HomeMy WebLinkAbout1994-006652 - natural gas heating PERMIT
s CI1Y O� ORONO PERMIT TYPE: - ::.: : :.-:
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2750 Kelley Parkway- P.O. Box 66 =°_-
Crystal Bay, Minnesota 55323 Permit Number: :j�,r:.,,�,,;�::_
(612)473-7357 Date Issued: t �� _�- �
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SITE ADDRESS:
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DESCRIPTION:
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CONTRACTOR: — �;r��-�; � �� :�.:���_ -� OWNER:
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APPLICANT'PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHAi�1ICAL 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. Perm.it cards will be sent by retum mail after a review is completed. PERMTTS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERIv1IT 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 conditioning installation including heat loss/heat gain
calculation, design temperatures, equipment ratings and identification as to type, manufacturer and model.
Da[a shall be presented on form provided. Ideatification 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 fmal.
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 � Repiace
Residential Commercial __ �
.roB srrE: � �t�� , a>�,���.��- +��-� z�P:�,�-,��s�
Owner's Name• n,����� t.����1 TelephoneNumber: ��-� i �•`�5��7
Mailing Address: �A✓��
City: t,��,,��` Zip: �.����i
Contractor'sName: �`�,., ;��-�-- s,u�— �r� v- ��-�- TelephoneNumber: �-'-I-b ��Z`� `��
MailingAddress: �t�`�� � cr 3 R.�.� 2.� �z�� City: �x�<<,�c, Zip: S:��-3 z�S
SYSTEM DESCRIPTION
HEATING SYSTEMS `
,
Quantity: - —
Make: '--���=�.�- ��.�i t3r�,L��,
Model: SX+S�C -��� —
Fuel: N�� — —
Flue Size: ���'' —
• Input BTUs: —
Output BTUs: �' � �-2�° —
>, �
CFM:
COOLING SYSTEMS
Quantity: -
Make: -
Model:
Tons:
H. Power
� � � � � . . . � � . .. .. .. ... ` � � � . �� � 3� � . . .. � :� � . .. . ..
t�
6 . . . _ .. ._ . . . -' .. - .. �,.. _ . . ._.. . ._ e ,. .�.u.� .,�..,,_�,�3- .,..t�.. „ ..� .., ,.. _._ , .. _ , , _ ,.. ..N--
*
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 , mi.n. flue dia.
Total
VENTILATION
No. Kitchen Exhaust ductecl recirculating cfm
No. Bath E�chaust (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)
x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications) $ 1.50
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 o[her 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 valuaLions over $1,000,000 call the Deparunent of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Perm.it, agrees to do
all work in strict accordance with the ordinances of the Ciry and the regulations of the Minnesota
State Building Code, and certifies t�y all s�iat ments made this application are complete, true
and correct. �. .
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Applicant's Signature: �' ' - Date: /�� 7 �
Approved By: Date:
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COUNTRYSIDE �`uR°�M"S
� EATING
A N o�OOLING 446-i 299��;�
SERVICES. INC.
10880 COUNTY ROAD #20 • DELANO, MN 55328 Date: Sep�m�i��� 'r�,,�994
PROPOSAL SUBMi fTED TO WORK TO BE PERFORMEQ�AT!
Name Mr. & M c_ Mf k �11�,_ _ Name ---__ t„���—_
Street 2700 PheaGanr gd t�=;Ci'��' Street _ _�.,,...-
City, Zip Excelsior, Mn 55331 _ City, Zip
Tele hone 471-9587 '�� �- � � „�
P Work �___ Telephone „�,��
Countryside hereby submits professional recommendation as follows:
1 - Slant Fin 4�SX150-EDP "Sentry" high efficient nat�ra�as bo{1er @ 83 2� AFt�E. ,.�.�..,,�
4 - Honeywell 4IT87F thermostats.
4 - Hon�well 4iV8043 zone valves.
*__ Com�lete��ing,_�ittings &__valve�_for_ p�Qp��_i�s��].�a�i4�t-_
1__.�as�c� ow reven�e�,_1_-_ �ir--��im�naG�,_�nd__�_-_T�.co__Air_�9��. _._._,.�
* =�o��ete ga��.�n�e.�_��.�t_ings hQQl�_u�:
* - Ventir� & mater�l,s�_�xist_ing�himne��__ .
