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Home My WebLink About1992-004891 - mechanical � 'i, PERMIT ' �1�'Y OF ORONO PERMIT TYPE: ��:�:H�;�y��:�� 1335 Brown Rd. South • P.O. Box 66 Permit Number: i yt i�.:��1 < Crystal Bay, Minnesota 55323 Date Issued: �.�:�:�;i_�;'°�� (612) 473-7357 SITE ADDRESS: 1=:t��} '.��–IA�i't.�i_�r_�I� �:�x _T�; F' . T . l�l. � 1?—�, i?—;?_:—;z;::i—t it�3�.:=c DESCRIPTION: f !–�E�T I h�� '��Y'=�T�:I i:=: �LI�E '_�I�E �� 0'.� F��L P��a i�1��L_ ��:�� '��.� �F+�,�i�E i'1!_��1�L ��:�;;={1 f=iEf j��t1� f f,,;, i�:�,t�� i1�" f ii�, i��_r�_7 1 �a�t'=� L.I IVE I nJ'•=�t�'�C:T �p�-�. — �J�� .�TY L`F UTf�J . ��1�1'�Tl�i`LL V��1LL i:i�.S�t��Q�li� i /�Od �i ��}i/�.�(� �a��7 -�v.�v'� . . 1a.tttYYVW � ' � �} 7' Y1 VLIi�T aJV � . . � jJJj 1 V1/�YVY n :s"N .�fj tTL� S�JV �o f.r�i,�i �i. �7 �.vv iii.. 1 i '� r itr REMARKS: ��i�'� L�';;.� ,�;;� ?.#J•LL J t.l�.�iJ7t Fr.�' � FEE SUMMARY: � �-'::.:;.a=. F�,� �::;t i . [_)i=3 h7�I� I I�I __ __��.a.�t l _- ._.'C. ,._..''�'_ ___....._..__ '� �'•�! �F_��.�1 cr„_ . ----- �'_•-:_'. .{}() - - - ; _ _ . .: � ��.:_;.'_� i :'�,i C�T��,�� H�t� C:��i ' _ _��t�„�;��; f'_�IM�R: WIL�Ir��1 ;:L�_;; ��H i.f�,�C�+:i �1V� i:.:�:,{_� ':;HHI�}1'W�:i�=aG �C? I ��T l�li�l�r-`�F'►�L�°_:` t�IN ��c1i�'� �.J�'Y LATA �1t�� ,:�°t 1 ;.r.��.�''.f =��i—f-.�;F.7 !�.•'�,—t 7��'_is II, •��.lf� :.'� --' . .��?� _`, . . �-.'',•�- • `'' 3''-=:�3 `= c�c �t,�T`_ .�� s fy,--i^` � r ':'s-!� �ii� I i t�:�.€y,�'!J._ i�i,i r:W�__� � � ,..._ � ° �..7: �� ;: . _ ; ��.,.,.;_._ : � �_�:. . . ; r._ r•.�� . s _ �-�_ . �r•��— � � _.,r r.�r.- � y :; j�-. �e"�--— — s'; '",�`� '•.! ' i;� � " r t" 3' 4 _ . — < _r� . , i, � t [ ��3 -� I.i E:I t� t I -`ct`.:;,' 1;t� i—i r-t� ( E_,,�- . c.�._,i�- _F_�: t-��::!.3 �.�._�::.'_� ! _. _. . .:_L �_.�`F��. _ _. . : I� . .. . .. .. . . :E �. `s _L_ �.:x i I i;,.'4 ' 'f t_Ii-!;I jT��=,^.i;�f-- �::i;��j -,i", �-,-. _.C- j��j.�3• -`=f � '-�l:?' I}T}l�' � _ ,_'sl_f- '!.-t il i�`rt;I_t'?� �'.,� . _ .�,,._ 1I :i _._ . ,.a�_ _ :-i .__ _�� i° �I'--'=- f :n ... - --- i:�=.7 I_ �'':�;: - - .�� J � � � C��-� s� APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE � � �� ORONO "�:' E. � �C�L��C � rt��,, .�k� CITY OF ORONO f�; APPLICATION FOR MECHANICAL PERMIT -. ��: o_,e,�;;� a,�:�:�>, �. <� ��; ,�, GENERAL .INFORM�TION n Y% 1. You may apply for mechanical permits by mail or in p`��rso� �t1�e City ,� offices. Mailed-in permits are subject to the postage and handling fe�s #= shown below. � ,�� 2. Permit cards will be sent by return mail the same day the application is %�� received. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK _ MUST .NOT ;�� BEGIN UNTIL THE PERMIT CARD IS POSTED ON .THE_ .JOB. .SITE. � ��: 3. When any new construction or remodeling is involved, a separate building � permit must be obtained. 4. All work must be done in accordance with State Building Code requirements. � 5. All work must be inspected (rough-in and final). Call 473-7357. 