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Home My WebLink About1994-006695 - replace furnace PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 MEC:HAN I C:AL Crystal Bay, Minnesota 55323 Permit Number: t yt)F lJ,:S (612)473-7357 Date Issued: 1 ft;r�:/94 SITE ADDRESS: 40 ORONO ORCHARD RD N LSV . .,. -7005P. I . N. : =5-11 _- . UT:EEPF0 B0 _DESCRIPTION: FUEL A:G VNATURAL-120LA=CE FURN 1 HEATING SYSTEMSM'F:'UALuTI�EREPLANT12I,NClcBOILER MODEL REMARKS: 8 FEE SUMMARY: VALUAT ION $4,68 Base Fee 5. .C,tr MAIL IN 11-5Q Surcharge :a:14 T= # 1 Fee $63 . 11 Subtotal I $60 . 94. CONTRACTOR: - AFF,'tic ��{ - OWNER: COUNTRYSIDE HTG SI COOLING 34.4_, "�'� STR�1Yk: DAV I D 108 0 CTY RD 20 40 C�Fii�N�� E�RC:HARD RD N DELANO MN 5532 �N�� MN 55:3' 1 (612) 446,-1 9 (612)476-0955 THE UNDERSIGNED HEREBY REQUESTS: PERMISSION,.TMJ M E t � . SPEC:I F T ED AND AGREES TO Q L. WOE `°I N. STRICT COMPLIANCE � CITY , F DR ` ORDINAL NCE 3 AND S3 ATE OF 1' I NNESOT' BULL- BUILDING C*C DI Fes, Q� 62,w2d4-1611-ti) APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT 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 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: Addition Repair 1 Replace Residential Commercial JOB SITE: A-0 c. .:•-•'AG C r“_L c i) g o ti%) Zip: 53 3 Ct Owner's Name: v lb 5;2_u y K_ TelephoneNumber: 41 —0(1S-5-- Mailing 0(1S-SMailing Address: SYS..-. City: 'Pes/ _ Zip: 5 3'i/ Contractor'sName: 5rQc- I-rrc ti._ cc.( Tele honeNumber: yam; Z c MailingAddress: lt7`�`SD c�� ).14-y kJ) 7c) City: 0,7 kc,tr.p Zip: 5 ;;3Z- SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: Make: r:,, N.-3S le e---- Model: "I - t to Fuel: N 1 (� Flue Size: S ” Input BTUs: Output BTUs: VZO, o 0 0 CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power \poyok„ xs• 4)(1416414)* t 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 Exhaust 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) -.- A `' x .0125 $ JZ' (eC� ` L (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. 4. to`6S. x .0005 $ a . '`- (contract price) or $.50, whichever is greater 1.50 3. Postage and Handling (Only mail-in applications) $ 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ . -- -, * 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 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. Applicant's Signature: Date: Approved By: Date: /0.?/6/ PROPOSAL. - • COUNT!` YSIDE 10,1 HE4TING A N DC II OLING 446-1299!ERVICES. INC. 10880 COUNTY ROAD #20• DELANO, MN 55328 Date: OCTOE4tV294 PROPOSAL SUBMITTED TO WORK TO BE PERFORMED MT Name _DAVID & BARB STRUYK Name Street --4nA0 n___�__.NRn .O ORCHARD ROAD Street City, Zip _ YlATA, MN 55391 City,Zip Telephone 476-0955 Work476- 395 Telephone Countryside hereby submits professional recommendation as follows: 1—SI ANT iN VICTORY NAT (;AS F1'RFn Rn1I FR M#- —120 83XA.FUE._• 4—NON yktE I THFRMIlSTATi87F 1—AMTROl EXPANSION TANK. TACO_A_IR SCOOP 1I " , FI AIR AIR Fl INTM6TOQ r4 SPIROTHFRM VENT JR #i1"., -GRUND-Eos CIRCULATOR PUMPS #UP15-42F & FLANGE KITS 4-HONFYIWIFIL SW ITC.H-LN.G_.RELAYS RA832A1066 *.COMP-LF•TF COPPER PIPING &._E-Ixr1.Nf S_Io__PRDY __.. .. _AND _II�ISIALl.ATIONF__SALANCEL.P.URGE_VALVES --- *-COMPJ TF_VALVES, GATE.., PJJ.RGE4._BALANCE-,-DRAIN,.