HomeMy WebLinkAbout2009-00005 - mechanical ,, CITY OF ORONO PERMIT NO.: 2009-00005
� 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUEn: OU06/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 1135 SPRING HILL RD
PIN : 26-118-23-43-0006
LEGAL DESC : SPENSER ADDITION
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 23,049.00
NOTE: 3 AMANA NAT GAS FURNACES
3 AMANA AIR CONDITIONERS
APPLICANT MECHANICAL 288.11
CRONSTROMS HEATING &AIR STATE SURCHARGE MECH(VALUATION) 11.52
6437 GOODRICH AVENUE
MN 55426- MAIL-IN FEE 1.50
(952)920-3800 MISC FEE 0.00
TOTAL 341.13
OWNER
FULLERTON,ROBERT&CAROLINE
1135 SPRING HILL RD
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The app►icant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due�cause.
�YYI�Gt.t.�, �l, / / �n�►4.Q—r`� l l
Applicant Permitee Signature Date Issued By Si ture Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED OVE.
r
4 . ,
FOR CITY USE OIYLY
,�` City of Orono
,P ��`►' ` P.O.Box 66 Date Received: Permit#
`� �''` 2750 Kelley Parhway
i;x. ,
�' Crystal Bay,MN 55323 Approved By: Amount$:
�'t�x�o:��� (952)249-4600
CITY OF ORONO-MECHANICAL PERMIT
(All Cominercial pennits must be approved by d�e Buildii�g Ofticial or Inspector and/or Fire Marshall)
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 two 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 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 Data shall be presented on form 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(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That A 1 )
�Residential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs �Replace
Job Site/Owner Information:
Site Address: � 1 3 S SfJ C��r-�c� 1`-k : � � ��
Owner: F_c-�-- `'C CC� ��n� Mailing Address: l �. �J S'J(�1�1 �;� I� ��
:.L�l,e c.*-r�
City: �.;����i`-� �-� Zip: �S�� �
Home Phone: �S10--�1�- o����l Alternate Phone:
Contractor Informatio��:
COritl'aCt01': Cronstroms One Hour Contact Person: �)(,1�1/L`-L
6437 Goodrid�Ave 69643713
Address: State Bond #:
St Louis Park 55425 08/18/07
City: Zip: Expiration Date:
(952)920-3800
Phone: Alternate Phone:
❑ Insurance-Current:
1
� , ,
MECHANICAL SYSTEMS BEING INSTALLED
HEATING SYSTEMS
Quantity: �
Make: ���2�' .
Model: R�' 3�
Fuel: �
Flue Size:
]nput BTUs: C�J CJ
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: _� I
Make: CJ� ''
Model: �-S1� ��Q3� �/��__��1�
Tons: j �
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplacc
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas gallons
Other: I
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
�
PERMIT FEE CALCULATION(S)
I3ASCD OFF -'2002 STAT� STATUE
❑ Yes,this section appfies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section, if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCULAT'ION S —JOBS OVER $500.00 -
[f above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
'�� U L� \ x .O l 25 $ r��`�� ( (
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State B(dg Code Div. Surcharge(Minimum Tec of�.50)
��CJ��� x .0005 $ ' I � ��
(contrnct price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � l , � �
■ * CONTRACT PR10E 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 worl< done. If any material, equipment, labor or installations 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 piu�poses. [n 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 conh�act.
