HomeMy WebLinkAbout1997-009403 - mechanical � PERMIT
� CITY OF ORONO PERMIT TYPE: � . .� :..:
2750 Kelley Parkway- P.O. Box 66 � '�..��r��=_�:.��f:�_.
Crystal Bay, Minnesota 55323 Permit Number: :;:;:�;�i;,_�
(612) 473-7357 Date Issued: - � - .::-
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO ` APPLICATION FOR;�EC�I�CAL PERNIIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, 1VIN 55323 , -"-`�"���`
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GENERAL INFOR1�iATION
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. Pemut 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 Desiens - 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 pemvt 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 cer[ification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: New Addition Repair Replace
Residential Commercial
JOB SITE: I 9 3 0 � r� � ►� � Zip: SS 35/
Owner's Name: �-� �' �.� Telephone Number: y 7(0 - ( ��(
Mailing Address: i(3b S!���1�n.� t�;� . City:':,^Jr,���t� ZfP: _�� `3 �/
Contractor's Name: �`�,,�-��,,� � ,;�� l�t �; �-C I� Telephone Number: �-7�j-!(�f�c:�
Mailing Address: (��!i �-�.r.c:�.-� f Z City; �t: �/a��� Zip: �S� �f
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: I
Make: �"c�nt �.n
Model: � -J a U
Fuel: it;afi ��5
Flue Size: (�t7
Input BTUs: �,,�p,D�%J'
Output BTUs: (c�0� v��
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power •
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� 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.
VENTILATION
No. Kitchen E�chaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE 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)
��-( .\'�'. ': <_- x .0125 $ �3,��
(contract price)
_ 2. State Surchar�e. *" Add the State Building Code Division
Surcharge to each permit. 3���;�'.f t x .0005 $ 1 �`�
or $.50, whichever is greater (contract price) �;°
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3. Postage and Handlin� (Only mail-in applications) $ 1.50 � _;ff
:; 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �--( �C: < :�'� az°; ti t'
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* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
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, • work including materials; labor, profit, and other fixed costs. It is the amount to be charged to the
cusiomcr fur iric work d�ne. Ir"any r.ateri�:i, equipmecii, labor, or ir,�ialiation are �riiished by the owne�, ' '
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. `�;:, �'�
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** 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.
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Applicant's Signature: f�'( • Date: ���-
Approved By: � Date:
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OQ/U9;'97 U9:54 F�Y d1�4 i 9�518 CUUNTRISIUE C�Ui.�2
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S/N 4410 RYGHT-J SHORT FORM 9/08/97
File name: 8TIE1�A.s�,p
Job # : Htg Cla .
For: BOB STIERNA putside db -20 S� .
1930 SHORELINE DR Inside db 70 7�
WAYZATA NR�7 55391 Design TD 90 �0
476-1951 Daily Range - M
Inside Humid. - �0
By: COUNTRYSIDE HEATING & COOLYNG Grains Water - 33
6511 HWY. 12 Method Simplified
MAPLE PLAIN MN 55359 CQnst. ql�.y Average
479-1600 Fireplacee ' 2
�IEATING EQUIPMENT COOLI�+TG �4UTPMENT
Make Make
Model Model
T�Ype �'YP�
Efficiency / HSPF 0 . 0 CaP/EER/SEER 0 . �
Heating Input 0 Btuh Sensible Co41in� q B�uh
Heating Ou�put � Btuh � Laten� Cooling o Btuh
Hea�ing Temp Rise 0 D�g F Ta�al Caoling � Btuh
Actual Heating Fan 1335 CFM Actual Cooling Fan z335 CFM
Htg Aiz' Flow Fa��or 0 . 017 CFM/Btuh Clg Air Flow Factor Q . 053 CFM/Btuh
Spac� Thermostat Load Sensible Heat Rativ �1
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ROQM NAM� I SQE�T I BTUH ! BLTUH l CFM � G�'M
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-�----------_«_____________________________
�-----------------�----���------------------- -----
$HQP 300 33�0 146 5G 8
FAM.RM. �24 349� 146 59 S�-
SEWING/LAUNDRY 424 3237 146 54 8
OFFICE 264 2530 146 43 " -• 8
MAIN 1 564 25638 13162 431 704
M.�IN � 848 1�126 4476 254 239
MAIN 3 440 �6135 6751 439 361
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Entire House d 3264 79489 24972 1335 �.3�5
Ventilatian Air 0 0
Equip. � 1. 0� RSM 23533
Latent Coaling 3844
TOTALS______________�====3264=�--J--7�489=�=====27377 ( --='13��=�------1335
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