HomeMy WebLinkAbout2004-P07913 - mechanical PERMIT
CIT'Y OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po�9i3
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 9�3�2ooa
SITE ADDRESS: 1361 North Arm Dr
MOLJND,MN 55364
P I D: 07-117-23-41-0066
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Pernuts Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate pemuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 75.56 Valuation: $ 6,045.00
State Surcharge Fee: $ 3.02
Misc. Fee: $ L50
TOTAL FEE: $ 80.08
APPLICANT: Sedgwick Heating&Air Conditioning Inc. �WNER: S W MALCHOW&N MALCHOW
8910 Wentworth Avenue S 1361 NORTH ARM DR
Minneapolis,MN 55420 MOLJND MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Conies: 1-File(Si�nitures Required). 1-Apolicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMTT
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 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 air conditioning installation including heat loss/heat gain
calculation, design temperatures, equipment ratings and identification as to rype, 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 o: :emodPling is involved, a separate building pemut 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 fina]). 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: J� Zip:
Owner's Name: � Telephone Number:�j�j,Z � �1�1- o�.�L�
Mailing Address: City: Zip:
Contractor'sName: TelephoneNumber:
MailingAddress: - -�.._- R "� "'�..�.�,�ity: Zip:
SYSTEM DESCRIPTION ` `"`�"ZO
(9�2j 8II1-9000
HEATING SYSTEMS
Quantity: j _______.
Make: �
Mo�e:: d
Fuel:
Flue Size: �v '�
Input BTUs: O
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: /
Make: � �%y�
Model: `,��C Ud
Tons: v�
H. Power
�
�
���i . 1{
. . ...1 ':._. ��$:_ � ._. . . .. ` '�:'.... . ',�;._ .�i_ :..1.. ���i " ._.- . '�.� ,.. �t�s..° .�. .yt .
- . 1
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. Qther 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 1l�Iinimum Fee ($35.00)
�,�t�� x .0125 $ �`�. ?jo -
(contract price)
2. State Surchar� ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ �,dc�
(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) $ jJ.O
* CONTRACT PRICE or J0�3 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 Ciry 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 $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accordance with the ordinances of the City and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct.
_� '
Applicant's Signatut'e'� Date: ��
Approved By: Date:
�$ .�'g �a � �:. � � ,�"",` F s .2 H's3fing Cooling
� toad Worksheet Coolin Des! n Tem Difference 25.0 F 13.9 Load Load
�' R 11 3" 9 6" R 3010" - `.
Ceiling(Sq.Ft) 9 I j x ►�eatir�g :....�,9 . 4.$ ;3 '_�
� X Cooling 4.1 2.6 1.6 �3 . q
Wall(Sq.Ft)
ioa o
Window(Sq.Ft)
N Single Double Tripple
�D X Cooling 37 26 19 = � aOF�O .
S Si�gle Double Tripple
/O� X Cooling 52 41 31 = �y/�'a
E Single Double Tripple
g� X Cooling 95 76 59 = �6 3 0$�
W Single Double Tripple
y� X Cooling 95 76 59 = � 3���
Single Double Tripple
Total Glass Sq.Ft �'fl��tt�,.�..',;�'��� t 82 �8 =.�.�"'�':� ;
3 O.S _ .�'� iS�s 8-G
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 Sing/st Double
`� '�`,�„����T��.,s t., ��� �� ���_���.�, y,a���<,.� ..�4�'�' i� ';, $'��-
. . . ,r a ...r.ru�::r.G`�
Wood W/3torm Urethane
Sq Ft Doors 7C 1-fe�ting , _ �2 � �,'�:68 �= I!�� �-�
�� X Cooling 13.2 8.8 5.4 = /F1S
Frame R-13 3" R-19 6"
Net Wall �Q 2 X Fleating � 4.$ _ �,,��=5
�X Cooling 2.3 1.6 - �
Masona Above Grade► 0"insul 7"insul 3"insul
Net Wall X Hea�'i►g 46 1�: `6.9 = `'
_ ; �.�:
X Cooling 10:9 3.1 1.6 =
Masona (Below Grade) 0"i 1'insul 3"insul
NetWaII��;J� Y-Idt�t�rk� �l�.2 �8 1:�a� , ?� �..�:'��
S Feet
Basement Floor s� �.,��t�tt�( ` ��� <<. £ .,... �. '. . ., ��.,�� f+'�.:.� .
. �., .,=
Slab W/O Linear Feet 0"insul 1"insul 2"insul
Perimeter System �,;�`..�!���ttl,�. ...;�:��_�,; ,r a�:��s ,..`.���.�,..��.�..:
Slab With Linear Feet 0"insul 1"insul 2"lnsul
Perimeter System �,�r��1�'r ,�.,�.��„ .. ,M ��'�' ' ;�',-�. V,.',;sa. , "°.
s �� _�.�
Floor Over S .Feet 0"insul 3"insul 6"insul
Unconditioned :X ;He�ting ': 28 �:2 4.7 � �:
.,. �. �7.�..�_
Space X Cooling 7.7 1.7 1.1 -
Infiltration �C F�eating 9� _ �Gp 6'S''"
(LxWxW60x.5) �� X Cooling 27 = �6 y 7
Mechanical 'X Heating 99 = qa-o
VentalaUon S� X Cooling 27 = /3so
Infll+Mech Vent X .68= � X 50 = ��`
#ofpeop(e .3 X Cooling 530 (inciudes sensible&iate) _ /S90
ICit�chen A//owance = 1�—
Customer Name Subtotal
Add�ss �"l�� 4 Yi�
Date ofAnalysis Duct Loss 1'.1 . 5
ComfortAdvlsor Total Load
Job Number
"NOTE:AIf Heat Transfer MWUpllers from ACCA Manual"J"Slxth EdMlon for a medJum outdoor dalty range.
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NoZZLL�,,
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS,MN 55420 • (952)881-9000 TEST RECORD
ADDRESS '' �l�4� �0 V"� � ,P ` ;�' �'�� �
CITY
OCCUPANT C � vV OWNER S U
� . ( (
SOLD BY � INSTALLED BY � � i
MAKE '� `� MODEL � `- �yF��' "
SERIAL NO. � INPUT v �
THERMOSTAT VENT SIZE �l\ � '"(� �" ' r-w
� 6y.''.���,
7 �(� �
VALVE � L� TYPE OF LINER `-� �
Q 1`.
LIMIT D LINER SIZE I
LIMIT SETTING � � �/ FILTERS: SIZE �O � �? 1 NUMBER t
FAN SETTING '� �x��./ WIRING C'�'`'� V t'!C���'�
� ��r
PILOT TYPE �w� ' � "� TEST TAG
�-"
IGNITION MODEL��" U��`S�� LIGHTING INST.
PILOTTIMING � �G d � �"�
�s� c�� � 6 DATE TESTED
PRESSURE PERCENT COZ
2�` COMPANY TESTING � �� �
INPUT CFH �U� PERCENT 02 '/ l G �
STACK TEMP. 0 PERCENT CO �/d NAME OF TESTER I' �` `" �" �
FORM 235(REV.11/89) FORM DISTRIBUTION: WHITE COPY-JOB FILE YELLOW COPY-CITY