■ **The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
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 State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signatui-e: Date:�_ �
Reset Form
, 3
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. . H E � :� € T . :�� .� S .�4 C LC L � I . .. �o,�-s-e-
JOB NAME:�����'[�/��/�.�a JOB ADDRESS: I P 3 S S �� �- � � t ��
��
Heatin TD = 90 F +70 F indoor -20 F outside Coolin TD = 20 F +75 indoor +95 F outside
HEAT LOSS HEAT GAIN
SQ FT COEFF BTUH SQ FT COEFF BTUH
��' shade no shade
Single ____.�._--- �-1�16_�__ sg/db sg/db _
Double �'�; 82 �� `�'j4. N /,�, 23/19 33/24 � �.___
Low E 40 NE & NW 43/34 65/54
Other E & W � 58/49 90/74 Q > �C}
e . . # , 4,000 ��-7� SE & SW 48/39 78/64
S 33/24 48/39 � 7 ,_
. ' � • • # ,� 300 �c�z�
12" 3 �
9„ 4 � ;"�� ; �'� �_ _. �� - --
�
6° �G�UT 5 �l�-D� 12" � �1. _ _
3" 8 9" 2
-�--- ' 6" %�Z� 3 ��--
� . . • , �� rs � , � .
. Y
y� ..L�`f _ 4,_.� .
3„ �(�(� - 7 _� 3� 3,� - ---- 4
1-1/2" 10 �� _ ___. ..�. .�_�.
. . 3 3„ ��� a3� �a=S`�.--
. . ,..,.�_ �— �
0�� �—�''L�''Z- 6 UL"�- 1-1/2" 4
1" 3 5
' � 600 ��d��--
. . � ���x" - . .
�. �z�. • � ----
Blw rade �, �:, 1 5 �3 Z-,
J - -- - _
--�����30/Lin. Ft. � � • - 2500
Slab-grade lin F
SUBTOTAL ���5��, SUBTOTAL ,�,y'S i "`L-
INFILTRATION: Infiltration CFM = .50 x cu6ic feet of house divided by 60
.50 x L x W x H / 60 = Infiltration CFM
NOTE:*Additional heating infiltration load should be calculated only if house is loosley constructed
Infiltration Infilt. CF Coeff BTUH Infiliration Infilt. CFM Coeff [3TUH
* 99 Sensible 22
Latent 24
Attic or crawl s ace 10% Attic or crawl s ace 10%
n Y,F,�'S a ;k; 4"��9 '�i s,d�s�' '� af
��{ � n � ����� F 9���r� � ���Rs � ���� `� ����� ���4ti
��� � � ��� . . ,�
.:� .., ,� :,F . ,.+,xlFb+,e,f. .,. ..,..� ' , .,n
80% Furnace divide by .75
90% Furnace divide by .85
95% Furnace divide by .90 � � �S
FURNACE MODEL # `�G� Cti`�,� AIR COND. MODEL #
IVOTE: Drawing or sketch including location of Condensing unit on back of this form
12/17/2007
; . �� � . ���
. , _ ��T�/� �
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y �J�
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JOB NAME: �L�1�'/��� JOB ADDRESS: .j� S .
tv'`���-��
Heatin TD = 90 F +70 F indoor-20 F outside Coolin TD = 20 F +75 indoor +95 F outsic�'e
HEAT LOSS HEAT GAIN
SQ FT COEFF BTUH SQ FT COEFF BTUH
F�, �,� c,� �� � sl�ac�e� rio�shad,.
x�.<�.:��..�
� �� � } ��3:x �� ,�-
Single 116 ��������.r ��s Idb,��s /db.�
Double �b 82 0� N 23/19 33/24 ` S�(j
Low E 40 NE & NW 43/34 65/54
Other E & W �'� 58/49 90/74 _ ��
� • • # � 4,000 /�G?� SE & SW 48/39 78/64
S /�v 33/24 48/39 �-0
' # 300
. � . . p�_
12" 3
9�� � � ��`��� �'���� ��
4 � � .«,' s� .�°��rr"`�r�s,. --
6" I Zoo 5 �,p 12" 1
3�� $ 9�� 2 --
`�` , �� 6�� D 3 �o�.
� • • . • - � n , � � ��:,;
3" 7 � (� 3" 4
1-1/2" 10 ��; �4 '
�� 3�� � `� 3
� � � f P� �'1� p
� �-�-
0" 6 1-1/2" 4
1" 3.5 - ------
. . � - • • # 600 .3� -----
, , . . ._..