*-.--Fresl�_a��_�r�_������1L��sul�t�d ._p�piz�g._�.�ittings. .--------___ _ -------
*�gm��_�b_t4__����€ca_1�oiler_9n._ ___ _ --- ----....�-^-
* -__Re�nQve and h�u�-away o1.d boiler. _
*__-�Qmpl�.t�el�ctz�..��1_�airing 1zQ_flk-up.__ _------
*-_C4mp1�x�_�nd.��Qf e s s iQna.L_jns_t allat inn. �ns talled�.'xjce�3,2���0�.__.-
*_�iialifi�s_fQr_�2QQ,DQ_Irlinnegasco Aehate., _net_cost_aftEr_receiving x�bate.__$�,Q6$,.�-
* _ O�SI�S._:-_------- ---
1_-_1$_�allon exg_anaion�an.k_�__.new__zank_.f ittings._�'3DI7"$'�"i'17':'D'@�=______ _ ,.-
-1_..�---.Rurnham�l�2,QfiAH-WNT _high_.Efficient�atural-gas_..boiler_�_�3_=_4_ AEIZ�t- _____-__.._.--
* - Installed Price $�711.00_- �2Q0.9Q Minnega��o �a�3,511.00 net costs___________
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 �ollars ($3 268.00 � �
with payments to be made as follows: '
1Q� Down, balance �n r_r�m�l at +
All material is guarantee0 lo be as specified.All work lo be compleled�n a workmanlike manner �.�—� �
accortling to standard pradices.Any atteration or deviation from above specilications involving AuthOriZed SlgnaturC —� ' . _ _—
ezlra cosis will be eXecule0 only upon wntten orders.and will become an eKira charge over and Tony A. .la Clev J
above the estimate.AI{agreemenls contingent upon strikes,accideMs or tlelays beyond our Note�.This proposal may be withdrawn by us if nOt acCeptedwithin _ _dFlyS.
contr0l.Owner to carry lire.lornado and other necessary insurance Our workers are fully covered -
by Workmen's Compe�saGon Insurance.
ACCEPTANC� O� PROPt75AL
The above prices.spedtications and conditions are satisfaclory and are hereby accepted You
are authonzed lo do�he work as spec�6ed.Payment will be made as oulhned above.
Signature
Date oI Acceptance: _____ __ ________________
Signalure _ _ _ __ _
S/N ,554 RIGHT-J SHORT FORM 11-09-94
.
Job #: Htg Clg
For: MIKE CULLEN Outside db -20 95
2700 PHEASANT RD. Inside db 70 75
ORONO (EXCELSIOR) MN 55331 Design TD 90 20
471-9587 Daily Range - M
Inside Humid. - 50
By: COUNTRYSIDE HEATING & COOLING Grains Water - 33
10880 CO. RD. 20
DELANO MN 55328 Const. Quality a
446-1299 # of Fireplaces 2
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 0 Btuh Latent Cooling 0 Btuh
Heating Temp Rise 0 Deg F Total Cooling 0 Btuh
Actual Heating Fan 2135 CFM Actual Cooling Fan 2135 CFM
Htg Air Flow Factor 0.020 CFM/Btuh Clg Air Flow Factor 0.053 CFM/Btuh
Space Thermostat Load Sensible Heat Ratio 89
____________________________________________________________________________
ROOM NAME � AREA � HTG � CLG � HTG � CLG
� SQ.FT. � BTUH � BTUH � CFM � CFM
___________*_________________________________________________________________
BASEMENT � 1682 � 26745 � 5916 � 546 � 316
MAIN #1 � 649 � 17200 � 12506 � 351 � 669
MAIN #2 � 649 � 22152 � 8535 � 452 � 456
MAIN #3 � 306 � 19862 � 7073 � 405 � 378
MAIN #4 � 242 � 18603 � 5887 ( 380 � 315
Entire House � 3527 � 104563 � 39916 � 2135 � 2135
ventilation Air � � 10395 � o � �
Equip. @ 1. 00 RSM � � � 39916 � �
Latent Cooling � � � 5150 � �
____________________________________________________________________________
TOTALS � 3527 � 114958 � 45066 � 2135 � 2135
MANUAL J: 7th Ed. RIGHT-J: V1. 67