HomeMy WebLinkAbout1996-006694 - ac/duct work PERMIT
-CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 MECHANICAL
Crystal Bay, Minnesota 55323 Permit Number: 0015-6-94(612)473-7357 Date Issued: 03/20/96
SITE ADDRESS:
4750 NORTH SH13RE DR
LSV
P. I .N. ; 07-117-2:3-:32-0010
DESCRIPTION:
AC/DUCT WORK
I AIR CONDITIONING MAKE CARRIER MODEL 38TRA024:3
TON:
1 DUCT WORK ONLY
REMARKS:
FEE SUMMARY:
VALUATION $3, 292
Base Fee $41 . 15 MAIL IN ---------
Surcharge --------- Total Fee $44.30
Subtotal $42 .80
CONTRACTOR: OWNER:
- APF�I i cant. -
COUNTRYSIDE HTG b COOLING :34461299 THOMP:_a IN JAMES
10880 CT Y RD 20 4751 y NORTH SHORE DR
DELANO MN SS 328 ��RONO MN 55::54
(612) 446-1259 (E.12)472-6715
THE U DERSIGNED HERESY R, 'PERMISS lNu`TO j E C VE ! IT
SPEC. F IEQ AND , EST - �,r L ,WOF k ISI; T I& I �f
GROhiD` OP I1VA tG� P# } S AT�� F l NNE �� �I=L }I� �
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO A"VICAh6?V#OR 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: New X Addition Repair Replace
Residential Commercial /1
JOB SPrE: 4 o Nof+�, 5l-10rt b -tue zip: S53�o
Owner's Name: -TNo tv Sot.J Telephone Number: 4-72--5-71-5—
Mailing
-7Z-571SMailing Address: 5 A M t City: CKoNC Zip: S ��9
Contractor's Name: ('�,., }��s i p rpt `r-e L TelephoneNumber: 44-b-1 Zq 9
MailingAddress: 1b%� 41-2-c> City: zip: -SS32%
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make: CAS r. r
Model: 38TRA 0$43
Tons: 2-
H.
H. Power
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)
s3 zsz x .0125 $ /r//. /s
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ / Gs-
or
(contract price)
$.50, whichever is greater
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ Y.3 n
* 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. t I
licant'sSi nature: E4� Date:
App g
Approved By: Date: fv
paw . ...
PROPOSAL
COUNTRYSIDE
HEATING
A h uCOOLING CES. INC. 446-1299
SERVI
10880 COUNTY ROAD 020 • DELANO, MN 55328 Date:
PROPOSAL SUBMITTED TO WORK TO BE PERFORMED AT
Name HE CARPENTER'SCONTRACTING NC , Name
Street 11n5-COUNTY ROAn 19 Street—4750 NORTHSHORE_DRIVE:
,
City, zip MOUND,. MN 5364 City, Zip MOUND, MN, 55364
Telephone 472-5715 Work Telephone
Countryside hereby submits professional recommendation as follows:
COMPL ETF DIICTWOR K ANO FITTINGS TO pROV I DE D I _T I N G TO ADDITION
ADDITION - DINING RM - 1SUPPLY ALR 1 RETURN AIR
ENTRY . 1 S IPPI Y AIR
2ND I FVEL
ACTIVITY RM 2 SUPPLY A-I R S R_E_IllR N___AJA _
RELOACTION ,QF SUPPLY AIR__ N__,2._N_D I_FVFL REDRm _ _
ADD 2 RETURN AIRS TO EXISTING 2ND I Fv -I BEDRMS ---
P_ AMI.T_.C.ITY OF MOUND
COMPLETE INSTAL I ATION MATERIAL
COMPLETEA.PRIIFES.S I ONAL I N_STALLATIDiu----- -_- _
TOTAL COST $ 1 .860 .00=_
CARR I- IR CONDITIONING M 9T-DNS124,M00a. .1i
1 -CARRIER AIR CONDITIONING /24, :} .CONDENSING UNIT., A-COT,- ., LINE SET.0 CEMENT PAD, CONDENSATE -
