HomeMy WebLinkAbout1996-007718 - mechanical PERMIT
r CITY OF ORONO PERMIT TYPE: ME(: ANICAL
2750 Kelley Parkway- P.O. Box 66 Permit Number: 00771 8
Crystal Bay, Minnesota 55323 04f30/96
(612)473-7357 Date Issued:
SITE ADDRESS:
890 OLD CRYSTAL BAY RD 3
CH
P. I . N. ; 09-117-23-12-0008
DESCRIPTION:
HTG/AC SYSTEM
2 HEATING SYSTEMS FLUE SIZE 4"/S" FUEL NATURAL GAS
MAKE GOODMAN MODEL GMPO7S-4/—S
OUTPUT 60,000 INPUT 75,000
2 AIR CONDITIONING MAKE GOODMAN MODEL CK15-1/CK4 -1
1 VENTILATION MAKE 1 K I T/:1BATH/1 OTHE
1 GAS LINE INSPECT MAKE 3 GAS OPENINGS
REMARKS:
FEE SUMMARY: VALUATION $14, 100
Base Fee $176 .25 MAIL IN
Surcharge 12 OC Total Fee $184 .80
Subtotal $183 .:10
— AppJ. icant• —
CRtgfiARPRiNC :34741725 q OD DEVELOPMENT
7801 PARK DR 1212 E WAYZATA BLVD
CHANHASSEN MN 55317 WAYZATA MN 55391
(Al2) 474-1725 473-25.88
I THE UNDERSIGNED HEREBY REQUESTS PERMISSION' TO MAKE' -HE RE L. I ROVOIENT
SPECIFIED AND AGREES TO DO ALL WORK I N S R I CT O A�NCE > I TH ;CITY kOF
ORONO ORDINANCES AND STATE OF, MMINNESOTA � ; G L'ILi� 177,
R
L
&� � )
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
(,`?-//7-..< 3a
CITY OF ORONO APPLICATION FOR MECHAV ??ERMTT
Box 66 (2750 Kelley Parkway) PN yy
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: X New Addition Repair Replace
X Residential Commercial
JOB SITE: '53q 0 (Dt_1) cK1.1,5Tq-L- 158 Y (R'A_ Zip:
Owner's Name: LOK E&oop P�VV'L OPM&/VT TelephoneNumber: 1---7 3-.588
Mailing Address: 1212_ Eo GcJ Aq2/4.--179 f3L VO. City: to R YZ9- Zip: .5539
Contractor'sName: H&R IT TelephoneNumber: 4- (4-(7 _5--
Mailing
4-(7_9Mailing Address: -7801 PA1 K o g_ City:c1-}-8}-Niff}SSE&ip: 553 ('7
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: I I
Make: G-o op 6-00,0m1)--Al
Model: &/-1P075-A- 6HPI25-5
Fuel: NA-T. &Pl-s N/3-T- Gf}-S
Flue Size: 4 ' ( B 5'
Input BTUs: -75 D00 l 2S,000
Output BTUs: 60 pop 100, 1)00
CFM: (,1--DO 2000
COOLING SYSTEMS
Quantity: ( 11
Make: , 000 t-tH-N 1x00%1 Ml3�/
Model: G(c (R- (
Tons: it/a
H. Power -5/4
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. t Kitchen Exhaust X ducted recirculating 9O cfm
No. 3 Bath Exhaust (must be ducted outside) (0 cfm eq .
No. 1 Other Fans: Locations 1< I T_, M K}s_ B 0-T1f ov cfm
V FV E" 2000 -4- 3 B� {,F ATI otal 3 50.
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
X Other Aug-1VKf L 6 as- Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
14, (00, co x .0125 $ (-7(:._ S
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. 141(DO .°131 x .0005 $ -7. 05
(contract price)
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ L 8 .4-.. go
* 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. \ /
Applicant's Signature: 0 i i� V P Date: t— -9(6
4C) 1
Approved By: Date:
. ~
.
.
2 ton CK 1 1076 741 . 24 663 4
3. 5 ton CK 1 1653 1140. 02 1052 4. 5
HEAT LOSS / HEAT GAIN
SOFT HTG CLG HCFM CCFM
LOWER LEVEL 2166 49818 4332 711 . 6857 216. 6
MAIN LEVEL 0 0 0 0 0
Main level - no upper level 2166 71478 37905 1021 . 114 1462. 0
UPPER LEVEL 0 0 0 0 0
SPECIAL CONDITIONS ? vaults 2166 3790. 5 1732. 8 126. 35 216. 6
125086. 5 43969. 8 1859. 15 1895.2
SOFT HTG CLG HCFM CCFM
LOWER LEVEL 924 21252 1848 303. 6 92.4
MAIN LEVEL 0 0 0 0 0
Main level - no upper level 924 30492 16170 435. 6 623. 7
UPPER LEVEL 0 0 0 0 0
SPECIAL CONDITIONS ? vaults 924 1617 739.2 53. 9 92. 4
53361 18757. 2 793. 1 808.5
.