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Home My WebLink About2004-P07168 - mechanical Y F R N PERMIT CIT O O O O Permit Number: 2750 Kel{zy Parkway - PO Box 66 Po�i6s Cry�tal Bay, Minnesota 55323 Pe►'mit Type: Mechanical Permits (952) 249-4600 Date Issued: iiisi2oo4 SITE ADDRESS: 2801 Casco Point Rd Wayzata,MN 55391 P I D: 20-117-23-32-0019 DESCRIPTION: Proposed Use: Residential Pernut Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 64.75 Valuation: $ 5,180.00 State Surcharge Fee: $ 2.59 Misc.Fee: $ L50 TOTAL FEE: $ 68.84 APPL�CAN-�-: Sedgwick Heating&Air Conditioning Inc. �WNER: Mr. &Mrs. Czerwinski 8910 Wentwarth Avenue S 2801 Casco Pt Rd Minneapolis,MN 55420 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. ��".�u.�-r .,FirL� ��'Y�-►-�� APPL[CANT PERMITEE SIGNATURE [SSUED BY SIGNATURE Copies: 1-File(Signitures Required), 1-Avplicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1 � + � � �-��,� . � CITY OF ORONO APPLICATION FOR 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 two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS E1RE NOT VALID UNTIL YOU RECENE 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(952)249-4600. 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 (952) 249-4600. Please check one: ❑ New ❑ Addition ❑ Repair [✓�Replace.❑ Residential ❑ Commercial JOB SITE: Q � Zip: .1�.��7� Owner's Name: � j Phone Number: -�js�_ l,�7/- -lj-r'j� Mailing Address: City: Zip: - � �'��",",��E�H��TlA�G�AIR CONClT "' Contractor s Name:'- �"`" �h'�in�1`�umber: Mailing Address: ' en o v�. �o.City: Zip: (952)881-9000 1 w � SYSTEM DESCRIPTION � HEATING SYSTEMS Quantity: Make: t Model: .t 1� Fuel: � � � Flue Size: Input BTUs: � Output BTUs: CFM: COOLING SYSTEMS Quantity: / Make: �� Model: � � Tons: H.Power FIREPLACES GAS LINE ONLY ❑ Gas factory fireplace ❑ Installing a Gas Line Only ❑ Wood burning factory fireplace with flue ❑ Wood Stove ❑ Wood stove with flue Brand Name Model No. - VENTILATION No. Kitchen Exhaust duct recalculating cfm No. Bath Exhaust(must have duct outside) cfm No. Other Fans: Locations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) ❑ Installation or ❑ Removal ❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside ❑ LP Gas: gallons ❑ Other Gas opening 2 ' r PERMIT FEE CALCULATION(S) 2002 State Statute ❑ Yes This Section Applies 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; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee $ 1.50 If above does not apply, follow guidelines below: 1. Contract Price* is .0125% of job with a Minimum Fee of($35.00) � x .0125 $ . S (contract price) (minimum$35.00) 2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50) x .0005 $ (contract price) (minimum$. 0) 3. Postage and Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 0 . `� � *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 is 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$I,000,000 or$.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. _ ,� � , �,. Applicant's Signature: � Date: Approved By: Date: 3 Heating&Cooling Heating Design Temp-DiffeEence 90.0 F 50.2 C Heating Cooling Load Worksheet Coo/ing Desegn Temp Difference 25.0 F 13.9 C Load Load � R113" R196" 01 " � Ceiling(Sq.Ft.) 'X Heating 7.9 4.8 3 = � , 9�O X Cooling 4.1 2.6 1.6 =��y a Wall(Sq.Ft.) M a i N�r,�-�� a a 9�1 C.w,� i 9 13 Window(Sq.Ft.) w� C� LQ�� , 3�y N Single ouble Tripple _ � � X Cooling 37 26 19 - 7 a 8 . S Single Double Tripple 8� X Cooling 52 41 31 = �a�o E Single Double Tripple �� X Cooling 95 76 59 = 3 8�� W Single Double Tripple -5�`� X Cooling 95 76 59 = y�a. Single Double Tripple Totai Glass Sq. Ft X Heafing 116 82 48 = �3'9G�' '�£�3 = �as0 Sliding Doors Single Double Tripple N X Cooling 37 26 19 = S X Cooling 52 41 31 = E X Cooling 95 76 59 = W X Cooling 95 76 59 = Single Singlst Doubie Q X Heating 124 66 87 = Wood 11/Storm rethan� �;; �, Sq Ft Doors �X Heating 92 53 68 = a�s 6 /8,r- �- S�`L y�, a � X Cooling 13.2 8.8 5.4 = a a 7 � `"��`� Frame R-13 " R-19 6" Net Wall � 7 S3 X Heating 6.3 4.9 = //ay X Cooling 2.3 1.6 y o 3 0'� IVlasonary(Above Grade) 0"insul 1" insul 3" insul Net Wall�X Heating 46 13 6.9 = X Cooling 10.9 3.1 1.6 Masonary(Below Grade) 0"insul �"in u 3"insul Net Wail 7�p X Heating 93.2 7.8 5.4 = ""9 a Sq.Feet Basement Floor �� X Heating 2.5 = �71�-"" � Slab WIO Linear Feet 0" insul 1" insul 2" insul Perimeter System <X Heating 73 37 18.9 = Slab With Linear Feet 0" insui 1" insul 2" insul Perimeter System �X Heafing 171 T03 84 = Floor Over Sq.Feet 0" insul 3" insul S" insul Unconditioned �X Heating 28 7.2 4.7 = Space X Cooling 7.7 1.7 1.1 = Infiltration X Heating 99 = I a �Y��!< (L�rWxH/60x.5) � a 3 X Cooling 27 = 33 a/ Mechanical X Heating 99 � = p Ventalation � X Cooling 27 = p Infil+Mech Vent j a 3 X .68= �y X 50 = Y/8a #of people X Cooling 530 (includes sensible&late) = a /a O Kitchen AIlowance = 1200 Customer Name Subtotal Address 7 b'�I b� H 9 a�-�'7 Date ofAnalysis Duct Loss X 1.15 X 1.�5 ComfortAdvisor Total Load Job Number "NOTE:All Heat Transfer Multlpliers from ACCA Manual"J"Sizth Edifion for a medium outdoor dail�rangL` V �«o c� 3.G l� f1�� G�euH- �lBc - iio SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO. � 7 �� Y 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (952)881-9000 TEST RECORD ADDRESS �� O � C°�' r p Pd �^� '� � � CITY� ? L�`7 OCCUPANT ��r� � d �'$ � � l 2 �� "''i�'Z 3�t(� OWNER � � r"- SOLD BY � C o� t�'�� l� INSTALLED BY MAKE �C h�� MODEL C° �a G �� 7� �' � � l U SERIAL NO. C��3 'Q- c,� I ZZ INPUT `�� 0 rn � ii THERMOSTAT � � 9 6 3 VENT SIZE VALVE ��n � ��-- �� TYPE OF LINER u�' �� , yy,�� /� LIMIT � � ��"�"� LINER SIZE " �9 LIMIT SETTING �� FILTERS: SIZE �` �Z � N' r NUMBER � / vr� !l FAN SETTING �� ` WIRING � S �^ '<— PILOTTYPE �/�C�`�G'Yll TESTTAG v IGNITION MODEL b �m «" r rL�1 LIGHTING INST. PILOT TIMING �" n �x� !� �P� /o .� Q c� t DATE TESTED PRESSURE l-'� `�lG PERCENT CO2 �`�/� COMPANY TESTING S�� C lC INPUT CFH // � PERCENT OZ �� o �,/ � / STACK TEMP. �y" PERCENT CO � � NAME OF TESTER ' "�` �r�" ("Y `� FORM 235(REV.11/89) FORM DISTRIBUTION: WHITE COPY-JOB FILE YELLOW COPY-CITY