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HomeMy WebLinkAbout1993-005827 - furnace PERMIT CITY OF ORONO - + PERMIT TYPE: 2750 Kelley Parkway • P.O. Box 815 t+�F-.i_EAi '`�'- Permit Number: �,)t) -" � • Orono, Minnesota 55356-0815 Date Issued: (612) 473-7357 SITE ADDRESS: ,_;cif T iNl:: ?! A x;17 LSV DESCRIPTION: FURNACE 1 HEATING SYSTEMS FUEL NAT(ORAL GAS MAKE AM NA MODEL �,�:>v:.��_,i::;.�A I NPUT 45,oc') i'T? !t� •i lailll L1 1 1. V! IJl1L•ITV 1t� TILL L•l �1 L'L i-if-'t tr+t"A Q i Jlvvvv ri t 14e-4..V v flst t.iiiV {� >T r l VL!'T l.1v 7;7f.111J�0)� :Y .L JJl 1 vL {fTr REMARKS: 1.ivvTL . " �iiyis.i� Tr"i r in�/,k VAI L.• ! 0,61 01 T.14:579, FEE SUMMARY: VALUAT I ON $2) 2.0 Base Fee MAII IN Surcharcie --------- Tc- '_a I Fee $37 .E r COMMAGEOR1 CO i:3 1;+ E. ICER: ,ti�i?'�I.1 Gf�tFiHA AVE _ ; � J-VvY CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT 2750 Kelley Box 66 ( y Parkwa y) b Crystal Bay, MN 55323 GENERAL INFORMATION rr 1. You may apply for mechanical permits by mail or in person at the City offices. Applicationsr*111 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 PERM4T. 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 V Replace Residential ommercial JOB SITE: Z (,m Zip: Owner's Name: �m Q - __ Telephone Number: Mailing Address: �c m� Cc S YJ W City: Zip: Contractor's Name: V O G T HEATING & A/C TelephoneNumber: 9 2 9-6 7 6 7 Mailing Address: 3 2 6 0 G O R H AM AVE City: ST LOUIS Pzip: 5 5 4 2 6 SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: ' Make: Model: AC _yy 6L Fuel: 4ck Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power e - , 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. 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 1. 1.25% of Contract Price* or Minimum Fee ($35.00) x 1.25 $ 2 cr,— (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. �� i— x .0005 $ 10 (contract price) 3. Postage and Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 50 , io G * 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 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. ** 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. Applicant's Signature: ck, ate: f�� Approved By: Date: 2, HEAT LOSS CALCULATIONS Weatherstrips A.S. Construction No. Insulation Guide Windows I Doors Reference Out.Wall Int.Wall Ceiling Roof Floor Kind How A plied Yes—No Yes—No 19_ FL Room I Length -2 a;1 Width z`/ Height P FI.) Room I Length Width Height Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area %VIdth Height No.of Lineal ft. Area Width Height No.of Lineal ft. Area No. of pane of pane lights of crack sq.ft. No. of pane of pane lights of crack eo.ft. Coef. Btu Co f. Btu Infiltration /8S 7 4d�s' Infiltration Glass /6Y �� 7 `'' Glass Exp. wall Exp,wall Net exp. wall a� Ys.� _ Net exp. wall Int.wall Int. -call Ceiling e07 7 110 Ceding Fluor b7t� -7 ZtJ/,;- Floor Total Btu. G d Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height FI.I Room I Length Width Height Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area Width Height No.of Lineal ft. Area Width Hetght No.of Lineal ft. Area No. of pane of Dans lights of crack eq.ft. No. of pane of pane lights of crack sq.ft. Coef. Btu Coef. to Infiltration Infiltration Glass Glass Exp.wall Exp.wall Net exp. wall Net exp.wall Int. wall Int.wall Ceiling Ceiling Floor Floor T..e.{ Rn. DATE TESTED t-)A��i�.-� HEATING TEST RECORD JOB NO. "S ADDRESS ` ICl h�is 1El \'�l � � CITY _0_aCj PJ 0 OCCUPANT OWNER on r,,�, SOLD BY INSTALLED BY f TTY OF r MAKE 0 A MODEL C 0 SERIAL NO. ab( I � _ INPUT 5 () U U THERMOSTAT VENT SIZE_ Q VALVE _3 G R, 3(C ,\ TYPE OF LINER_ V l D E C - 2 1993 LIMIT �oTCJ�QlJ LIMIT SETTING ( y LINER SIZE FAN SETTING i 5 , N ED j 1 _ FILTER SIZE F4A Co NUMBER I PILOTTYPE 1407 SUARVA(,f T( WIRING v IGNITION MODEL 50 A l"CO QO Q2 TEST TAG N PILOT TIMING_ _ ----_____ LIGHTINGINST.S4 i -- � i --- Q PRESSURE Qi INPUT CFHy STACK TEMP. /O PERCENT CO2U h_ PERCENT OZ Z __ PERCENT CO © •d COMPANY TESTING .O �� /4 F A-r I rel G NAME OF TESTER FORM 235(REV.11/92)