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HomeMy WebLinkAbout1997-009724 - furnace ' PERMIT E CITY OF ORONO 2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE: ,, Crystal Bay, Minnesota 55323 Permit Number: 'i. (612) 473-7357 Date Issued: SITE ADDRESS: . , . _ ._. . ._ _ . . . .� �..� DESCRIPTION: , _�. , . . __ _ _ - - _ " 4 ; .�..,., , t�( , - � --. .. _ . . , _ ! .:�: : , , : ; , ...�;.._ _ _. . .. . .., -• .� rr��, _ ..: . ,,� .. _4. :-_� ,_ . . _ _;k ;.v-;—.� 7 .y�-t ;— _ _ ___ _ . _ . .. _ '_ _ � , .. � .. 4j•,i�-'} �'t _;.1+.' Cii_: REMARKS: FEE SUMMARY: �.. -_ �. .�:�=: , : r: .. �; . , _ _ _ , �, ,., . . �= _ - - �.v - , _ , , .� . . ��� :� ,. W�.�i: t �.�a, ., �.� . .� _ � . . �,.. CONTRACTOR: ;';; �=' : = ;:-� . OWNER: :;. �; �: : ,. � . �;: e : ?. . . .. ...._ e.., �,;i'j .�,.. . :i.. i:i � i... " _ ,E' ' , : .. � � � ...� -.. � ,.._... . � � . .. ....... ». �. _F- .... . . , .' y. . ` � _ . . . .. . .�., �i� . : , . .«i.-•{ . • . : � i'. - '' � �4U�..: �..;,t .. .. . ... ���... ��`�...f...t}.yf.�. .i'_... � .�f�l��.:.�'� i,..�ia�i.,,f. .J#:�`�f" �tGS�.�k�J4.�`.�3:�}3'�i ���.. ... . ....F �:. � i £°�.d .�}...'�'�t . =_��:::I���.+� ���� ��.�':�.�=`=: T�� �,i;�� i��...�. �:��_+�t`: ?I'�� �:T�iI�= . ;`��a�� w$.. } . _ �i= ;M��;�:�;��W� t���,�.�I`"�i��ii.::�'`�� ����� °=:�'�t'i'E �:�i= ���t�€�'���=��"i� ��':�T 1.:.. €�'� �.��� 1 '.� `�f. ! =, �— � �-��� ��� �� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE t - . _ ..__. ' I � ;�J j!, �� � i i � ,I CITY OF ORONO APPLICATION FOR MECHANICAL PERNIIT Box 66 (2750 Kelley Parkway) � Crystal Bay, MN 55323 y� d � ` .��� ; h r/� 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 � Replace Residential Commercial JOB SITE: j ��� C�_ � � �L�u-L�� /�r'( Zip: Owner's N�:rn-��.c� %� ' �.- Telephone Number: �f�! � y�,�� Mailing Address: •��v . •--«� /�City: G�'t�� �ip: Contractor'sName: , .-�,-c. % �.�-���_-�- TelephoneNumber: .�,j 7 -��9 I MailingAddress: �. i�� -- y� �-�(' Cc.u.t �z�c� City: C`Ju�.���' Zip: ��5`�� -z �— SYSTEM DESCRIPTION � ,, ��-� HEATING SYSTEMS Quantity: � � 7"�� Make: �l.-�� _ -� , Model: /L'�e 5 l�'�-' Fuel: -�-u,��'� Flue Size: Input BTUs: /a vLv���- _ Output BTUs: �; �'�1 �� CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power . i 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. Bath Exhaust (must be ducted outside) cfm No. Other Fans: Locations cfm FUEL STORAGE (MUST �E 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) �� U � � `��,��� C�� x .0125 $ _ , . - (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. / 5'G'��•���% x .0005 $ . � �r or $.50, whichever is greater (contract price) 3. Posta�e and Handlin� (Only mail-in applications) $ � � SU , 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ - 3 7�� * 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 pu:poses. 