HomeMy WebLinkAbout1994-006327 - furnace e IT
CITY OF ORONO ' � PERMIT TYPE: �
2750 Kelley Parkway- P.O. Box 66 '�_`-:`�`�:€���;:`�`_
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 MECHArtICAL PIIZMTT
Box 66 (2750 Kelley Parkway) �
Crystal Bay, MN 55323
GENERAL INFORMATION
1, You may apply for mechanical permiu by mail or in person az the City offices. Appiications wi�1 be
reviewed and a permi[ will be issued within 2 working days. �
2. Permit cards will be sent by return ma.il after a review is completed. PERMITS A.RE 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 condicioni.ng installa[ion including heat loss/heat gain
calcularion, design temperatures, equipment ratings and identification as to rype, manufacturer and model.
Data shall be presented on form provided. Identification of and specifications for water heating equipment
sha11 also be provided.
4, tiVhen any new construcdon or remodeling is involved, a separate buuaing permic musc oe obc�;�i�.
5, A11 work must be done in accordance with the Uniform Mechanical Code/State Building Code
requiremenu.
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 Compiete all items on this application. Compute che 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 Commerciai
,-- �.— Zlp: �,S �`-����
JOB SITE: ��� ' f�''1� �i — .
Owner'sName: •�:�i-� /L��l�� TelephoneNumber: ����.� - ��7�,
r Zip: �5..�(/
Mailing Address: � o � s,- City: ., -� � � � �,
Contractor'sName• �, � �.�C� TelephoneNumber. ���- ls S��
MailingAddress• � �� -�'''�c �/c-Y' /ir� Clty: �'-;: �' "r <_ _Zip: -s.s=>'yc:
SYSTEM DESCRIPTION
HEATING SYSTEMS
C�ua�uiy: l -
Make: ���:/ �;�1'�1r
Model: !��� C��-�' �,z p
_- ,
Fuel: ���
Flue Size: �
Input BTUs: i 7S,GG�'
Output BTLTs: �f�,�'�d
CFM: ���-���'� �
COOLING SYSTEMS
Quantity:
Make: �
Model:
Tons:
H. Power
. _ ___ __. ���2� -
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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 Mi.n., Clearances, side , rear , min. flue dia.
Total
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath E�aust (must be ducted outside) ��
No. ^v�cr F�: L.,�a�ia� �� �
. 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 ($35.001 _���,
�S�C; ``'% x .0125 $ � �� -
{contract price)
2. State Surcharge. ** Add the State Building Code Division �
Surcharge to each permit. �'>�C - x .0005 $ ����
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) � • �S
4. TOTAL PERNIIT FEE (Add lines 1-3 above) � ��%•
� ,.t �e i...��.�.i fnr'IZ�Yr+rrnil7��
* CONTRACT PRICE or JOB COST means the actuai or esii.uaceu u�u�:������"
work including materials, labor, profit, and other fized costs. I[ is the amount to be charged to the
customer for the work done. If any ma�erial, equipment, labor,or installation are fiunished by the owner,
tenant or any other parry che reasonable market value of such items must be added to the estimated cost
or contract price for pezmit 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 contra�i-
** The STATE SURCHARGE is .Q005 of the contract price under $1,Q00,000 or 5.50 - wtuchever is
greater. For valuations over $1,000>000 call the DeP�ent of Inspectional $ervices 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 Buildi.ng Code, and certifies that all statements made\n this application are complete, true
and correct --- __ � � , �
_ - -- :._:_.. ':: ;��� ; � �,'' j Date: `"/�5' �,
_ Applicant's Signature: �
= � � va�: 8�i�1�'�
Approved By:._ . � ` '
p ���� . If�l.° GE t�
��r�,r�" � 1���?
OC1 5 �9a�
09-09-91
60601903 . 15
1�ETAILED REPORT FOR F.NTIRE HOUSE
Prepared For : Yrepared By :
JOAN NOLAND DOUG BJORK
1540 F(?X ST D I"fTEll I NC
UR�NG , MN 55391 Job Name : NOLAN
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