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1991-004064 - mechanical change out
PERMIT • • C�ITY OF ORONO PERMIT TYPE: �iE��F-���lIC-AL 1335-Srown Rd. South • P.O. Box 66 PermitNumber: `-�`��'`�'_'�' Crystal Bay, Minnesota 55323 Date Issued: �' �` ��f"�� (61�) 473-7357 SITE ADDRESS: 1 I�.a ��i'!�i €�'v`E i'd .JE; F' . I . td. . yF.-11�' 1...� ;�i.—C��,i��=. DESCRIPTION: � i.:�'s�f��<i�: __;�;; �.° - - ���-. '�-t:�_:. i�triT�_�`'r=ii�i_ i:�i-^1:=� is'1t�F::� �Pit�!'�1'r� 1 �-1��7I;;�;� _;'�,''�:s i_��;= ;- { �- _ . ,.. -. . , i��::s:.:� j._•,��;`-,3:�;=� �y /;tf _,, � �'ii i�j[�� " t—I��i'ti�i3'�'� 1 HEfiiTIt=1U =��':�;TE�t:�� F!_s�..��.. [t��=i���_�;g`.;�,_ �.�F:'�� i1�F�::E _. fisr�r—� i—i � ��r��41 - :j F�. � i—� i) {_){)i) �!_�.:r�.. �.�..`.' t;:_��:i=i ia��t, r' , 1 t�I�3 �:►�iVi1�I T I i=i�i I ti�Ci �i;a;�::;�� !�i��i���i i; �1�l�3EL H'.�=��L:—�11 �'�_s i•w'= _. � � �+� �- ���r �� � � � ��"w��� , ,' �� ��V �� �Y� �� �� 3k w t U+l w _ u �'.al���` M'�'"��,,r�,�' � r p� — _ �, � t �, lP �u���� r / _ ' ,M, ��u CI rv rr,_ ���r:�tr� , a� ���>� r,� � , �+� i , �i ui �iru � ��" � ' �� � ��'�' C'r';�lrii�irC t'iCC�'r`C �n'�. �.: a q _ 1 1 fTR'l 4L Ut 1 4L vr,� ��;r ..�*'"� �` i t S !t!!3il� .t�1v;:�:z.,.,.,, ; G�� �fN �5.�D REMARKS: 1Lt`"""` ' ;(:�//}�fN. .5� J 1�1r/j f V}VtV}Vy3 1 � ) il.t �L� .:.`�3(� 4l1LL'l�• !L Tl�YV FEE SUMMARY: ,�i';'iiF'T-��;�N�' x,��J �Lt�u ii' 4�;�� _��� T�7:�t �i l�,L JIfT J ��.� .���j r•�ta�� ��� _________��y:,�� ����� �=�:� ��� .:,�y �^��,,�r-��,,��� _______ __�=�¢5 �r��t�►z �=�� :_���,t.<<t�� ���.� .=,s� CONTRACTOR: --- �:��F•f ica��t� '- OWN�� y►�l�;T r�;E� �� a_;i ;_��°��,7r��i C•�r'�i�-t�::F�Y t1�1Lt:i i�i ''� ) C�_�F�i�-I�h r ►�'�� ' � 1�.� F•1'�i rH4'E_ i`d :.:�.�_t '-' �,:;��, :=;T L�=tt3l'�: F`t��;��:: �1tv �!�,�.��r� ��f{��� �t���:E t�ll�l t;�.�.�:� '�s:'�--�.7�:,� � _ , r ._..+_ �., _.._..r..; �- •-rr�• �' =�P•��:� i} if1�'� ^i: :�`1!��{i�.� :t-sL.. sit:t.:f` _''�`�—�____ �_�__ . — • r.�., r.r:C - - ;r'. �:�'. _.{'.� 4 _ � `..� }i�" ' 3 f'�L.. �..i3'3f:C�R.-'':"i?'s� L} P 3C', AC.L��i �.__:'�.iE':�, } .r _-. .. _ _ _ s..�. :— � T t ! i -.�-.r--. �-r— . �;.; �-`= _ �'!ry i;+_ i si__i_ � t t! . �"a ' .r:1+.:i " -. i . .,_ . ._ - ' - :-,;'r_t_�y ; 4_�,f i—s�,:� 3i �i .__.z_•�= � _ .�•- —-� - " _`°= .� V�.� �h � :1 i ��`'i Ir � � . ' F _ —y.;� r.,:;:'.;�"'i:'_ °`' `—,��i�:';':i-' %ir� {`��.��t?t"�—'s i i '}�._,F:i=t i.i 1}11'ai l��i r_: .-- '___, __ » . , . .��' �! ., ,- . } .» " _ l,•: . t � t � i_�C.,!_t:'.li : 4_Fi'�;{J k,}:if^}Ck_�E...•... t 1F .s. _. . . . . .._ .._. \ � APPLICANT-PERMITEE SIGNATURE ISSUED BY:SIGNA RE ,� : . . . ' r , _ . •. CITY OF ORONO ' APPLICATION FOR MECHANICAL PRRMIT GENERAL .INFORMATION l. You may apply for mechanical permits by mail or in person at the City1 . offices. Mailed-in permits are subject to the postage and handling fees :_ shown below. 