DRAIN,
SIR-RASE, COMPLETE FI FCTR I CAL TOTAL COST S
NOTE• NSP REBATE=$ 270.00--------------1V ET COST (la162-00)
NOTE-- ELECTR i _AI TO RE DONE BYE E TR I AN ON JOBS I TE (OR TH R )
All material is guaranteed to be as specified, and theabove work to be performed in accordance with the specifications
submitted for above work and completed in a professional manner for the sum of Dollars ($ )�
with payments to be made as follows:
PAYMENT TO BE MADE IN FULL UPON COMPLETION
QF INSIALL TION / RIL
All material is guaranteed to be as specified.All work to be completed in a.workmanlike manner
according to standard practices.Any alteration or deviation from above specifications involving Authorized Signature _
extra costs will be executed only upon written orders,and will become an extra charge over and CRAIG S C HUMA-CHER
above th9 estimate:All agraamenft contingent uporl stekiis,accidents or delays beyond our Note:This proposal may be withdrawn by us if not accepted within S
control_Qwnet to carry fire.Wrrtado and other necessary insurance.our workers are_fuliy covered 1:1140
control-
workmen's Compensation Insurance,
ACCEPTANCE OF PROPOSE AL
The above prices,specifications and conditions are sa igalMory and am hereby artepteri You
graatithoTf77Bt7 W dp`the'wolk as specified.PayffAnTWig6e ttiade-as outlined above:
Signature—
Date of Acceptance:
Signature
SIN 554 RIGHT-J SHORT FORM 11-17-94
Jab #: Htg Clg
For: SANDRA THOMSON Outside db -20 95
4750 NORTH SHORE DRIVE Inside db 70 75
MOUND MN Design TD 90 20
472-1867 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 0
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 1021 CFM Actual Cooling Fan 1021 CFM
Htg Air Flow Factor 0. 023 CFM/Btuh Clg Air Flow Factor 0. 053 CFM/Btuh
Space Thermostat Load Sensible Heat Ratio 90
ROOM NAME I AREA I HTG I CLG I HTG I CLG
I SQ.FT. I BTUH I BTUH I CFM I CFM
aa'3t7@eeetlee�yen�1y9>es s=s=m asS+>Qaoe�ssa>CmayC ss=xm>m edea ss s doe ms a ss seem m s:a zam a>aaass:se sassaeeaass:�=x
FRONT ENTRY/DECK I 99 I 3371 I 1650 I 78 I 88
DINING I 170 ( 3047 I 1748 I 71 I 93
KITCHEN I 186 ( 5256 I 3562 I 122 I 190
BATHROOM I 50 I 755 I 384 I 18 I 21
BEDROOM ( 127 I 1844 I 855 I 43 I 46
BEDROOM I 196 I 3592 i 1871 I 83 ( 1.00
LIVING ROOM I 143 I 3554 I 2067 I 82 I 111
BEDROOM I 154 I 3546 I 2021 I 82 I 108
BEDROOM I 299 I 3789 I 1673 I 88 I 89
BEDROOM I 109 I 1388 I 715 I 32 I 38
BATHROOM I 48 I 933 I 471 I 22 I 25
DEN I 312 I 3981 I 1791 I 92 I 96
BASEMENT I 924 I 8955 I 286 I 208 I 15
asorlaseseeeaaa�ssssyssssersmesrassaesmsaaaess::asssssasa===ss=s==s==smss=ssssEassszaess=ssesacaaewt
Entire House I 2815 I 44011 I 19092 I 1021 I 1021
Ventilation Air I I 0 I 1100
Equip. @ 1.00 RSM I I I 20192
Latent Cooing I I I 3270
TOTALS I 2815 I 44011 I 23462 I 1021 I 1021