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:
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DESCRIPTION:
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FEE SUMMARY:
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CONTRACTOR: - =I T i �f{f _. - OWNER:
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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
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Approved By:
,� Date: ? —qf
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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
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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
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OWORK SATISFACTORY:PROCEED El PROJECT COMPLETE
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cc ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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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