HomeMy WebLinkAbout1994-006644 - mechanical �ERMIT
� CI�Y OF ORONO PERMIT TYPE: _- : . .-:},_
2750 Kelley Parkway-P.O. Box 66 ����=�_;�;� ���� �����--�
Permit Number: �-,;-;;_„_,,,;
Crystal Bay, Minnesota 55323 = = - -�
(612) 473-7357 Date Issued: _
SITE ADDRESS:
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APPLICANT/PERMITEE SIGNATURE - ISSUED BY:SIGNATU t5' �z-
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CITY OF ORONO APPLICATION FOR MECHAi�ICAL PERMTT
Box 66 (2750 Kelley Parkway)
Crystal Bay, NIN 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 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. °�
3. Mechanical Desiens - Complete calculations, details and specifications are required for each heating, �
ventilation,humidification-dehumidification, and a.ir 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. 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 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 ��
JOB SITE: �.���1-�FASAn� ' Zip: ��5:���=S 1 _ �
Owner'sName: FA�L 1�04-�1.0 TelephoneNumber: �1 � - �.3t��
Niailing Address: 5,�..-.� City: 0►'��`�`�=� Zip: S'�:�3 �
Contractor'sName: ('' � ►� r t,�� t�TL � �� TelephoneNumber: �.4� �I xi�
- -��, Crt k:ra ZiP� ��3Z� "
M a i l i n g A ddress: ���S� C c+�:�� Q1� y� �
SYSTEM DESCRIPTION `_�
HEATING SYSTEMS
Quantity: �--
Make: ��n�1 c� ��/►'�C- fi�
ModeL• C-M G'O s��=� �,tyt►���2�-� 'r�
Fuel: N/(� /�'�t' ,"�
Flue Size: �'� �'�
;r
Input BTus: 5"c��c�r � Z� �e>�'� �'
�
Output BTUs: 5
CFM:
k
K:
,`�
COOLING SYSTEMS
.M
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 Exhaust dncted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
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�F 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)
�C'
t Z, 2, t X .�125
contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. �{, 7_ �'- `��� 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) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and ocher 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.
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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 conect. /' �; � ; �
r ���� Date: ��� � �
Applicant's Signature: � �
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� �Date: � -'(��
Approved By:
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S/N . 554 RIGHT-J SHORT FORM 10-27-94
Job #: Htg Clg
For: PAUL POHLE Outside db -20 95
2789 PHEASANT RD. Inside db 70 75
EXCELSIOR MN 55331 Design TD 90 20
471-9338 Daily Range - M
Inside Humid. - 50
By: COUNTRYSIDE HEATING & COOLING SERVICES Grains Water - 33
10880 CO. RD. #20
DELANO MN 55328 Const. Quality a
446-1299 # of Fireplaces 0
HEATING EQUIPMENT COOLING EQUIPMENT
Make GMC Make
Model GMP050-3 Model
Type NATURAL GAS Type
Efficiency / HSPF 80. 0 COP/EER/SEER 0.0
Heating Input 50000 Btuh Sensible Cooling 0 Btuh
Heating Output 40000 Btuh Latent Cooling 0 Btuh
Heating Temp Rise 52 Deg F Total Cooling 0 Btuh
Actual Heating Fan 693 CFM Actual Cooling Fan 693 CFM
Htg Air Flow Factor 0. 018 CFM/Btuh Clg Air Flow Factor 0.053 CFM/Btuh
Space Thermostat Load Sensible Heat Ratio 88
---------------------------------
ROOM NAME � AREA � HTG � CLG � HTG � CLG
� SQ.FT. � BTUH � BTUH � CFM � CFM
____________________________________________________________________________
BASEMENT #1 � 768 � 13206 � 3781 � 244 � 202
MAIN #1 � 768 � 24305 � 9187 � 449 � 491
____________________________________________________________________________
Entire House � 1536 � 37511 � 12968 � 693 � 693
ventilation Air � � o � o I I
Equip. @ 1. 00 RSM � � � 12968 � �
Latent Cooling � I I 1842 I I
---------------------------------------
TOTALS � 1536 � 37511 � 14810 � 693 � 693
MANUAL J: 7th Ed. RIGHT-J: V1.67
,S/N " 554 RIGHT-J SHORT FORM 10-27-94
Job #: Htg Clg
For: PAUL POHLE Outside db -20 95
2789 PHEASANT RD. Inside db 70 75
EXCELSIOR MN 55331 Design TD 90 20
471-9338 Daily Range - M
Inside Humid. - 50
By: COUNTRYSIDE HEATING & COOLING SERVICES Grains Water - 33
10880 CO. RD. #20
DELANO MN 55328 Const. Quality a
446-1299 # of Fireplaces 2
HEATING EQUIPMENT COOLING EQUIPMENT
Make GMC Make
Model GMP125-4 Model
Type NAT. GAS Type
Efficiency / HSPF 80.0 COP/EER/SEER 0.0
Heating Input 125000 Btuh Sensible Cooling 0 Btuh
Heating Output 100000 Btuh Latent Cooling 0 Btuh
Heating Temp Rise 56 Deg F Total Cooling 0 Btuh
Actual Heating Fan 1636 CFM Actual Cooling Fan 1636 CFM
Htg Air Flow Factor 0.020 CFM/Btuh Clg Air Flow Factor 0. 053 CFM/Btuh
Space Thermostat Load Sensible Heat Ratio 87
____________________________________________________________________________
ROOM NAME � AREA � HTG � CLG � HTG � CLG
� SQ.FT. � BTUH � BTUH � CFM � CFM
____________________________________________________________________________
BASEMENT #1 � 280 � 2416 � 0 � 48 � 0
BASEMENT #2 � 1160 � 32405 � 8650 � 643 � 463
MAIN #1 � 280 � 6139 � 2244 � 122 � 120
MAIN #2 � 1160 � 41490 � 19702 � 823 � 1054
---------------------------------------
Entire House � 2880 � 82450 � 30597 � 1636 � 1636
ventilation Air � � o � o � I
Equip. @ 1.00 RSM � � ( 30597 � �
Latent Cooling � � � 4374 � I
-----------------------------------
TOTALS � 2880 � 82450 � 34970 � 1636 � 1636
MANUAL J: 7th Ed. RIGHT-J: V1.67