2. Permit cards wi21 be sent by return mail the same day the application is '°;� received. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT �p�. BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE_.JOB. SITE. ; 3. When any new construction or remodeling is involved, a separate building t`. 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. . 6. House Heating Test Record must be submitted before final. INST�DCTI�NS Complete al� items on this appli�ation. 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 �kic�ticir�Fitit�rit***tktk**ic�k�Firitit�k*****tk*�k*it**�kiF�kir*�k*iF�k4r�t�t�ir***�k�k�k�k�k�ir**tk*iF�k�k�k******�kir�k*iFtk�Fj. ° Piease check one: New Addition Repair �_Replace JOB SITE: �� �� �S�I:��C�� �' Zip: C � 3�j� ` Owner' s Name: �yt�� �;�1 Y]"�C C- TelephoT�e�umber: 9. Mailing Address: �� City: (� f`)�� Zip: „�`�3` � Contractor' s Name: Telephone Number: Mailing Address City: Zip: ********************�� ********************************************� MINIMUM FEE ( $30. 00 per project) ****it****�k*ic�F**�e*�F*********�k*it*�F**********dF*********irit***�k****ic****�t****ir1F*****r. .°' i SYSTEM DESCRIPTION: $15. 00 each unit :,: Heating System�: Quantity: Make: ,�, _ �iodel: C'��,�1e��j`c�l� CC U ) Fuel: �,G ,� r�C Flue Size: _ _ , Input BTUs : ���y�'� ��=� = Output BTUs CFM: ******************************************************************************** ` Cooling Systems: Quantity: � Make. � ��vx _ . Model• � `' . _ . . , Tons: � _ . _ � H.Power: _, ****ir�F�It�F�F*�kdt�F***�k�lk�k �Ik�kdt*****�k**�kdk**ir�Fir***�F*********dF�k�kylr�t�lt�k**�t***�k*�k****it*�kdF�kdF** ' � - �.'_..! �.R�' �� ��.,;,,,,..--..t�_� -��-`,' � - � y��� n - _ . K_ ,.. : ' . d � �` 3� r� j +�- . r 1f � ., � A _ _ � .. . � - �. . 1 _ _ .�,y'._. . . l 7 ! e"4� r� : `� *WOOD BIIRNING EQIIIPMENT $15.00 each unit ., � ; Wood stove with flue �w� � Wood combination or add-on unit k;,,# Factory fireplace with flue °=j Factor Fireplace (s) � freestanding Masonry -- Wood Stove (s ) franklin, other -i Brand Name Mode 1 No. `�' Mfgr's Min. , Clearances, side , rear , min. flue dia. Total ******************************************************************************** VENTILATION $15.00 each project No. Ritchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. Other Fans: Locations cfm **�*�*�*x**��*****�*��,��*!***#*****�;�*��*�*���********************** `" FII$L STORAGE (must be approved by fire marshal) ' $30. 