HomeMy WebLinkAbout1997-008989 - mechanical �
-� PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 ��_��r�:�_T��.����. .
Crystal Bay, Minnesota 55323 Permit Number: _
(612)473-7357 Date Issued:
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT�PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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ORONO
CITY OF ORONO APPLICATION FOR MECHAIVIC _, �' ��
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION ��t A`( 1 �j a.v��
1. You may apply for mechanical permits by mail or in person at the City of�ces. 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 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 c� Replace
,,/ Residential Commercial
JOB SITE: `�'�� !,I v n� �a�rr �d ��;,�-r�� Zip: �=� �3 5�-;
Owner's Name: j�,� . '�dk,� r t ht�� ,^ r Telephone Number: �� �-3 -(� �z �'��
Mailing Address: =��j �,►�n� Far�n� �� City: ��c�.r.` Zip: _�� 3 5 �
Contractor's Name: ��x,.m-�r,� S ;c�:_ �-�u �- c 1--, Telephone Number: ��q-� �,��;C�
Mailing Address: ��j f� I-���� A� City: > , �.�,�,_ i� ct:�� Zip: � � � � g
� SYSTEM DESCRIPTION
� HEATING SYSTEMS
`���� Quantity: � )
`-� Make: �.S-{C�n:�iur�c!� �1-S�r.�nc�ar�
Model: f�t��► �Dr:9 ✓si-i nu►'�t�EoC�t�yN
Fuel: � ? ��.� 1 . �. /�
Flue Size: �, •� :3 "
Input BTUs: � �zo�c�o c� (,�o, o�.���
Output BTUs: � �v , y�� y�',ocr_�
CFM: ��.��� �� �>
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power �
�
WOOD BURNING EOUIPMENT
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. ;ii� �xhaust ducted recirculating cfm
No. t3ath 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 ($35 00)
`.� ��ly�l•��� x .o12s $ �l ��c
(contract price)
2. State Surchar�e ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ ;� � -�
or $.50, whichever is greater (contract price)
3. Posta�e and Handli� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � �, , t �
* 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 ot::er party the reasonable iiiarket value of such items must be added to the estimated cost
or contract price for pernut 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: � r - ��` �.c�L�j'�
Date: j � g �7
,
Approved By: `� . Date: b 'l
.
S/N 4410 RIGHT-J SHORT FORM 4/14/97
File name: HOERR.BLD
Job #: Htg Clg
For: ROBERT HOERR Outside db -20 95
885 HUNT FARM RD. Inside db 70 75
ORONO MN 55364 Design TD 90 20
473-6282 Daily Range - M
Inside Humid. - 50
By: COUNTRYSIDE HEATING & COOLING � Grains Water - 33
6511 HWY. 12 Method Simplified
MAPLE PLAIN MN 55359 Const . qlty Average
479-1600 Fireplaces 2
HEATING EQUIPMENT COOLING EQUIPMENT
Make Make
Model Model
Efficiency / HSPF 0 . 0 COP/EER/SEER 0 . 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 Fan 2450 CFM Actual Cooling Fan 2450 CFM
Htg Air Flow Factor 0 . 016 CFM/Btuh Clg Air Flow Factor 0 . 053 CFM/Btuh
Space Thermostat Load Sensible Heat Ratio 86
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ROOM NAME I SQEFT. I BTUH I BTUH I CFM I CFM
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B1 120 971 0 15 0
B2 60 4183 452 66 24
B3 340 2097 0 33 0
B4 420 1991 0 31 0
B5 364 2458 0 39 0
M1 912 41168 10824 646 579
M2 442 11822 7877 186 421
M3 750_ 35468 10589 557 566
M4 1520 29532 8896 464 476
M5 120 7769 2154 122 115
M6 648 18558 5016 - 291 268
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Entire House d 5696 156016 45807 2450 2450
Ventilation Air 0 0
Equip. @ 1. 00 RSM 45807
Latent Cooling 7649
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TOTALS � 5696 � 156016 � 53457 � 2450 � 2450
MAN�TAL J: 7th Ed. RIGHT-J: V2 . 03