HomeMy WebLinkAbout1996-008628 - furnace . PERMIT
4 CITY OF ORONO PERMIT TYPE: � �- � ,:}::,�
2750 Kelley Parkway- P.O. Box 66 '�'�'��r=="4-�`
Crystal Bay, Minnesota 55323 Permit Number: �_�`:i;���:�.�'�:;
(612) 473-7357 Date Issued: __ . �.��.�_�t�
SITE ADDRESS: �
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REMARKS:
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APPLICANT/PEFMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2 i 50 Kelley Parkway) �OV _
Crystal Bay, MN 55323 -� �
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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 Desi�s - 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 construct:on 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
JUB SITE: `�35 Ci.�SLG �-� R n[�. ���'(�t1U� ►�.`Cz�7�c.��-- Zip: `�`J�J�1 1
Owner's N.^.:rne: � �fi�� �� l+'� _ Telephone Number: �--�-��- $l�a'�
MailingAddress: 3F)a� C.,aSC-i� �0��1�1" �'K�,�cx_�,_City:�.�_�zu`��. Zip: ��,��c� 1
Contractor'sName:Cp�tl��l,c.�Si�;l�, ��t-�cnc�a�'^,1tr TelephoneNumber: �-I-1�-1(c(�
MailingAddress: � �1t � �.. � ity:'`L''�(c i�t i�i��� ZiP� ����`�1
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make: ►`n � St'C�rti��U�s,_C� ,
Model: F-�uXI(�;�C.��+-��C�i
Fuel: ��; �
I�lue Size:
Input BTUs: ��v _
Output BTUs: �i U
CFM: , � � h�
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
G��,�
. !l
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 Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STOttAITE (MUST +�E APPROVED BY FIRE ivIARSHAL)
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)
��`j , ;.�-s x .0125 $ ���� � Cj
(contract price)
2. State Surchar� ** Add the State Building Code Division
Surcharge to each permit. �2�`�'L,�'`' x .0005 $ � - �`�j
or $.50, whichever is greater (contract price)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT rEE (Add lines 1-3 above) $ �{� ��`�
* 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 crcher parry tl�e reasonable markei value ai suca iieitis errusE 've ac�e� to ti�e esE'rt���a�ec� eost
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 S'fATE 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 appl i�s to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accurc!ance with the ordinances of the City and the regulations o�the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct.
Applicant's Signature: ` � Date: � �� o�(,P
Approved By: Date:
11-*1-'�G iig:59 FA1 G1��79�518 C'UUNTRISIUE C�jniil
S f N 4 410 RIGHT-J SHORT FQRM 11/18/9 5
F�1� name: EDIN.BLD
Job #: Htg Clg
For: �ED & JUDY �DIN outside db -?0 95
3025 CASCO FOINT F.D. Inszd� db 70 7.5
WAYZATA 1KN 5�391 Design TD 90 20
612-471-8627 Daily R�nge - M
Inside H�amzd. - 50
By: �OUNT�tYSIDE SERVICES, INC. Grains water - 33
65Z1 HWY �2 Meth�d Simplified
M�P� p�IN NIN 5535� Canst, q1.ty Average
612-479-160o Fir�places p
HEATING EQUIPMENT COOLING EQUIPMENT
Make Ma}�e
Model Model
Type ���
Efficiency / HSPF 0. o eoP/EER/SEER p , p
�Iea�ing Inp�t 0 Btuh Sensible Cooling o Btuh
Heating autput � Btuh Lat�nt Cooling p g��
Heati_ng T�mp Rise 0 Deg F Total Ca�ling 0 Btvh
Actua� Heating Fan 1860 CFM Actual Cooling �an 1860 C�
Htg Air Flow Factor 0. 078 ���i/Stuh Clg Air Flow Factor 0 .043 CFM�Btuh
Spac� Th�rmostat Load Sensible Heat Ratio 0
----�--------------------__=----�-�-----=-�__=�
ROOM NANl� � AREA E HTG [ CLG � HTG � CLG
I �Q-F�'• I �`�H I BTUH � CFM ] CPM
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rs�cH x� � 5�� � ���s � ��o � zo� � �----�—��—
oFFrcE ► 224 � ���s ) 2304 � ��1 � ioa
�ED uM i � 225 � 51�3 � 24�1 � �2 � ioa
FAMILY RM � 770 � 1$4$9 � 7105 � 33I � 308
KITCHENETTE � 112 � 2632 [ 2538 � 47 � 110
STdRA,GE RM � 195 � 1��1 � p � 24 J 0
MASTER SUYTE � 504 � 12337 � 5626 � 221 � 244
BEb � a � z�o � �0�5 � 3a�o � z2� � i32
LIV2NG RM � 126R f 29133 � 12148 � 522 � 526
RITCHFN � 350 J 1,49�2 J 7121 � 268 � 348
� I -------�-�----------i-----i8�0- � ��1860
Eritire House d 4477 103858 42963
Venti�.a,tion Air � � 6930 � 0 � �
�quip. @ 1. 00 RSM � [ I o ! I
La�ent CaoliMg � � I 2031 � �
-------------------------�----�
OATE TIME �
CITY OF ORONO CALLED IN �' '�:1'ii ;� ' ''? G'„ �
INSPECTION NOTICE r , SCHEDULED �� -�� �� �-2�-��'�''
PERMIT NO. ��'.�.-' coMP�ErEo IT_ �_
ADDRESS �> J,-� �� �;��_ ! � �c _-i�=7 /i�'
OWNER � �'��� �"' CONTR. _/�>��.��- �<� ,t_-"'`'`,
TELEPHONE NO. ~/ I ' " ��:h 7 �
� DESCRIPTION
� 01 FOOTIN� 11 MECHANICAL RI 18IXCAV/GRADINQJFIWNd
y 02 FRAMINO �_�.13 MECHANICAL FINAL 19 LAI�SHOREIWETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z pq yyq�,�gp, 12 WATER HOOK-UP 17 SITE INSPECTION
Q ps F�� 14 SEWER HOOK-UO O6 PROGRESS
Z
F` 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
Q 07 DEMQ—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBIN(i RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
� 10 PLUMBIN(3 FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED = PFOJECT COMPLETE
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� ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ` pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next i s ction 24 hours in advance.473-7357
OwnerlContra o sit :
Inspector.
White Copyllnspector's File Canary CopylSite Notice