24-hour � notice required. �w, �� 6. House Heating Test Record must be submitted before final. �� INSTRQCTIONS Complete ai 1 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. `:� � WALK-IN PERMITS apply at City Offices, 1335 South Brown Road (Cty. Rd 146) } � MAIL-IN PERMITS enclose fee - Mail to: P.O. Box 66, Crystal Bay, MN 55323 p� ��.. ******************************************************************************** ��;� Please check one: New ,,�Addition Repair Replace � , l JOB SITE: I �ls�� / G� �� ZiP= Owner' s Name: ' � � Telephone Number: �;7/- �`'�/ -- Mailing Address: G , � .�.-1r� - City: r-'iZ��.�:' Zip: Contractor' s Name: �. % � ' % �: �: Te2ephone Number �'�`� L.��,�!`' � g - _ Mailin Address - � � ' � �'��- = -.� � City: �'��/,��f� Zip: �;�, ��% � ****************** ********************************�************************* ,F; MINIMUM FEE ( $30.00 per project) ******************************************************************************** SYSTEM DESCRIPTION: $15. 00 each unit `' ';;� � <; Heating Systems: , � Quantity: � � Make: �>"�� - -- n,. ;� Mode3. �/ i c ;�� _ � Fuel: �� ;�, Flue Size. � ,��- s Input BTUs . � � "� Output BTUs �� '1�j% � CFM: � '� ******************************************************************************** � Cooling Systems: `'� Quantity: � Make• . _. _ __ . . `� Model: Tons: H.Power: - ******************************************************************************** � T� ';ti �l�q� .� . ' _ Y ,, � � � fl:� � � � � � � � fi � � z . � , i. .., _ � . , �� i �� i: � _ *WOOD BIIRNING EQIIIPI�NT $15.00 each unit Wood stove with flue Wood combination or add-on unit Factory fireglace with flue Factor Fireplace (s) freestanding Masonry--- Wood Stove (s ) franklin, other BrandName Model No. Mfgr' s Min. , Clearances, side , rear , min. flue dia. Total ******************************************************************************** VENTILATION $15.00 each project No. Kitchen Exhaust ducted recirculating cfm �;o. �^;, Bath Ex�aust (must be ducted outside) cfm No. Other Fans: Locations Total ******************************************************************************** FUEL STORAGE (must be approved by fire marshal) ' $30. 00 Permanent/Temporary Fuel oil, gallons underground inside outside LP Gas, gallons Other Gas opening ******************************************************************************** GAS LINE INSPECTION - `�� High/Low Pressure $15.00 �� ********�r**�t:�x�x�s�s��r��r�*��**��************************************************** P$RMIT FEE CALCIILATION �� 1. Total of above Installations or Minimum Fee ($30.00) $ . -�J. 2. State Surcharge. Add the State Building Code Division $ .50 Surcharge to each permit $ 1.50 3. Postage and Handling on all mailed-in applications, 4. TOTAL PERMIT FEE add lines 1-3 above $ �J'� �"L� The undersigned hereby applies to the City of 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 state�rien�s naue on t?:is aFr li.