa Pr�asw• Li hNnp Inst. ��
Pnasun �' � P�rc�nt CO2 ��,� Doh T.ar•d -� - �
Input CFH ��� ������ Pne�nt OZ '�C � Co�ponr T•s���9 � � �
Swck T��np. ���� PNe�nt CO ���"`` Nan� ef T�s��r �� �