HomeMy WebLinkAbout1997-009741 - furnace , - PERMIT
CI�Y OF ORONO PERMIT TYPE:
` 2750 Kelley Parkway- P.O. Box 66 �
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Crystal Bay, Minnesota 55323 Permit Number: _ ' :
(612)473-7357 Date Issued:
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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GENERAL INFORMATION
1. You may apply for mechanical pernuts 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 DesiQns - 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 ;,�eplace
Residential Commercial
JQB SITE• �'�a�0 �e��` n �n ZiP��5.�,��
Owner's Name: � C�� �d� S Telephone Number: y-7(o _�5-g S
Mailing Address: �a,�{Q �u,,1 L�� City: 0^�-n c� Zip: S S���
Contractor's Name: �,�-Tr�r s t�9.� 11�� �- Ci�r Telephone Number: �� -�y-�(o p�
Mailing Address: (p�j( (��c,�,�., �� City: I Q_�f _ Zip: ���� j Qi'
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: C
Make: �m �S-�c��r�
Model: %�l�� )wD I��VS}�
Fuel: G�.-b
Flue Size: (� '�
Input BTUs: j�D� ��
Output BTUs: � I�, �� C�
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power �
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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 E�aust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
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 ($3�.00)
aD��/� �'Tx .0125 $ �J� . ��%
(contract pricel
2. State Surchar�e. ** Add the State Building Ce�ie Division
Surcharge to each permit. ��2 ('��-���` x .0005 $ � � � �
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 3 �- ,��
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the pernutted
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 pernut fee pucposes. 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: Date: 3 c
Date: �� � ��
Approved By: _
S/V 4410 RIGHT-J SHORT FORM 10/29/97
File name: CHILDS .BLD
Job # : Htg Clg
For: BRAD & ANDREA CHILDS Outside db -20 95
2240 DEVIN LN Inside db 70 75
LONG LK MN 55356 Design TD 90 20
476-1595 Daily Range - M
_Cn.�ic�;� F�umi�� . - 50
By: COUNT'RYSIDE HEATING & COOLING Grains Water - 33
6511 IiWY. 12 Method Simplified
r1APLE PLAIN MN 55359 Const . qlty Average
�79-1G00 ni._r��l�a_<��.r� 1
HEATING EQUIPMENT COOLING EQUIPMENT
P�ake � Make
Model Model
Type Type
Effi�iency f HSPF 0 . 0 COP/EER/SE�'R O . 0
Heating Input 0 Btuh Sensible Cooling 0 Btuh
Heating Output 0 Btuh Latent Cooling 0 Btuh
Heating Temp Rise 0 Deg F Total Cooling 0 Btuh
Actual Heating �'an 1445 CF'M Actual Cooling Fan 1445 CFM
Htg Air Flow Factor 0 . 014 CFM/Btuh Clg Air Flow Factor 0 . 048 CFM/Btuh
Space Thermostat Load Sensible Heat Ratio 84
____________________________________________________________________________
ROOM NAME I SQEFT. I BTUH I BTUH I CFM I CFM
- -------------------------------------------------------
BASEMENT 1 864 4900 0 70 0
BASEMENT 2 814 2997 0 43 0
BASEMENT 3 962 5499 0 78 0
MAIN 1 864 35823 15769 509 754
MAIN 2 814 23595 5933 335 284
MAIN 3 962 28908 8490 411 406
Entire House d 5281 101722 30192 1445 1445
Ventilation Air 0 0
Equip. @ 1 . 00 RSM 30192
Latent Cooling 5921
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TOTALS 5281 101722 � 36113 I 1445 1445
MANUAL J: 7th Ed. RIGHT-J: V2 . 03