�at�-on are complete, true and correct. , .� ,. � �._ /�/�/�j Date: „� %�; "�� A�p licant' s Signature: �� •� �> � : • � � . � : . . • , � � ,. ;. � _ �� . , � � DATE TIME CITY OF ORONO CALIED IN �`�"'� INSPECTION NOTI SCHEDULED � /4-�O Ct/h PERMIT NO.�� COMPLETED � ' � ADDRESS _� OWNER �irir �Q-t.� CONTR. �� TELEPHONE NO. D�s'G��0 7 � DESCRIPTION B � 01 FOOTING 1 MECHANICAL 16 WELLTEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS � Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI 15 SEPTIC INSTALL 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPTIC FINAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � ' W a � J O a � O � W � Q � 2 W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W `0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ;V BEFORECOVERING PERMANENT �CORRECT UNSAFE CONDiTION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfUflN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance.473-7357 OwnerlContr on i e: Inspector. White Copyllnspector's Fil Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN � �� INSPECTION NOTIC,[E q SCHEDULED � / i�� -^ �-' PERMIT NO. �/ � `/ COMPLETED � ADDRESS Lc' /�� /. ��: i�-.�<<% � r-�-�-�, OWNER �-,� � � 1�_'�� CONTR. I� ./�!�_"� %-...; � -f- TELEPHONE NO. � °'��' - � � '' '/ � - /- ,�''-��+�.-o�� DESCRIPTION �—_� � 01 FOOTING �t M�1 ECHANICAL'Ri� 16WELLTESTPUMP Q 02 FRAMING 111VfE�HRNI�ALFMfAL 18 EXCAV/GRADING/FILLING y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREM/ETLANDS 0 Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SETlTURN ON 17 SITE INSPECTION � � 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPTIC FINAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d W� WORKSATISFACTORY:PROCEED C PROJECTCOMPLETE W C CORRECT WORK&PROCEED �; ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �--; PHOTOTAKEN INSPECTOR WILL RETURN C STOP ORDER POSTED.CALL INSPECTOR �1 CITATION ISSUED O INSPECTION RE�UIRED.CA�L TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContra or,Qn site: _ Inspector. �V White Copyllnspector's File Canary CopylSite Notice � 0 /' HOUSE HEATING TEST RECORD "�� ADDRESS /�� '�d� 1.��a� APT. FLOOR CITY BURB OCCUPANT _OWNER HEAT LO55 DATE HTG. INST. SOLD BY INSTALLED BY El�ctrical Work By �� Gas Lin� By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE �'�� —MAKE OF BURNER r.wv .o .�� Tcr� N�aTIN�# 4Q� Modsl � —' Mod.l , Ssriol �-- Max. BTU Ratiny INPUT MAKE OF FURNACE n�@a�p � ' Mod.l /�S. CONTROl�S THERMOS T •�' Heat Pluy V�nt Sizs Valve KIND OF LINER SIZE NONE Limit Draft Hood Reyulator Limit Setting Filters Siz�— Number Fan Settin J � Chimn�y Location Inside Outside Pilot Type � Chim�sy Construction Pilot Make Pilot Model Smok� Bomb W��9 — Pilot Timing "�' Draft Tsst Tay L.W. Cut Off `�� Door Pressure Liyhtin9 Inst. Pressure�� C'Percent CO2 Date Tested � � Input CFH�/�Q�� Percent 02 '�\ Company Testing Stack Temp. Percent CO � �W Nams of Tsster - Form 235 �.