HomeMy WebLinkAbout1994-006651 - mechanical � PERMIT
�ITY OF ORONO PERMIT TYPE:
�50 ��Iley Parkway - P.O. Box 66 ,_-`-_=�;._�,�;`�'�`�F�'�
1 vstal Bay, Minnesota 55323 Permit Number: � �;-, ;
}��7357 Date Issued: -
51TE ADDRESS:
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CONTRACTOR: �- ._:=°�=°:� t�=�:� ` OWNER:
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APPLICANT-PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CIT�' OF ORONO APPLICATION FOR 1��ECHANICAL PERMTr
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 fmal). 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 �,
JO� SITE: � i r�H�a�� ral A��= Zip: `� > ��` i
Owner's Name: ;����-� t��� i�� � Telephone Number: �a��- �-�Z s�t
Mailing Address: 5 �a nnC City: c- , .. ;�; ;- Zip; �_;�.,; 3�;
Contractor'sName: �`�• : �+ ,-�, 1„�� rlTc" �r-Cc_c�- TelephoneNumber: �{- . ►t`�<<
MailingAddress: �«-�n: << _. .-�� �?�1 - �� _City: �;, t��.,�� Zip: �S��Z-3
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: �
M�Ce: `��A a i 1=�ni
Model: `�- `�i C - ��j'
Fuel: �R � C�-
Flue Size: '
Input BTUs: 0
Output BTUs: _ -
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.
Total
VENTILATION
No. Kitchen E�aust 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) �� `�� � ��
1 —� RL �. � 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) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �1�- '��,
* 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 fumished 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. � ' ----
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Applicant s Signature: , (�1 : �: Datc: � //
Approved By: Date:
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,�\ Page No.
' PROPOSAL
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` OUNTRYSIDE
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HEATING
A N D COOLING 446-1299
Sf.RVICES, INC.
10880 COUNTY ROAD #20 • DELANO, MN 55328 Date: December 1, 1993
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PROPOSAL SUBMiTTED TO WORK TO BE PERFORMED AT
Name Rick & Kate Miller Name _ - -
Street 21 Hanlon Ave Street �zR� �►LkP►�st�+��"--� •
City, Zip n�nn_, Mn , 55�91 City, Zip W'ci.��_c;_'�?'.�, �53�1�
Telephone 476-1259 Work Telephone
Countr;�side hereby submits professional recommendation as follows:
� 1 - Sl�nt Fin "Sentry" 4�5-90-EDP hieh efficient natural gas boiler @ 84 27 AFUE.
1=�Ionevwell 4�T87F thermostat. --
* Complete�zip3ng,�.tinQ�_ & �_alves for p�per �ns�allation.
1 - Back flow nrevent€�. _ _
1 - Air eliminator
1 - Amtrol expans�nn tank
1 - ('himn.ey�ine_r_and_all�enting�aterials
*=CQmplet_e__gas�ine_._h�ittings_11aQk�p.._--._-
]_- Fresh�ir inrak�_w;rh inGulat.ad�ip.in���it.tings.-___
*=�ement___sla�_tQ�et.�ew_�_oiler_on.__ ___ ----- ----—
*—Remnv��nd�aul-a�aa�-old_boiler.__ _-_— --
*�('�mnlet�elacirical�iring�ook�P-------- — - -- --
* - romplet�a.nd�rnfessianal -installation-.---- nszalled-{�rice-�2,�22_IIII__
* _=Qualif__ies_fo�_�2�_Qs44_.M�nr�egasco Reb���a_r�e��o_�t__a���x._sQceivine rebate = �2�,42�._QQ—
* - OPTION: _
1 - Oii tank removal ADD $90 44
�II material is guaranteed 10 be as specified, and the above work to be performed in accordance with the specifications
submitted for above work and completed}'� a profe�sional manner for the sum of Dollars ($ �� )
with payments to be made as follows: �'"Gc,c.e�P 1�m � Obw'^ + � o
10� Down,�alance__on_r.nmgle_tion_-=��'-�SZ-�'�-� T—`^L � - 2,��--z=--_- _—___
9n navG nn na�ment nr 111tETES��S�F'-_EjS1dAC]..Sl�_-D��-LSP�1t—S�g-T��JSI. ------- /
All ma'erial is guaranteed to be as speohed.All work to be compleled in a workmantike manner - 1�� ��
Authorized Si nature
according to standard practices.My alteration or devlation hom above spedfications invdving 9 V
extra costs will De ezecuted only upon written orders,and will become an eztra chargr.over and Tony A. Jaekley
above the estimale.All agreements contingent upon strikes,accidems or delays beyond eur Nole-.This proposal may be withdrawn by us if not aCcepted witnin ______ .
Control.Owner to carry fire,tornado and other necessary insura�ce.Ovr workers are fulty covereA
by Workmen's Compensation Insurance. ���������� O� ��O�O���
The above prices,specilications and co�ditions are satis(actory and are hereby accepled.You �
are autho�lzad to do the work as sped�f'�ed Payment will be mad as ouC�med a^ove
� S�gna;ure - - — --
�
Date of Acceptance: ----
Signature-- — — -- ---------
S/N 554 RIGHT-J SHORT FORM 11-11-94
Job # : � Htg Clg
For� RICK MILLER Outside db -20 95
521 HANLON AVE. Inside db 70 75
ORONO MN 55391 Design TD 90 20
476-1259 Daily Range - M
Inside Humid. - 50
By: COUNTRYSIDE HEATING & COOLING SERVICES Grains Water - 33
10880 C0. RD. #20
DELANO MN 55328 Const. Quality a
446-1299 # of Fireplaces 1
HEATING EQUIPMENT COOLING EQUIPMENT
Make Make
Model Model
Type Type
Efficiency / HSPF 0 . 0 COP/EER/SEER 0. 0
Heating Input 0 Btuh Sensible Cooling 0 Btuh
Heating Output G Btuh Latent Looling 0 Btuh
Heating Temp Rise 0 Deg F Total Cooling 0 Btuh
Actual Heating Fan 0 CFM Actual Cooling Fan 0 CFM
Htg Air Flow Factor 0. 000 CFM/Btuh Clg Air Flow Factor 0. 043 CFM/Btuh
Space Thermostat Load Sensible Heat Ratio 0
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ROOM NAME � AREA � HTG � CLG � HTG � CLG
� SQ.FT. � BTUH � BTUH � CFM � CFM
----�-------
BASEMENT � 604 � 9704 � 0 � 0 � 0
BEDROOM #1 � 224 � 1403 � 0 � 0 � 0
BEDROOM #2 � 115 � 655 � 0 � 0 � 0
FAMILY RM. � 224 � 19558 � 0 � 0 � 0
LIVING RM. � 204 � 12153 � 0 � 0 � 0
KITCHEN � 175 � 3762 � 0 � 0 � 0
MASTER BED RM. � 115 � 4259 � 0 � 0 � 0
BATH RM./ OFFICE � 223 � 5957 � 0 � 0 � 0
Entire House
� 1883 � 57451 ( 0 � -----0-�-------�p-
Ventilation Air � � 10395 � 0 � I
Equip. @ 1. 00 RSM � � � p � �
Latent Cooling � I � g2p � �
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TOTALS � 1883 � 67846 � 920 � 0 � 0
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NOV 1 6 1994
MANUAL J: 7th Ed. RIGHT-J: V1. 67