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 S"CATE 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 a�plizs to the City for issuance of a Mechanical Permit, agrees to do all work in strict accuru�ance 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. -� ��_, � 9 � Applicant's Signature: Date: Approved By: Date: �-� �L� � � � r J ��e U/�-�c-�,� ' . HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS _ , Weatherstrip� A'S' 'V' ' Construction No. Inaulation Guide Windows Doors Reference Out.Wall Int.Wall Ceiling Roof Floor Kind How Applied 1`e�o I Yes—No 19.__ � Fi.l Room Length idth Height FI.� Room Length Width Height Wi�dows anJ Doora—Crackage and Area Windows and Doors—Crac�sge and Area ��'i�f�h Hei�ht No. ot Llneal ft. Are• R'IdtA He��ht No.r� Llne�l tl. Ar�� No. nf pane ot Dane liihts ot crack �0 tl. No. ot Dane of Dane Il�nt� ot eraeY W. fl. �� � �� � i Coef. Beu Coef. Bcu 1n61tration � Infiltration Glass Glass Exp. wall f�tp.wa�� __. Net exp. wall Z U � Net e:p. wsll Int. wall Int. wall Ceiling � Ceiling _� Floor Floor Towl Btu. Total Btu. . Requircd sq. ft. E.D.R. or sq. ins. W.A. L.eader area Requtred sq. fc. E.D.R. or sq. in�. W.A. L.eader area Fl.� Room( Length Width Height F'�,� Room(Length Width Height Windows and Doors—Crackage and Area Windows and Doon--Cracicage and Area WIdtD Hel�ht No.o[ Llne�l tt. Are• Wldth Heltht No.ot Llne�l!t. Area Nn. of Dans ot Da�e II�At• of er�ek �a.ft. No. of Dan• ot D�n� Iliht• ot erack �a f[. Z 2 —� Z . / 3 Coef. Btu f. tu Inbltration 1n61tration Glass Glas� Exp. wall Exp. wall Net e:p. wall Net e:p. wall int. wall int. wall leiling Ceiling Floor Floor Total Btu. �Total Btu. Rcquired sq. ft. E.D.R. or sq. ins. W.A. L.eader area Required sq. ft. ED.R. or iq. ins. W.A. Leader arca Fl. Room �Length R/idth Height � Fl,� Room I Length Width Height Windows and Ooors—Crackage and Area Windows and I)oon—�racicage and Area WIdtA Hel[At No.ot Lln��l tt. Area Wldtn H�I�ht No.o! Lln�al tt. Ar�� No ot D�n• ot Dans Ilsht� ot craek �Q.ft. No, ot Dan• ot D�n• Iliht• of craek �a.ft. Z Z Coef. Beu CoeE. Bcu lnl�ltration In6lttation Glai� Glai� E.xp. wall Esp.wall Nct e:p. wall Net e:p. wall Int. wall Int.w�ll Ceil�ng Ceiling Floor Floor Total Btu. Total Btu. Required �q. ft. E.D.R. or �q. ins. RI.A. Le�der area Required �q. ft. E.D.R. or sQ. in�. WA. Leader area -���a� HOUSE HEATING TEST RECORD ADDRESS / /C APT. FLOOR CITY SUBURB�1��U OCCUPANT OWNER HEAT LOSS,�-DATE HTG. INST. SOLD BY ��< � INSTALLED BY S' >�,:z �-� .�„_- �� El�chical W�� By Q./"v�S�/"�- F1 i�'"-' Gas Lin• Br TYPE OF HEAT GA FA�HW STEAM SPACE HTR. UNIT H7R. OTHER / GAS�ESIGN CONVERSION MAKE �{� �`��/� MAKE OF BURNER °"' � 9 f ,�, Mod�l / � � Mod.l �'::�� S�ia) L- �7 Y� h� 1 Max. BTU Rotin9 �j INPUT ��'��/,l'� MAKE OF FURNACE �'° "" F� ���,� Mod.i t-;y, �, ,,. -; ,>.. // , , C�i�TROLS / � i/ � `''rs���� THERMOSTAT� Hsat Pluy 'S V�nt Siz• / - ya��. �� l KIND OF LINER u��il��•� sliF � �� NnuF Limit '�� Droh Hood R�yularor Limit S�tfiny �'��� � Filt�rs Si:• ��xa��� ��umb�r Fa� $�n��9 Chimn�r Loeation Insid��0utsid• Pilot Typ� Chimn�r Construction ��"'��-� Pilot Mok. `f�� Pilot Modsl f Smok� Bomb Wiriny Pilot Timiny 1'� S-�-c D►aft ��Jv T�st Toy L.W. Cut Off Doo► Pnssur� Liyhtiny Inst.✓�. Pnssvn 3"5' P�rc�nt COZ �ot� T�st�d a-3-y 7 Input CFH�G� P�rc�nt 0� ' Company T�sting � ' Sfack T�mp. �a�� P�rc�nt CO � Nam� of Tsst�r Fwm 235