{py/ �/ � HOUSE HEATING TEST RECORD ��LG'� ADDRESS � �� ►PT. FLOOR CITY��F"' SUBURB OCCUPANT _�WNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Electrical Work By Gas Lin� By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT H OTHER GAS DESIGN "' CONVERSION MAKE �ra �` MAKE OF BURNER , Model U � � Modsl ICa9 Se.�ol S Max. BTU Rat�ny . . INPUT 6_Q/�� MAKE OF FURNACE ��n'��apd��S, �1 Mod.l ��°�� CONTRO�S ^l� � THERMOSTAT Heat Piug V�nt Size OL Valve ^' KIND OF LINER SIZE NONE Limit Draft Hood Rsyularor Limit SeHing Filters Sizt_ Number Fan Setting Chimnsy Location Iry,s�de � Outside �', Pilot Type Chinlnsy Construction T� Pilot Make Pilot Model �U ~ �b Smok� Bomb M�i►in9 — Pilot Timing . Draft Test Tay L.W, Cut Off ^ — Door Pressurs Lightiny Inst. Pressure �•�"�'��- Percent CO2 v Dats Tested J Input CFH ^o r!v,•Percent OZ � Company Testing Stack Tem'. � U—Percent CO Nams of Test�r — Form 235 ��rr HOUSE HEATING TEST RECORD ADDRE55 /�� f'>" APT. FLOOR CITY SUBURB i..�-�— OCCUPANT OWNFR HEAT LOSS DATE HTG. INST;� ; SOLD BY INSTALLED B Electrical Work By Gas Lin• By TYPE OF HEAT GA FA HW STEAM SPACE HTR. NIT . OTHER GAS DESIGN � C�� CONVER510 MAKE h -;M�C�F�RNER � „ Model T(�[o/�?r"��?fv�� Modsl ' p►Y � Ssriol �,�ti'��/�� Mox. BTU Rafi�y �7 �ih�CB�Q V8. O. INPUT /��C,�-��d.C' MAKE OF FURNACE �� `�"�7 Model '�. � CONTROLS /! �'i � THERMOSTAT Heat Pluy V�nt Siz• �' Valve KIND OF LI ER SIZE NO,NAE� Limit Drak Hoo � ' RsyulaTor �� r''Q� r Limit Setting � � Filters iz��-��.� Number Fon Setting - - Chimn�y Locotion Inside�0utside Pilot Type �r Chimnsy Construetion Pilot Make ��+��_ �. �5�-;? ' � `1" Pilot Model ~1� �� '� Smoke Bomb � M�i�in9 — Pilot Timing �.�c�- '� � ' Draft Test Toy �-5 L.W. Cut Off Door Pressure I Liyhtiny� at. P � � � Prossure�''� P�reent COZ Date Tested Input CFH ��0 Perc��t O� Company Testing '� � Stock Temp. � ��—_Percent CO Noms of Tsster �' � Form 235 ` �� HOUSE EATING TEST RECORD ADDRE55 � � APT. FLOOR CITY SUBURB v�f�� OCCUPANT � OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY C Electricol Werk gy Gas Line � 1 TYPE OF HEAT GA FA J_Hw STF�►A SP��H�Li �� I TR. OTHER 'J � GAS DESIGN f,��-� � CONVERSION �r v�s�� MAKE MAKE OF BURNER •+• • •� �•� � rt` _o ��w�¢�� Model ��j�'�,/�/��/�/ � Mod.l Serial ` � Max. BTU Ratiny INPUT � �`� � .,?�j�f' • MAKE OF FURNACE n S` Model �5��7 CONTROLS �d� a��^ ! THERMOS�A� Heat Pluy V�nt Sizs `— Valve '�� KIND OF LIN R SIZE ��- NONE Limit ��• Drah Hood syulaTor Limit Setting Filtsrs iz• ��-�� Number ' Fan Setting ��s�� Chimn�y Location Inside Outside � Pilof Type ` Chimnsy Construction �� Pilot Make � " �/ �y Pilot Model b��-7T—C.��'� Smoks Bomb ', �Miring � Pilot Timing � `S��"� Draft � Test Tay L.W. Cut Off �� / Door Pressure � Liyhtin9 . /� s� Prossure� Peresnt C0� '� Dats T�stsd — � � � Input CFH ' Pe�cent OZ � j Compony Testing � � Stack Temp. � >=7 � Percent CO Name of Tester L"� Form 235