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2001-P04634 - mechanical
PERMIT CfTY OF O RO N O Permit Number: 2750 Kelley Parkway- PO Box 66 P04634 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 11/152001 SITE ADDRESS: 1035 Tonkawa Rd LONG LAKE,MN 55356 PID: 08-117-23-24-0004 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Sub-type(s): Multiple Mechanical Items Permit Type: Mechanical Permits DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Also one Aprilarl 560 humidifier FEE SUMMARY: Permit Fee: $ 49.69 Valuation: $ 3,975.00 State Surcharge Fee: $ 1.99 Misc.Fee: $ 1.82 TOTAL FEE: $ 53.50 APPLICANT: Vogt Heating&Air Conditioning OWNER: BARBARA A WIGLEY 3260 Gorham Ave 1035 TONKAWA RD St.Louis Park,MN 55426 LONG LAKE MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. 'APPLICANT PERMITE IGNATURE ISSUE YSIGNATURE Conies: 1-File(Siknitures Required). 1-Applicant, 1-Month1y Reports. 1-Assessine. 1-Finance Page 1 CITY OF ORONO APPLICATION FOR MECHANICAL PERMIrr 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 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 X_ Replace Residential Co ercial JOB SITE: Zip: Owner's NTelephone Number: Mailing Address: City: Zip: Contractor's Name: AIRTelephoneNumber: MailingAddress: 3260 GORHAM E. 55426 City: Zip: ST LOUIS PARK, SALES 929-6767 SERVICE 929-4011 SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: Make: 013x Com_ Model: Fuel: �fJ• _5 Flue Size: Input BTUs: Cla M-) Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: C Tons: �] H. Power I).po 1a4 56o kAlm 1 �-- N 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. -Otiier Fans: Leeations cfm. Total FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation Removal Fuel oil: gallons underground inside outside LP Gas: gallons Gas opening Other PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) x .0125 $ 5O•00 (contract price) 2. State Surcharge. ** Add the State Buildiag Build' Code Division d O Surcharge to each permit. 1-11 x .0005 $ (contract price) or $.50, whichever is greater 3. Postage and Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 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. 7,9 ki-d Applicant's Signature: AJ4Ww Date: Approved By: Date: HEAT LOSS CALCULATIONS Weatherstrips A.Guide Construction No. Insulation WirVilows Doors Reference Out.Wall Int.Wall Ceiling Roof Floor Kind How Applied Yes—No I Yes—No 19_ Fl.IRoom I Length 5L Width 2r, Height 5' F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area Wldlh Heigh[ No.of Lineal ft. Area Width Height No.of Lineal It. Area No. of Dane of Dane lights of crack sq.ft. No. of Dane of Dane light• of crack ea.ft. Coef.1 Btu Coef. Btu Infiltration 32y M 119SY Infiltration Glass 9?v $t, 125/LO Glass Exp. wall Exp.wall Net exp. wall I-11y' / Net exp. wall Int.wall hr i% Int.•+all Ceiling Ce.ling FI-jor — Floor Total Btu. 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 2 Width :?,�, Height J' F1.1 Room I Length Width eig t Windows and Doors,—Crackage and Area Windows and Doors—Crackage and Area Width HeightNo.of Lineal ft. Area Width Height No.of Lineal ft. Area No.Nof pane of pane lights of crack eq.ft. _ No. of Dane of Dane IILhb of crack aq.it. Cf.1 Btu Coef. Btu Infiltration s/y 3i Infiltration Glass :� f be Glass Exp.wall Exp.wall Net exp.wall /A (o./ ? Net exp.wall Int.wall � 33 f 31&!r, Int.wall Ceiling Ceiling Floor --f33(,, %4!� 2 L Floor Total Btu. 7-.; 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 FI. Room I Length Width Height F1.1 Room I Length Width Height Windows and Doors—Crackage and Arca Windows and Doors—Crackage and Area Width Height No.of Lineal ft. Area Width Height No.of Lineal ft. Area No. of pane of pane lights of crack eq•it. No. of Dane of Dane light* of crack eq.ft. Coef. Btu Coef.1 Btu Infiltration Infiltration Glass Glass Exp.wall Exp.wall Net exp.wall Net exp.wall Int.wall Int.wall Ceiling Ceiling Floor Floor Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A.Leader area I Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 R—m I I moth Width Height 11 Fl.l Room I Lens:th Width Height HOUSE HEATING TEST RECORD ADDRESS y` 3 AD APT. FLOOR CITY SUBURB ©�O� OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Electrical Work By Gas Line By Sptw'F TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE P- hft- MAKE OF BURNER Model -US a O V x0 Model Serial 000 Max. BTU Rating INPUT �Vi ow MAKE OF FURNACE Model _ vCfONTROLs M THERMOSTAT Meot lug Vent Size_ Volt' 34 KIND OF LINER SIZE ONE Limit t 0. ` Draft Hood �� Regulator Limit SettingDkt_ F1 Iters Size Number Fan Setting Chimney Location Inside Outside Pilot Type l)2 Chimney Construction Pilot Make b" n Pilot Model 00 , Smoke Bomb Wiring Pilot Timing 3 Sf-C Draft Test Tag L.W. Cut Off —_ Door Pressure q Lighting Inst. Pressure t Percent CO2 1710 Dote Tested ` Input CFH O(wV _Percent 02 710 Company Testing L Stock Temp. Percent CO 6110 Name of Tester