Blw grade � 1.5
Slab-grade Iin.Ft. 30/Lin. Ft. � • • • 3 2500
SUBTOTAL Uc�c� SUBTOTAL 3l�$�
INF/LTRAT/ON: Infiltration CFM = .50 x cu6ic feet of house divided by 60
.50 x L x W x H /60 = Infiltration CFM
NOTE:*Additional heating infiltration load should be calculated only if house is loosley constructed
Infiltration Infilt. CF Coeff BTUH Infiltration Infilt. CFM Coeff BTUH
* 99 Sensible 22
Latent 24
Attic or crawl s ace 10% Attic or crawl s ace 10%
• . • . � e , ' , . � 4�t
80% Furnace divide b .75
90% Furnace divide b .85 .
95% Furnace divide b .90
FURNACE MODEL # a oU o AIR COND. MODEL # �1�.
NOTE: Drawing or sketch including location of Condensing unit on back of this form
12/17/2007
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• � � �� � �j r�/iti/c d�%�T
. • c�-
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�� �� � M� � ��� �� � �N� � ����;�
JOB NAME: �' �' 4 JOB ADDRESS: �S JC�jU6� �� /��
Heatin TD = 90 F +70 F indoor-20 F outside Coolin TD = 20 F +75 indoor +95 F outside
HEAT LOSS HEAT GAIN
SQ FT COEFF BTUH SQ FT COEFF BTUH
�
� � �`������� �,.�a ��. °�>s�hade°��,no slia�e
Single 1�16 � � ��`����°� "s'``/db� �.s /db��
� � �� � � �
Double 82 N � p. 23/19 33/24 ` D
Low E 40 � NE & NW 43/34 65/54
Other E & W 58/49 90/74 �
� • • # 4,000 /� cGv SE & SW 48/39 78/64
S 33/24 48/39 /3��J�,
. , ' # � 300 D�
. �T � � . .
12" 3
9,� 4 � �� �z � ����x'`x ��
` ,,,����._� ��. �,�: �
6" � . 5 D�� . 12" 1
3„ $ 9„ 2 —
� F;, h F 6�� 3 �
� • • • ^�,
� '��i, . . ,m .z,,;�:.,.
3" 7 3" 4
1-1/2" 10 � �
.�r 3�� 3
: - • • �,,, ,� €f;
�
_. . . ------
��� � 1-1/2" 4
1" ' 3.5
: . . - . . � 600 ----
.3lr 6�-=—
Blw grade 1.5
Slab-grade Iin.Ft. 30/Lin. Ft. � • • - 2500
SUBTOTAL (� �� SUBTOTAL C�
INF/LTRATION: Infiltration CFM = .50 x cu6ic feet of house divided by 60
.50 x L x W x H / 60 = Infiltration CFM
NOTE:*Additional heating infil�ration load should be calculated only if house is loosley constructed
Infiltration Infilt. CF Coeff BTUH Infiltration Infilt. CFM Coeff BTUH
* 99 Sensible 22
Latent 24
Attic or crawl s ace 10% Attic or crawl s ace 10%
a • • , ~ .
80% Furnace divide b .75
90% Furnace divide b .85 .
95% Furnace divide by .90
FURNACE MODEL# AIR COND. MODEL #
NOTE: Drawing or sketch including location of Condensing unit on back of this form
� � ��,� 12/17/2007
'��
DATE TIME �
CITY OF ORONO CALLED IN �-a
INSPECTION NOTICE �e� SCHEDULED a- -Oq :D b
PERMIT N0.2�XX'Q'��`�� COMPLETED
ADDRESS ��..3.� �5,�2�nR �a�G� /�
OWNER L���/��G���t-�?'�!CONTR.
TELEPHONE NO. � 5�� T�-� -aa��
� DESCRIPTION ��n�S — � �Uf''/(Gfc-�
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. 0 FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
��., COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE
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❑CORRECT WORK&PROCEED �O ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-46��
Owner/Contractor on site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice