HomeMy WebLinkAbout1994-006407 (mechanical- heating & A/C) PERMIT�
��IT;� OF ORONO PERMIT TYPE: :,.: �,._..;.y;,_ �_.,;
2750 Kelley Parkway • P.O. Box 815 Permit Number: --
Orono, Minnesota 55356-0815 `'`-'��'�`•'���
(612) 473-7357 Date Issued: ;-;:T�;�;;;:>>_,u
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CONTRACTOR: — ��'=�s�i i�==���r� � OWNER:
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A PLICANT/PERMITEE SIGNATURE ` ISSUED BY:SIGNATURE
.
- AUG 2 9 a.�:;,�,
CI'TY OF ORONO APPLICATION FOR MECHAI�TICAL PERMTI'
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 inciuding 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: ��}`l L�' L r��.���;�� S i- Zip: S 5 5�1/
Owner's Name• �C���Y� L � �� Telephone Number: 4�1 — ��s�{
Cit �`� c ��c r�- ��
Mailing Address: �T����� y: ' , Zip: , �,3.1
Contractor'sName: Cc.� .��- s�� N�-� � �'�� TelephoneNumber: <�. i�`i`r
MailingAddress• i�^�'Sc� e�.-:=�, ,z� �+ z� City: t�>r i�:�� Zip: �����c
SYSTEM DESCRIPTION
HEATING SYSTEMS /
Quantity:
Make: ('��,:;��te
Model: 5�-a���/ZRn�' %i�F
Fuel: /�'� C-G
Flue Size: Z'�
Input BTUs: :D o c���
Output BTUs: `1. E'�'�'
CFM:
COOLING SYSTEMS
Quantity: �
Make: C�A���p k
Model: �� r�'r►r�;t�
Tons: �5
H. Power _
.
.
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 .0125 $ `��'. c� �
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ �' �'��
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ -1�3@���
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ?_�3 � �-f
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pemutted
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 conect.
� � � � �` -��-�`f
A licant'sSi nature:��` Date: C -�
PP g
ApprovedBy: � Date: Q-1�'a
Page No.
=-:=-=� P RO POSAL
� �' �'cOUNTRYSIDE �`��°x�"'
HEAT I N G
A N D cOOLING 446-1299
SERVICES, INC.
10880 COUNTY ROAD #20 • DELANO, MN 55328 Date: Au�ust 16, 1994
PROPOSAL SUBMiTTED TO WORK TO BE PERFORMED AT
Name __ Tom & Debbie Lind_ _ ._ Name _ _-_._ _
Street 2470 Carmon St. Street _ _
City, Zip __Wa�zata, Mn. , 55391 City, Zip
Telephone 471-7854 Work Telephone
Countryside hereby submits professional recommendation as follows:
��rr.�r ��58MVP080-114 "Infinitv" high efficient na�ura ga f , nara (d 94� AFUE (Thi s
is a 2 s��g� heatinej��ri�ble����d�urn�c��r o��imums9mfQrt & enerev�avin�s�s
1—Ca e 4l 8T�I A0�6 hi gh e i .iQIlt 3 — ton en a1 A/��t�m @ l 3.0 � . .R
J`_�Lone�well 4kT_$7F thermo�t���cQoling subb_as�.
1 - HQn��a�_11.�.E5DF1D_Z3___ele�tr�nic�irsleaner. _
1--_Apsilaire�SSD_humidifi�r,_--_---_ _.-----_- - -
* - complete duct_�k fitti�nQs_�o_gsovide the-£QllQ�ing: Sug�ly_�ir_plenu�_adapter,��turn
_..air_drQp,�nd__ne.W_c�nvas___conne�tors----- --- --- --------------_ _ -- ------_ __
*-�Qmplet�_gas_line_�4�ittings�ook-up.__ __----_ -____ _ _____
*__-_Venting__with2"PV�_piging_-�idewall vented,.��r exhaust_&_combustion_air._. ___
*__-_�ondensate_�rain�ine�aith_3/_4'_'__CPyL�ip_ing��ittings. ____ ___-_____
*_-_Cement�la��o_set_neh��urnace_�n.-- ----------- _ -- -----_-----�----- ______---
*__—_��ntral A����stemsncludes;�Qndensing�niti��oil,�nil_railst��frigerant�.ines�-
____condensat�_�r.ain�ine�_and-cement_slah.__ _ __
*-�emov��nd�iaul-��ay_�ld�urnace.----------------- -------------- -___- ---___ ---- -_
� -_LQmplEtQ__electrical_kiring .hook-up._ .___._.._.
