HomeMy WebLinkAbout1993-005446 - mechanical HERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: hEC•HAN I CAL
Orono, Minnesota 55356-0815 `}`j544�`
(612) 473-7357 Date Issued: 08/23/93
SITE ADDRESS:
770 OLD CRYSTAL BAY RD N
LSV
P. I . N. : 28-118-23-43-0005
DESCRIPTION:
FURNACE
1 HEATING SYSTEMS FLUE SIZE 10" FUEL NATURAL GAS
MAKE RAYPAK MODEL H3-403
OUTPUT 319 INPUT 399
REMARKS:
FEE SUMMARY:
VALUATION $22,024
Base Fee $275 .30 MAIL IN 11
Surcharge 11y;11 Total Fee $287 .81
Subtotal $286.:31
CONTRACTOR: - Applicant. — OWNER:
BUDGET PLUMBING CORP 3941:3057 ORONO SCHOOL DISTRICT #278
6420 FLYING CLOUD DR 686 OLD CRYSTAL BAY RD N
EDEN PRAIRIE MN 55344 LONG LAKE MN 55:156
(612) 941-8057
E UNE GN 0
HEREBY e� S S 4 I S� 'MAKE;THE, REAL . 'F V ME1 TS
SPE FI` AND c TO 0 ALL ��° � N ST ICT C N AN '` T ALL CIT'
ORONO W NCES AND S ATECtII p *TAA NO REQU METS,.,
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
ti:, .CITY OF:ORONO , "' :.: APPLICATION,.FO ►> [ECIIANICAL 5 , , L'
' .:,s1
1 Box 66 (2750:'Kelley Parkway)
' -''- 'Crystal:Bay, MN 55323
GENERAL INFORMATION •
' I. You may apply for mechanical permits by mill or in person at the City offices, Applications wil' lx
gl
reviewed and a permit will be issued within 2 working days. i_ % '
2. ' Permit cards will be sent by return mail after a review is completed, PERMITS ARE NOT VD
: ,,:. UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT'BEGIN UNTIL THE PERMIT CAIS
POSTED ON THE JOB SITE. -' - "'
3. Mechanical Designs - Complete calculations, details and specifications are—required for each he ing,
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 ,,,,
:;44:0,, • , shall also be provided. • ;
"` 4. When'any new construction or remodeling is involved, a separate building permit must be obtained.' ;PI, •
5. All work must be done in accordance with the Uniform Mechanical Code/State Building (o ' ti
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 X• Commercial
JOB SI'Z'E: U vGf) CkYJ A e rSAy f() 404-)L• Ln-A-r Zip: S-2-)'35-G.
Owner's Name:Capcur ,1A)n s-1.,„,..i p,' i. 2 7s Telephone Number:
Mailing Address:(,..,.5f- 04.0GPySr-A ,;Ay k4 City:o,e4A)c> . Zip: S'i--it- ,
Contractor'sName:B U06Fr PLR(., d- Nrd, Ceio TelephoneNumber: y y/ R057
MailingAddress:ityA City Fp V Zip: 55- 3
PgirbeiZE
SYSTEM DESCRIPTION 64.�xw1,,-rz r' fid,'/e r For_ l3/ L 60,4 ,t„ l:'cz,.{'; J-;a/v
ALL. 510eci 544.•4.-,1-d.vrC1� +A%i LvAl2 C • lea ick.A,o/u5
HEATING SYSTEMS Pie c() 1 Oa D rMr v , P,e07CC r APch vr.e=c r- is y
Quantity:: / DF_4.501L' Rooid- /-Iup h5-S0G. s (_,e, 1`t H4-•v/c/4-z, F_Au6l/08'025
• Make: /2Ayp,' k ..
Model: - 1-13'-- 'la 3
Fuel: AA-7- K.;AS
Flue Size: • /v " ,
Input BTUs: 3/c-i ---.-- R
Output BTUs: '31 q, a `�►r
CFM:
COOLING SYSTEMS p0_e5 4}0-r- Opp)y
Quantity: ,i ,:t
Make:
Model:
Tons: " ' .
H. Power --,,.. "'
b q,
4 .• ,
4 &
iI'l+ WOOD BURNING EQUIPMENT Poll 5 A-7 0 r .�!y /y •
n Wood stove with flue
. • Wood combination or add-on "-‘,0„,_,.
Factory fireplace with flue '
Factory Fireplace (s) Freestanding Masonry
.. Wood Stove (s) Franklin, other
Brand Naei,, __,, Model No. '
Mfg'r"`s Min., Clearances, side , rear , min. flue dia.
' Total
VENTILATION A90 e 5 A-,(91` Af✓01X
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm. �..
• No. Other Fans: Locations cfm ' '
Total '
t
. FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) 1)45 4,eye- *?>
nstallation Removal 44,
Fuel oil: gallons _ underground inside ,f utside
LP Gas: gallons
. Other • . . Gas opening
PERMIT FEE CALCULATION .
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
. 2 Zi C) 1. x .0125 $ . Z '75, 3 .)
contract price)
2. State Surcharge. ** Add the State Building Code Division ' •
Surcharge to each permit. e z� �t, c.-.,(7,:, x .0005 $ / / , a/
(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) $ Z S e7.. '
* 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,
if
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.;' " '
I + 0+ The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
V` ' 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 l�and certifies that all statements made on this application are.complete, true
1
and correct_.... . •
Applicant's Signature: T- �,,‘u,e4..."7- ._..Date: c-
Approved By: . "Date:Date: r d