HomeMy WebLinkAbout1997-009289 - furn/ac/vent . � PERMIT f
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number: ��`��_'��':�"��_°�u
Crystal Bay, Minnesota 55323 - -
(612)473-7357 Date Issued: _ . _
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: � `��y'���' '- � �= � - OWNER:
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APPLICANTPERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway) +. -
Crystal Bay, MN 55323 '�°`��� �:
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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 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 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
J�B �711L'� 1 1 V�{ Iv ' JI t1.7` Q- {-)r� L� I ��Li L.ilp. � � JY7�'.'
Owner's Name: -S: �� C L 2a-t'� Telephone Number: y�� - �� ��"7
Mailing Address• ,�,r,� City: Zip:
Contractor's Name: CoiTnt r� ���� 1f t-, �t c't� Telephone Number: y�y -�� C 6
Mailing Address: (�5 I 1 (;���r l � CitY: %u� :`l.r i-�1�::�. Zip: �,� � ��'
SYSTEM DESCRIPTION
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HEATING SYSTEMS
Quantity: �
Make: r�r�,.S'tcE.m��a,� _ _
Model: A�x b�c`��tLl��
Fuel: (�w S
Flue Size:
Input BTUs: �'�,�%��
Output BTUs: ) ;, C. �� ��
CFM:
COOLING SYSTEMS
Quantity: �
Make: r�`1rc, S�"a..,��cu�
Model: 7� 3�3G�l�Ia�l�
Tons: 3
H. Power �
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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.
VENTILATION
No. � Kitchen Exhaust ducted recirculating cfm
No. 1 Bath Exhaust (must be ducted outside) cfm
�o. 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)
� 3��G�, C�7� x .0125 $ � I �� � S
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. 7 �F>��� �-� �� x .0005 $ y� (� 5
or $.50, whichever is greater (contract price)
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ /� a . `�C%
t
* 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 pernut 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 $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accordance with the ordinances of the City and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct.
. �
Applicant's Signature: �� � `' Date: (0 5 �i
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Approved By: l � L' , Date: ���; �'� �
..
. �
S/N 554 RIGHT-J SHORT FORM 7-31-96
Job #: NEW CONST/CLEARY Htg Clg
For: JIM CLEARY Outside db -20 95 �
4109 N. SHORE DR. Inside db 70 75
ORONO MN 55364 Design TD 90 20
612-472-7287 Daily Range - M
Inside Humid. - 50
By: COUNTRYSIDE HEATING & COOLING SERVICES � Grains Water - 33
6511 HWY #12
MAPLE PLAIN MN 55359 Const. Quality a
612-479-1600 # of Fireplaces 0
HEATING EQUIPMENT COOLING EQUIPMENT
Make Make
Model Model
Type Type
Efficiency / HSPF 92.C� COP/EER/5EER 13s0
Heating Input 0 Btuh • Sensible Cooling 0 Btuh
Heating Output 0 Btuh Latent Cooling 0 Btuh
Heating Temp Rise 0 Deg F Total Cooling 0 Btuh
Actual Heating Fan 1241 CFM Actual Cooling Fan 1241 CFM
Htg Air Flow Factor 0.016 CFM/Btuh Clg Air Flow Factor 0.048 CFM/Btuh
Space Thermostat Load Sensible Heat Ratio 82
ROOM NAME � AREA � HTG � CLG � HTG � CLG
� 5Q.FT. � BTUH � BTUH � CFM � CFM
____________________________________________________________________________
GREAT ROOM � 494 � 18015 � 5880 � 288 � 281
MASTER BEDROOM � 336 � 1099$ � 4416 � 176 � 211
MASTER BATHROOM � 140 � 605 � 296 � 10 � 14
KITCHEN � 273 � 7565 � 4507 � 121 � 216
LAUNDRY � 70 � 3194 � 614 � 51 � 29
BEDROOM #2 ( 143 � 4192 ( 1649 � 67 � 79
BATHROOM #2 � 90 � 1909 � 921 � 31 � 44
FOYER � 156 � 11951 � 3463 � 191 � 166
DEN � 221 � 4122 � 1553 � 66 � 74
REC ROOM � 403 � 6605 � 1469 � 106 � 70
FAMILY ROOM � 390 � 3725 � 522 � 60 � 25
PI,AY ROOM � 494 � 4144 � 557 � 6C , 27
BATHROOM 3 � 68 � 646 � 90 � 10 � 4
Entire House ( 3276 � 77671 � 25938 � � 1241 � 1241
Ventilation Air � � 0 I 0 � �
Equip. @ 1.00 RSM � � � 25938 � �
Latent Cooling I I I 5729 I I
____________________________________________________________________________
TOTALS � 3276 � 77671 � 31667 � 1241 � 1241
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DATE TIME
CITY OF ORONO CALLED IN ����I� "
INSPECTION NO ICE SCHEDULED ' �� :• ��"
PERMIT N0. ���' 1— COMPLETED �_
ADDRESS _ '�/C) i'�I- �f��Z.,-�• � ?� -
OWNER _1.`-���-t�, CONTR. �"J�cr L� '
TELEPHONE NO. _ �f I % �.Z_`i �> '— .�E?�1/Wl1��,
� DESCRIPTION
� 01 FOOTINd 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
y 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
9 PLUIGIBIA.i"',Rl—' 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v �1II�kiM61 FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� C CORRECT WORK,CALL FOR REINSPECTION TEMPOFiARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. , pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
CJ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the t i s ction 24 hours in advance.473-7357
Owner/Contra o n site.
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN i�Ll ` � � � �
INSPECTION NOTICE SCHEDULED '� � � r� % t�-C
PERMIT N0. -�'�.� !o � COMPLETED
ADDRESS � � Y �I -��Z-t�-- ti.�
OWNER � ���' � d CONTR. � � � �.QL� ,� /�
TELEPH NE NO. �j�f � " �-� �G
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
�Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETIANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� p4 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
� 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
F' 07 DEMO�ITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEM4—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
,, O�LU� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
`�10 PLUMBING FINAL 28 CEDAR SHINGLES
'����� 36 FOUNDATION REMOVAI
� 'OWMER/GVRTRAG7pR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORK SATISFACTORY:PROCEED
W� PROJECT COMPLETE
W ! CORRECT WORK R PROCEED ISSUE CERTIFICATE OF OCCUPANCY
O C' CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. - pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i pection 24 hours in advance.473-73�J7
OwnerlContrac r o it :
Inspector. -
White Copyllnspector's File Canary Copy/Site Notice