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HomeMy WebLinkAbout1994-006267 - mechanical PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway P.O. Box 815 t,'IECHf=?N T(:0- _ I Orono. Minnesota 55356-0815 E Permit Number: 00- (612) 473-7357 Date Issued: SITE ADDRESS: DV N. DESCRIPTION: CE i!r!i'�j 3iilj SYSTEM— NATURAL GA f`?Hi:.i_ i`Mi STAR' 41!I u� 4,,e'TSL! 1 JJ.,JJl>VVVV n {'}I =Ai C.{I ..:•,i HfiS if -L Ai ltl L•Lt( ...i="V - * }i 3{S{li1 4P 1JJ11•V V VVV V1 VL/I 1 r:.'V L•t/L L•11 I L JV REMARKS: {; ivL�i% GVv.La i'ivi r i%i i 0 FEE SUMMARY: VAL_UIAT T t—It:) 3t}i}t_} Lich=' c}s _.t. . !(IT— _. --- — —— — s — ---------= — 1 7 _ CONTRACTOR: - =I T i �f{f _. - OWNER: f.l J. '.`•`'iD i CITY OF ORONO APPLICATION FOR MECHANVW 4E 94 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 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 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 _X_ Replace X _ Residential Commercial JOB SITE: Zip: Owner's Name: Telephone Number: 4111-16-13 Mailing Address: c/9 0z City: C-t Zip: Contractor's Name: n.c ue, TelephoneNumber: 537- .5'9,71 MailingAddress: J City: Lz, Z,_/' - SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: Maker r Model: as Fuel: Flue Size: Input BTUs: �,o Output BTUs: --1,�,4)z 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 Wood Stove (s) Franklin, other Brand Name Model No. Mfgr's Min., Clearances, side rear min. flue dia. Total VENTILATION No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) 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 Gas opening Other PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00 3C6,C2 `_i x .0125 $ (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. .3,L2 i) 0 L_ x 0005 $ ' S (contract price) or $.50, whichever is greater 3. Postage and Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ * 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 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: _42z.,,�' C,� Date: 3 PP Approved By: ,� Date: ? —qf ,� q '? (, k"/ HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V. Construction No. Insulation Guide Windows Doors Reference Out.Wall Int.Wall Ceiling Roof Floor Kind Applied 1`es�o I Yes—No 19_ ` FLI fe— 1 Length Width - Height_..^ Fi j Room Leng1W OF Width Height Windows and Doors—Crackage and Area Windows and Doors---Crackage and Area \C ldth Hetghl oNo of Lineal ft Area \'t'Idth Height No. r( Ll neat ft. Are• No r pane of pane lights of crack ■q fl No. of pane of pane Ilg n1. of crack aq fl. Z/ 37 Jk 17 P Coef. Btu Coef. Btu Infiltration 3 ; Infiltration _ Glass 3 3n, Glass _ Exp. wall SS Exp. wall Net exp. wall Z Net exp. wall Int. wall Int. wall Ceiling (J Ceiling Floor Floor Total Btu. Total Btu. Required 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 F1.1 Room Length Width Height FI.I Room I Length Width Height Windows and Doors--Crackage and Area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area Width Height No.of Lineal ft. Area No of pane of pane lights of,rack sq. fl. No. of pane of pane lights of era(k sq ft. z 3Q z 2 37 tie - (/ Coef.1 Btu Coef. Btu Infiltration Infiltration _Glass Glass Exp. wall Exp. wall Net exp. wall Net exp. wall Int. wall Int. wall Ceiling Ceiling Floor Floor Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. itis. W.A. Leader area F1.1 Room I Length Width Height I FI.1 Room I Length Width Height Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area Width Height No. of Lineal ft Area Width Height No.of Lineal ft. Area No of pane of pane lights of crack sq. ft. No. Opens of pane lights of crack sq. ft. Coef. Btu Coef. Btu Inllltration Infiltration Glass Glass Exp. wall Exp. wall Net exp. wall Net exp. wall Int. wall Int. wall Ceiling Ceiling Floor Floor Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. WA. Leader arra p DATE TIME CITY OF ORONO CALLED IN a �— INSPECTION NOTICE SCHEDULED 0-0 PERMIT NO. �'z ( 7 COMPLETED �— ADDRESS .2�/9G 45��-64-� 142 OWNER �CL CONTR. TELEPHONE NO. V7(- DESCRIPTION 7("DESCRIPTION 01 FOOTING 11 MEC ICAL R 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING H 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP v 10 PLUMBING FINAL 23 SEPTIC FINAL Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO Z COMMENTS: cc W CL cc J O cc O LL W cc Q Z W z W cc O OWORK SATISFACTORY:PROCEED El PROJECT COMPLETE W cc ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call f e I' xt ins ction 24 hours in advance.473-7357 OwnedContr ct�}r site:` Inspector. t White Copy/Inspector's File Canary Copy/Site Notice �)(4 HOUSE HEATING TEST RECORD ADDRESS GICQ i.c«z� Ie"' APT. FLOORS / CITY SUBURB a-,Z'U" OCCUPANT ✓ �e, s c� ��' OWNER HEAT LOSS DATE HTG. INST. SOLD BY 1)760 c _ INSTALLED BY L�a Electrical Work By � Gas Line By TYPE OF HEAT GA FA 'r HW STEAM SPACE HTR. UNIT HTR. OTHER �..� GAS DESIGN CONVERSION `r MAKE !-- s / 1 MAKE OF BURNER Model A/C( 6^i/3 S 61112--2— Model Serial ��� a 7®�-5 Max. BTU Rating WG INPUT _L�Gy`y MAKE OF FURNACE Model CITY or- CONTROLS FCONTROLS THERMOSTAT Heat Plug 'S Vent Size Valve h'' /tip KIND OF LINER SIZE NONE Limit It- L" Draft Hood Regulator Limit Setting Joe"" Filters Size _Number Fan Setting /U��'��J� ` Chimney Location Inside Outside Pilot Type � � CSG.>!/ Chimney Construction -- Pilot Make Pilot Model Smoke Bomb ` Wiring Pilot Timing Draft Test Tag L.W. Cut Off Door Pressure —Lighting Inst. Pressure � 5l Percent CO 2 Date Tested _Q Input CFH Percent 02 Company Testing -� Stack Temp. -?aj Percent CO Name of Tester < <>1 Form 235 HOUSE HEATING TEST RECORD ADDRESS y� ��` APT. FLOOR CITY SUBURB L17"f"" OCCUPANT l lk cr eXk OWNER HEAT LOSS DATE HTG. INST. SOLD BY c INSTALLED BY Electrical Work By 4/a,4z-,-. Gas Line By TYPE OF HEAT GA FA_ HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSI c [! «�� MAKE /� -5 MAKE OF BURNER '4� Model Model Serial L �� �G�� Max. BTU Rating A INPUT �S�a�� MAKE OF FURNACE _ t%r' olaoNO Model GUN CONTROLS THERMOSTAT / Heat Plug 5 Vent Size S Volvo �f � KIND OF LINER SIZE NONE Limit �-�c/ Draft Hood Regulator Limit Setting y� Filters Size Number Fan Setting �UG Chimney Location Inside ✓ Outside Pilot Type Chimney Construction Pilot Make Pilot Model j6liu7lJn �- Smoke Bomb Wiring ,r Pilot Timing `' - Draft 6" Test Tag x L.W. Cut Off Door Pressure Lighting Inst. 3 S Percent CO2 Date Tested Pressure - Input CFH A_U Percent 02 Company Testing Stack Temp. Zly Percent CO Name of Tester Form 235