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1993-005818 - htg system
, - PEI�MIT , • CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway • P.O. Box 815 Permit Number: ��iLL��'`��{'�"�- Orono, Minnesota 55356-0815 �'�'�=�- 1'=' (612) 473-7357 Date Issued: � �;,;�i f_:�;:; SITE ADDRESS: a �_ -_�_ :-.�`;_:�r,�;;,_'t :3� _._ � ;-. DESCRIPTION: , , ._. ,., . ._, , :_� . 1. i-i�:*�i i 1���.� `_��=_;�r�t 3=_; ��;_E� _���i� -'" - ��!At::� L��t�f?�; . _ �t:�;=�_i� ._�_5�: :_„-? , � L•1 1 i, L 1 Ll11+L t V �1 TA{ytjr4L V��1 L•L �aJ 1 ti✓L�1t\lSI1V � REMARKS: �'�{/' ""` "'`"` 1 Ltti.11V'�FY� 7F r {r'i vi.�.+ .f,i .:.f�.►f��t�t�L � FEE SUMMARY: " ' '"'v I LJ�ri'�� !% !3 .(_ i'tt _ S L•! L /L �.'1 iTJ �I t-e�__t_:!�' t :,�_1I'ti ��, 7 �-.`'i_i�� t��'i'tTLT�.i L}. � j,� tj�fi3 t�L.4Llf ! t t/�t�!-i 1{JU �`tfl:if� ��}f �J�� �ilV�:iii LVl Lr 1 1VV•T"7 I,:-:���' F�N' �.l�i,'f l+._} t1�I L ��I ._..,._...--- ��.a..,_�'':' i:::�1=�`,- � . ���?..d'�:��•,W-�;+:,7�+ 'e} •-t�, T::r �.;j .:�' :j`_ CONTRACTOR: — ����1 i c����:. -- OWNER: �::���'� ������:� ._. t}f: =='�4��:�1 ; �,:�!r�? J i�ii�� �._:��7�; �'Itt�t�?E:E�: �'��`I� 1,�;:��: :=E�At�YW������t:y �;C1 �DE�� F'i;��:��N ���� ��w;�.? ii#�4���� t�1h� ��=���f . _. ...,.. . ., . _.- e t. ._ 'i. r _. _ .C,'' •,-� �, � i_ ' _' •_� `t�f'�t`- . ��:.. - � � � .� :•s_ '�'i.�f:":� ::t+; � -: t,�- . ... .� � S. i�,,�,_.�.i .� -Y-'`•% i- t ss ,�' s >,, ;`j-�a "I","9 �j � j-�:; `�j!._• i j• �1`r-y # ' � .�'�a_ . � � }�_.i = ; .s.._�__+__.. �� . `.`�� ._ ._ _ E e _. � i-i.•,c._ � f t�.. �.r3:__ !.t . . ._ __(�f _ � it. � jt �' r� , . _.. ��� r.r�.. 3C�..�.iT_:��_..y.... . . {. . : _ - � 'i�i�iFE..� T it.� _� _ .. .. �. .�.�•.,..�:€ , ;r,,,;° a. I.: ?._.:?'. _.i�._. iI_i �.tt_i :11 Fz-. �v � t...f.� �_J.�:i': , 1�;� ! €-� ? t. i. ? �" f_�� t -.t _ . . ._._. . . ._. _ . � ._ .. . . .. •�_ t-i_.___ . . . . .. ^ ,c - _ - . - -..._. _ . - • - ��>.,�' i �i! � '� ' ,- �..l-j�- p i ;-s--,•-: —f i i l tl1!'� a �..i'3i �i='=�[ '��1`�=: = �_��""��_f}�`=F_! �_�s,?��r�i � .:= f':I�?��.3 .' 4 . . ..._ .. , ._. ..Y..__. : I i'} i;;„ i. 1 '�I;it� .}, . ,.. „� .� _ ; � r�. �, . . _._ . _ _ . _, ..._ ._ . _ . � ������-� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �,G/�, r ���� � . CITY OF ORONO APPLICATION FOR MECHANICAL PERNIIT 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 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 construc[ion �r remudt:ling is iiivalvc^.Q, a se�,arate hui:ding pe�ii� �ust be abtaine�. 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 � Residential Commercial .T�B S��': 1825 Shadywood Road _ Z�P� �5�91 Owner's Name: Diane Rudd Telephone Number: 4 71-9 3 5 5 Mailing Address' 1825 Shadywood Road Clty: Orono Zjp; 55391 Contractor'sName: KLEVE HEATING & AIR COND. TelephoneNumber: g41-4211 MailingAddress' 13075 Pioneer Trail Clt3': Eden Prairi�lP: 55347 SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: � Make: lennox Model: G20Q3/4E-100 FUeI: Natural Gas Flue Size: 2" Pvc Input BTUs: �o o,o 0 0 Output BTUs: � CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power 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 ducteci recirculating cfrn No. Bath Exhaust (must be ducted outside) cfm No. Other Fans: Locations �� . Total FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) _ ' Removal _ ----� ns __.._ .