HomeMy WebLinkAbout1996-007795 - furnance � ' PE�RMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 t*�E�:�-ifi�1_'f:r�L
Crystal Bay, Minnesota 55323 Permit Number: �.�t���,_,��
(612)473-7357 Date Issued: ��:;��,iM1j�Y��
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: _ q�,�,� �;�,E{. — OWNER:
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APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICAT'ION FOR MECHA1vICAL PERMTT
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 retum 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 Desi�ns - 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. Ideatification 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 fmal.
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
X Residential Commercial
JOB SITE: ? ; r�� ��< ,;._, ,�L;_�,�-1� �,�,�-; Zip. 7..`�.-3:��r:
Owner's Name: p,`., � ��,.�c<<5 __ TelephoneNumber: �'ilc -��3i�.4_
Mailing Address: ���'- - City: (" �-���� � Zip: 55 �5��-
Contractor'sNanne• (� � �,1�r .�s��� t��b � ��.�. TelephoneNumber: �y�, --1�� `�
MailingAddress: ����, r�� <��. :��-� �' t� 2� City: �t, t��_�� c. Zip: - .� �-��
SYSTEM DESCRIP'TION
HEATING SYSTEMS ,
Quantity:
Make: ��lr�����-�Z
Model: ��r��xr���u'iD�
Fuel: I�) � L-
Flue S ize: 2 '� P�t.
Input BTUs:
Output BTUs: ��.�f � �
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
� � C(�
1
WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fueplace 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
Other Gas opening
�
PERMIT FEE CALCULATION y sq6
1. 1.25% of Contract Price* or Minimum Fee 35 0 �
� �, x .O l 5 $ �5 5�'
(contract ice) �
2. State Surchar�e. ** Add the State Build' Code Division \ � -Z
Surcharge to each permit. '� ��. �, ��- x .0005 $ �
4contract price) '
or $.50, whichever is greater 1.50
3. Posta�e and Handlin� (Only mail-in applications) $ ,
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ .�� �-t Q
* 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 ownery
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[hat there is a dispute on the amounc of the job cost,
the City may request the submission of a signed copy of the actual conaact.
** The STATE valuations over i$1,0005000 call cthet Department nof Inspec�onal Services for the lpnceer is
greater. For
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 s em�n made on this application are complete, true
�
and conect. � _ '� -
' . _ ��- � " C1 ��
,� �L Date: �-- i -�
Applicant's Signature:
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Date: a `" (� ', ��
Approved By:
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�OUNTRYSIDE
_ :
� EATING
A N D CO�LING 44C-1 �#��
SERVICf.S, INC.
10880 COUNTY ROAD #20• DELANO, MN 55328 Date•JULY 20� 19��
PROPOSAL SUBMiTTEO 70 WORK TO BE PERF6RME�AT
Name -- DAVE AHLERS Name�JVS-1'ALI�.--�.Qy�E,.l2�.�,.E.a/�l,_.FURNACE—_-.-.
Street RIaIE Street ___ _
c�ty, z�p _ (IRnN�., MN. ����fi c�ty,i+p
Telephone 476�73�R Work���� Tstephone ' _
Countryside hsreby submits professionat recommendation as follows:
1-CARRIER HI-EFF NAT GAS FIRED FURtvACE M#58MXA0401 8 ���AFU�.—,—_ _
"'-RE-LOCATE EXISTING THERMOSTAT
�'-COMPL�TE DUCTWORK AND FITTING TO PROVIDE INSTALLA7ION OF EURNAC�_ E� L0�
LEVEL ZONE, TO INCLUD�SIA PLEN�1 & R/A DRO�& CANVAS & CONI�CTIONS,___
RECONNECZI�4F�,9J�3 l.�V�Z9�l.��_CA_P�XI�ILI��_ FURKACE. ADD (2) S/A -
R�C.�[� & EXERCIS� RM ___
1-FRESH AIR�NTAKE. INSULA7Eb�PING & F1ITING� __ ____
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__T.HUR_GARA.GF.�_S.UB�9NSBACS___C.EDAR_RO.OFIJd�Of__Fl.1�SNI.�dG_ ________�__
#-C�1'�DE1�LS�IE_DRAII�L�L4'�P_V_C�'�P_I1`��_&_F�ST_Il�GS— _. . _ -------'- -
1��.lf�NA�E._�SA��Z '11�2y'_'X2"PAD�----- ------------------------------ - - -- - _
*-��MP�..ET� E�EGrR I CA� r__O�IL�lE.�71DN�.---------------------- --------- _ _ _ -
"�-CQMPI..ESE�pROE���1�1�91`INS�ALLA]'1DN- ----,-------. -- --_ _ _ _
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#�Q;�PI FTF D11CT1�VnRK �'.LFAN 1 rar nF���Sj�(; Ft1RNACF �----
All material is guaranteed to be as specf!ied, and the �bove wo�:to be psrfcrmed in accordance�vith the spacification�
submitted for above work and complete�i in a protessional manrtor for the sum of Dotlars($ ) �
wfth paymertts to be m�qa e�t�11QkvS:
.. . . . . . . _. ...._ ._ _ .. .. ._ ..... -��. .
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..1����nownt%�a�M�Nir� r�c�nt`�'� - �
C�i�iP. .. T2�ON �R T�:C 90�AY 'N6. I NTERF.����Y1��ZdI---- -
Ap materia�Is pusranleed m be u�peaYed.M waw a Oseomptete0 in•wawneNlke manner Authof+te0 S�9nature '
e�b stand�rd pr�,diaa;ky NlerWpn 4r da�Wbn kcm api?ve Medfinetions Involvinp
wB bs�ricuied oeqY upbn wA11M oMers.M�f wrA be�ne rn exfr�d+eTqe o�sr ene r (f
above B+s es�imete.All ap�eement:eontinpern upm�ulkes.aoerderns a deieys beyono ou� Nole:This Proposal mayl��ArlaGwn �uNs fl�aC HE Rwithin 30_days.
. _ oCMtd.OwnerboertyMa.tomedo�nOoNwneoetsaryYrsixance.0iswoAc�sar9fWlyoovered . . , , ,
by7Alakrtwn't Conipentation kwrrenos. . .. .... ... . . _ . . ... .......__ ...
: . . . .. :.. . , . . ACCEPT�tJCC�C�F Pl�C�l�O�AL�... . _..�..
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. -.Ths�bovs pWes.�psoMloAtloae�nd ooiWldo�r Na NtlMaq1�Y�d�n Ir�Wy�gD.'VOy . . _ ... .._... � . . ... ,
.�._!ro l�red b Ao N�!N�rk e3 tpM1f`�eU.Payn�M YAA Dt�thedC!4 OUllir�d AbOv�. ,,
_ .. . .,. .. _ . ..Signature----_—__—_—_ —
O�t�Gt ACl�p:a�: - . .
. _ ._ �Si�neture _ _