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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