___ .. __ Fuel oil: g __ ---�derground inside outside LP Gas: __-----��""ga-l�ons —--�ffi�er��_�1 t rc.� � �.-�C�S as e��_\ PERMIT FEE CALCULATION 1. 1.25% uf Cnntract Price* or Minimum �ee ($35.00) _���'� x .0125 $ ��J .U � (contract price) 2. State Surchar�e. ** Add the State Building Code Division Surcharge to each pernut. � .G C�C7.C�c� x .0005 $ •Q s �(c..ontract 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) $ ?�� ��I S * CONTRACT PRICE or JOB CUST means the actual or estimated dollar amount charged for the pemutted 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 ce 'fies that all statemen made on this application are complete, true and correct. , � ` I I` l �3 Applicant s Signatu Date: Approved By: Date: o�. � � ( � 'k�r���°` . La� �-`��� Y` M'. 3� �y `,,(� r'n�-��l1 ' 4 � �� ���� . �+� tR� �r�t�3,�F����% . i J i o�P �.c =� A ras��� �Pbn# � - ,� .. �a�Q �/� . 3��f� : : Name 'y !� �r �'�+ / '_ � HEAT 1068.CALCULAT10N8 •;," ' ;� �'� ' � � .,����.�4 �4�.�`� <;.�Total Btu Input 7�`Jav I Au windowi A�doort ue aw�th�tstripp�d ?� �'_....._.. . To'fal Heat�.oss �p 0-7�j� �.�� ��*u =�•. / �'Room '�Lgth. � WtA. Ht.� � FI. . ( � ^ � M ��� s FI' ..� f'`•t-���t � 'ROOrtI L h."'�� 'wth I{:r�t�l,�,cH�-�'� f4+ �Wfp�n M�qht`; J�-NO OI^,'� Li'MN t -..t�€ n��;a g � 2 .�,. ' WiAth N�fyht. NO OI, LIM�I t n� F�Ft'� E. No. ol� 01 pny � 1 q''' of enek" °q It�.'„> {��i_�'",�y;'���i,}� No.�'' of m of p�m 1 4� ol enek q.lt t k @ � ,� �6t,t� . . , � ��5��+.,W � '4 i:�. ��. �� � t � aL �,.i�yzf: R�`��; g�.�� � �(�,! � '� . , � � . �. ! 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C�Ilirp r�� � +Z'�' S ,���'i`�r :k;E� Giliny' �..E�:•��"� `'�� :s�, GT���` ��� ""e" '�,�{.'� ���a . , , -,- ; x _ , _ . . . ., . . . . .. � . :.. - �� Floor . . . . .���. „ ..f ,.., — ..�. :-._ . �.. ... ��v.�t ..., y , ' �,... ."�. . , �R' :�p �;� :-. �'. ,�: Floor ..> .._ �,.��. sa, ' . .' r .. va �.�: .�,�u-, +� � � ;,3'� Tottl�tu.� , .,, 7n,y;.��.f..., _ .. .. . .T r 1�r Yr�i ., ,,f.. f �, s �.` �, ..,��, �. ,, �e .,� _ � a , .. - , ... , �.rr,'�'�. ��. TOI�I/W. ,-,_ .y.3�s�"+'- J3 ...��ad � { .ki""�RrA Y�,.-"� y,(� �. . ., .. . .�,r'r"'Y..tIFR..`�`.��p»'.'J'tlF.� .., lI +:..S:�R'?i�.A'Y4"iv�,....„��.::_. .. �. .. . ._ ....:.:. :. ... . ..__ . .... �. _.u..«..W ..... ,7yh�}�}i... ♦ ' i. � �'�-, / DATE^ 3 /O TIN�E�� CITY OF ORONO ca��Eo iN' �41� INSPECTII�N NOTICE���� SCHEDULED �0 �3 a:�,p�j PERMIT NO. COMPLETED ��"-�� �� � Z�3� ADDRESS a OWNER CONTR. TELEPHONE NO. ���� y��� � DESCRIPTION � 01 FOOTING 11 MECHA� 16 WELLTEST PUMP Q 02 FRAMING �MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWET�ANDS O Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS v 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT i 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPTIC FINAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: ¢ �-- ','�1.�,'��� C�,�11°l.� (f,�u�� l0 �� � J (N @y� � " 2 cr2�� ,�-� C��.►� � 0 � W � Q � Z W � W � � � a W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ��ORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN � CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. 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