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:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: ;';; �=' : = ;:-� . OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHANICAL PERNIIT
Box 66 (2750 Kelley Parkway) �
Crystal Bay, MN 55323 y� d � `
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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 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
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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
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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. 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.
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Applicant's Signature: Date:
Approved By: Date: �-� �L� � �
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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.
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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
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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 °"'
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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, �, ,,.
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// , , 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
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