HomeMy WebLinkAbout1996-008149 - mechanical PERMIT
" CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number: MEC:HAN I CAL
Crystal Bay, Minnesota 55323 Date Issued: 008149
149
(612)473-7357 07/12/96
SITE ADDRESS:
840 OLD CRYSTAL BAY RD
CH
P T N : c —1177-2: —12—0002
DESCRIPTION:
HEATING
1 HEATING SYSTEMS MAKE GMC MODEL GMP'NO6O:3
OUTPUT 5S,2c:0 INPUT F.0,000
REMARKS:
FEE SUMMARY:
VALUATION $1 ,800
Base Fee $35. 00 MAIL IN 1.
Surcharge 1_2ca Total Fee $37 . 40
Subtotal $: 5 .90
CONTRACTOR: - Applicant - OWNER:
COUNTRYSIDE HTG A/C 34791600 ELLIS ART
6511 HWY 12 840 OLD CRYSTAL BAY RD
MAPLE PLAIN MN S535' ORONO MN 55391
612) 479-1600 473-8226
w '
TME. NDERS I:GNED HEREBY REQUESTS PERMISSION TO MAKE THE,,R. IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK IN,.STR CTPLAN -,WITH ALL CITY OF
L ORONO
ORDINANCES AND STATE OF MINNESOTA g BU I LD I NG CODE ; i $�, Retiggrs. J
t
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
.$141
CITY OF ORONO APPLICATION FOR MECHANICAL'1!ERNIIT
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 Addition Repair Replace
I/ Residential Commercial
JOB SITE: ?y 0 Old S ,l— Ike Zip: 555 3 7/
Owner's Name: kr-t- Eli s Telephone Number: {7,3-, ..2 .
Mailing Address: 84O O(. Ctgtal a4.1, City: U041z-4T Zip: SS 3 9V
Contractor'sName:Co -KtNtS►dlo_ t-R- Y- TelephoneNumber: y-q-!(0 o75
Mailing Address: (a 511 N w 1 City: Map L PIA:ti Zip: SS 3 s 9
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: (
Make: 6,1C
Model: 604PN060-3
Fuel: ill at 6a•-5"
Flue Size:
Input BTUs:Output BTUs: 5-5 •
CFM: AFR Tca 'o
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
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.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
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)
k ro d x .0125 $ 35. 6-0
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ . q 0
or $.50, whichever is greater (contract price)
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 3 '7. 410
* 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. ""a
Applicant's Signature: (.e.��i1 Date: -777/1,6
ir� ' /)i/ Z
Approved By: Date: ,b
• MANUAL J: 7th Ed. RIGHT-J: V2 . 03
S/N 4410 RIGHT-J SHORT FORM 6/14/96
File name: ELLIS.BLD
Job # : Htg Clg
For: ART ELLIS Outside db -20 95
840 OLD CRYSTAL BAY RD. Inside db 70 75
WAYZATA MN 55391 Design TD 90 20
473-8226 Daily Range - M
Inside Humid. - 50
By: COUNTRYSIDE HEATING & COOLING Grains Water - 33
6511 HWY. 12 Method Simplified
MAPLE PLAIN' MN 55359 Const . qlty Average
479-1600 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 680 CFM Actual Cooling Fan 680 CFM
Htg Air Flow Factor 0 . 019 CFM/Btuh Clg Air Flow Factor 0 . 048 CFM/Btuh
Space Thermostat Load Sensible Heat Ratio 85
ROOM NAME AREA HTG CLG HTG CLG
SQ.FT. BTUH BTUH CFM CFM
BASEMENT 720 9775 494 185 24
MAIN 720 26083 13725 495 657
Entire House d 1440 35859 14219 680 680
Ventilation Air 0 0
Equip. @ 1 . 00 RSM 14219
Latent Cooling 2539
TOTALS I 1440 I 35859 I 16758 I 680 I 680