� — (:mm�l Ptp�nd .,rr,�__fP.��;�nal-installatian. st�11�sL�ri.��_$5�3.$4�9
* - ualifies for 5200.00 Minnegasco & $330.00 NSP rebates, net coGt after rebates = $4,840.00.
�� - If flexible cl�mne �
_- �].�er is n�Qd for�r4��_r__�zater heat,Qs�vPn�_r; .nrov �_��Q,�D ____
All material is guaranteed to be as specified, and the abovr work to be performed in accordance with the speci i s
submitted for above work and completed in a professional manner tor the sum of Dollars� )
with payments to be made as follows: '
�_97�Q�zn,-hal�nce_Q.�_��mgletion.--- - - �f?__ T�-s��-_
-- ---------
,. ......... � ...,,., ., ,.. . .. ... ..�;.,. ,. ..:.o..V►.�.,.,,K.,.....,��.a _, ., . ,. . . . , . :: ., .. , �,�..�
-- — _ -- ----__ ----- -- --- -
An material is guaranteed to be as spedlied All work to Ce Completed in a workmanlike manner
accordinp b standard piadices.My alteration a devlaton trom above epecificatlons involvinq AuthO�izEd Signalu�2� �.
extra costs will be executed onty upon writlen orders,znd will become an extra charge over and TOn A. �J 1C ley
above the estimate.All agreements contingent upon smkes,accidems or delays beyond our Noie:Thi;prop05ai may be withdrawn by us it not accepted within__day�.
coNrol.Owner to carry lire,tanado and other necessary ins�rance.Our workers are fully covered
by Wakmen's Compensation Insurance. . .. .. . . . . .. .�. _ . _...... . .
RCCEPT�4NCE OF PROPOSAL.
The above Wices,specificatlau arxf condilions are satistactory nnd are hereby accepted.vou �_ .- . , ,
� � ''are euthoizeA to Co the work�as specifed.Payment v."I be made as cutlined above ��� � � -
Signature _ _
Date of Acceptance _ ---- __ . .'--- . . ,
1 , Signature _
f +
.r��
I
E�t� C.1C�
�;r, i,c�M & DEBBIE LIND Outaiile cib -1i� gF
r4 ;'0 CARM�N S�'. Inside db 7� ?
WAYZATAr MN 55391 Aesign TD 9c� ��
,;., , _��z��
Da.i Iy Rarlqe - �
lnside Humid. - ��
�_v : CO'l�'NiRY�7(1F' HEATIN�i & r'QO:.?.^:� :,i,i�vri4LJ laI'd�flB water - I �
iG88U CO. RD. #7.(� i -
.�l L 1.A��u 2•u� .:,=���8
���._� 290 Const . �uality � a
# n� Y'iY-c.'tilul:e5 , i�
H�.A1`I NG EQI;I PMEN'I '
CQOLING EQUIPMENT
, M.�r c�
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' ` �:�iei,~� ' HS�.' � . 0 CGP/EER/SEER 0. �
t1E-,�� i n:7 ' ni,17t n ?_
: jr ; �-,,;; ,1 Btu., Sel�sible �eaiing 0 ,B h
. �t���,t � Bt.uh �;atent Cool inq � gt i:
, ..�a :�ri�� Rise n �1cn F T�ra� rc;::.�n� u bi. n
= ''i�at=*�� Fan �s 1C CFri kctual C:ppli?'ig Fan ��i n r�F
, ; z F�:�w tactor r, . U22 cFp�1;Btuh Clc� Air Flow Factor 0 . �?�3 �'F %t�t,.;�•:
- � iizermostat Laad Senrible Heat Ratio A�
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N.�;� i�i NkM� + AREA ! HTG CLG � - `-
' HTG i C G
i �Q. FT. H�Ti�tt ; STUH J CFM i C M
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