HomeMy WebLinkAbout1996-008148 - mechanical � PERMIT
' CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number: ME��H��1�1 I C��L
Crystal Bay, Minnesota 55323 �}�;;�,��;�
(612)473-7357 Date Issued:
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: _ �$�z�,� ����!� _ OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATUFE ..�-l-�i.
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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 permits by mail or in person at the City offices. Applications will be ��
reviewed and a pemut 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. y
3. Mechanical Desi�ns - 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 fo type,manufacturer and model. `�
Data shall be presented on form provided. Identification of and specifications for water heating equipment :�
shall also be provided. t�
4. W nen any new constructian or remcdeling is involve�?, a separate building pemut 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 '� iteplace '
Residential Commercial
JOB SITE: 3y (ao /Vor`'chsh�r�� O ro-�o �Yp:�539 �
Owner's Na€�e:�c,hn N Q- O�'1 Telephone Number: ��J- 7 D?9
Mailing Address: S�.n�.� City: Zip: �
Contractor'sName: � .� c,�_TelephoneNumber:�Z 9-�(�0� �
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MailingAddress: (QS[� � (a
City: �,,. (6.�7 Zip: S�''3 5'�' �,
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SYSTEM DESCRIP'TION ��
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HEATING SYSTEMS
Quantiry: �.__
Make: G�C
ModeL• (�rt�/V O(00=3
Fuel: _�0.�
Flue Size:
Input BTUs: O 08a _
Output BTL's: ��S S'�
CFM: ��,�
COOLING SYSTEMS
Quantity: �
Make: (n�'1�-
Model: �'��/�
Tons: a�"c� `�
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H. Power 13 �..Q,��v_ '�
.
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� WOOD BURNING EQUIPMENT s�
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.
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VENTILATION °
No. Kitchen Exhaust ducted recirculating cfin ��
No. Bath E�aust (must be ducted outside) cfm H�
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No. Other Fans: Locations cfm �
�
;.;�
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
�'�� Installation Removal
�`' Fuel oil: gallons underground inside outside
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�,, LP Gas: gallons `�
�'' Other Gas opening �
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PERMIT FEE CALCULATION �
z 3 1. 1.25% of Contract Price* or Minimum Fee ($35.00) ;�
� '?� �DC�. °� _ x .0125 $ �� �S �
(contract price) ✓ i�`
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. � �Oa ,`� x .0005 $ � . �S
�' or $.50, whichever is greater (contract price) �
3. Postage and Handlin� (Only mail-in applications) $ 1.50 �:
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �� �� �
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* ;;�
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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 t e
,. customer for the work done. If any material, equipment, la�or, 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 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 contraci. b�
�R
��,� ** 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 ardinances of the Ciry 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: Date: a. �
��
Approved By:
, Date: � ,�'
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' S/N 4410 RIGHT-J SHORT FORM 6/15/96
File name: JOHN.BLD
Job #: Htg Clg
For: JOHN NELSON Outside db -20 95
3460 NORTH SHORE DR. Inside db 70 75
WAYZATA MN 55391 Design TD 90 20
471-7079 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 1
HEATING EQUIPMENT COOLING EQUIPMENT
Make Make
Model Model
Type Type
Efficiency j HSPF G . 0 COP/EER/SE�R 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 1178 CFM Actual Cooling Fan 1178 CFM
Htg Air Flow Factor 0 . 022 CFM/Btuh Clg Air Flow Factor 0 . 053 CFM/Btuh
Space Thermostat Load Sensible Heat Ratio 88
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ROOM NAME I SQEFT. I BTUH I BTUH I CFM I CFM
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LOWER 1 1140 20532 4975 448 266
LOWER 2 64 3246 849 71 45
MAIN 1 1140 26987 15128 589 809
MAIN 2 64 3156 1072 69 57
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Entire House d 2408 53920 22024 1178 1178
Ventilation Air 0 0
Equip. Q 1 . 00 RSM 22024
Latent Cooling 3086
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TOTALS � 2408 � 53920 � 25110 � 1178 I 1178