--IS.W,.At.LOJ ETC. . - COMPI_E?E_JN_S.TALLAT_LO.N_MAT ER IAL,--.SOLDER,-FLUX, _BANGERS,--saAGKEIS#._ST +--ETC, RECOIINECUM. OF GAS LINE, -IP_IN.G-&-F-ITTINGS- *-Vt:NT r , TT I NGS-FROM--8O-I1.ER-4- TO CHIMNEY �_ . 1" 24"X24".X2" PAD tmCOMPLETE_ LECT&ICAL-CD•N.NECT_LaNS. -L_NE-&-LOW-VOLTAGE e-INJ CT BOILER ANTI-FREEZE ____..-.• *-PFRMII CITY OF ORONO "-COMPLETE & PROF . \ A 1 a l - a ..r.,Yrra ', w i • 11 $ _ ._- NET CosT ,11884 _.--__ All material is guaranteed to be as specified, and the above work to be performed in accordance with the specifications submitted for above work and completed in a professional manner for the sum of potters($ 4.688 with payments to be made as follows: All material is guaranteed to be as speplied.Allw011t fe Qe Completed in a workmanlike manner —., aoaxai�10*a" •Any ftleratiort or born above speclrications involving Authorized Signature R A I 0 C HUMA C H E R extra costs wIN be executed rs only upon written ordeand will become an extra charge over and above the estimate.AN agreements contingent upon*Ikea.accidents or delays beyond our control.Owner to 0arry ice.tornado and other r 'ylnsurance.Our workers are fully covered This proposal may be withdrawn by us it not accepted within �..dm by Workmen's Compensation Insurance. ACCEPTANCE OF PROPOSAL ,,�•- The above(Wet specifications and ccnditioris are satisfactory end are hereby accepted.You aro authorized to do the work as specified.Paymen will be made as outlined above. Signature Date et Agoeptence: ._ Signature--- — S/N 554 RIGHT-J SHORT FORM 11-17-94 Job #: Htg Clg For: STRUYCK REST ENCE Outside db -20 95 40 ORONO OR D RD. Inside db 70 75 WAYZATA MN Design TD 90 20 476-0955 Daily Range - M Inside Humid. - 50 By: COUNTRYSIDE HEATING AND COOLING Grains Water - 33 10880 COUNTY RD. #20 DELANO MN 55328 Const. Quality b 446-1299 # of Fireplaces 1 HEATING EQU PMENT 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 0 Btuh Latent Cooling 0 Btuh. Heating Temp Rise 0 Deg F Total Cooling 0 Btuh Actual Heating Fan 2257 CFM Actual Cooling Fan 2257 CFM Htg Air Flow Factor 0. 026 CFM/Btuh Clg Air Flow Factor 0.053 CFM/Btuh Space Thermostat Load Sensible Heat Ratio 93 ROOM NAME 1 AREA I HTG I CLG HTG I CLG I SQ.FT. I BTUH I BTUH CFM 1 CFM BATH 39 1130 497 29 27 CLOSET 42 1139 501 29 27 BED 195 5684 2932 146 157 DEN 180 4614 2208 118 118 BED/BATH/CLOSET 352 11004 5278 282 282 GREAT ROOM 684 20062 9584 514 513 KITCHEN 180 6809 4373 174 234 ENTRY 189 4092 963 105 51 BEDROOM 110 2342 1370 60 73 BATH/HALL 117 1384 534 35 29 BED 252 7124 3421 182 183 LND/STO/SAU/KITC 588 9112 4700 233 251 T.V. ROOM 432 7567 2708 194 145 BILLIARDS 350 2880 _ 0 74 0 STORAGE/MECHANIC 273 3203 3147 82 168 ====================================================MMMMMMM================= Entire House I 3983 I 88147 I 42215 I 2257 I 2257 Ventilation Air I I 0 I 1100 I I Equip. @ 1.00 RSM I I I 43315 I I Latent Cooling I I I 4430 I TOTALS I 3983 1 88147 I 47745 I 2257 I 2257 MANUAL J: 7th Ed. RIGHT-J: V1.67