00 Permanent/Temporary Fuel oil, gallons underground inside outside ;; LP Gas, gallons � Other Gas opening ******************************************************************************** GAS I,INE INSPECTION a High/Low Pressure $15. 00 �*********���:�*�**,�***�*********************************.************************ ,. �-,.� :. P$RMIT FEE CALCULATION 1. Total of above Installations or Minimum Fee ($30.00) $_�� � C' CU 2. State Surcharge. Add the State Building Code Division Surcharge to each permit $ . 50 3 . Postaqe and Handling on all mailed-in applications, 0 i 4. TOTAL PERMIT FEE add lines 1-3 above $�7: i:� � � � The undersigned hereby applies to the City of issuance of a ec anical Permit, �; t; 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. � . - /3 , - � A licant' s Si nature: J �� / LZ�'f��- Date: �r s � � . � . ,. _ , . .�.. . . �. ,, . _ , , . . . . � . , , . . � _ . _. . . , , . . . _ . _ , . . . �. - , , , , . �... �..�, . - k �. �. .' . .. . . :. '- . , - ., . . . ' . . C`..,...' .., , i��. -.. � . � . . . . - . ' � . � S t .. , . ' . . . . L - v-d! �� . .. . . � .. . . . . $n " y . . . ' . . ' 4- `:� _ �F« � 4'r . .� r .. .� . � , , . , : . .. ', _ , �:,..T : �.x >. . ,.: � �� � � � �; i '� -��-�r - ;z� _ . . - — . . . . .. i i { -"��, s: �� } .. _ � ' ' � ?� ri - � _ _ � ; - � , � r � ;, , �� .x x�� . t�; . _ _ , ,.:� i ;�5� � �- ,,,.x,,, �* �__ - _r�,.: . _ _ n�Y �., ; , _ ; ;, :. � , ., - _ � ., r _�` Y ,.. � .� '� , � �._ .. -� - _ � _ , . . . . . . .. , . , . . . . .' ': .' . 4 . . . .. . . . . ' . . .. . ' � . # , , , n. `:. � _:.'.- �: � . ,... ,:, .�... [-��:.. �. . . . . . . . . ... . � . . .. ... .. . . . .. . .:. .��� , , jo ,, G �6 �a�d�+ ,�.�s�-,�-� HEAT LOSS CALCUt�1T10NS . 1�cather�trips A• • • • Coe�tructioa No. Iniulatioa Guide Window� I Doon Refcrence Out.Wall Int.Wall Ceilia� Roof Floor Kind How Applied 1"e�—No Yes—No 19_ Fl.�DUCXA�L Room Len`tA Width Hei=ht Fl.� Room LenQth Wideh Hei�ht W,ndow� and Doors—C�acka�e and Area // Window� �nd Doors--Cracka`e and Arca �v�otA M�i�n� No-e! Llnul ft. Art� �S� 1 K'�di� MN��t Ne.et L�w��l ft. An� Ne et p�e• of p�n• n���� et cr�eY •a.n. ��-� Me. et o•n� et p�n� U��u et cr�et �o.t�. � � � �D D � ~� 5�, / � � f�O"/ 6 0 � l�- O/ K �2 s / Coef. 8eu Cocf. Beu �"h�<<'�1Op s �i� 9� In6ltntion C.la�• �gC? � Gir�i Esp. wsl) (�D �p.wall Net e:p.wal) D Q 1Vet e:p.wall Int.wall • lnt.•�all � CcilmQ � 7 �ZS Ceumg � FI�or F'loor Tota)Btu. O Tot,l Btu. R�q��r�d.y.f�. E.D.R. or.q. i��.W.A. L.eader area ReQuiied sq.ft. E.D.R.or sq.in�.WA.Leader are� Fl.� C}VQ+44tC Room�L.en�th Width Heieht Fl,� Room I Len�th Width ei� t �Vindows •nd Doon---Cracka�e •nd Area /J�j Windows and Doors—Cratluge •nd Are� Wldt� HN�A{ No.o! Lln�al[t. Are� 'J�� . No. o(oan• of D�n• It��l• of ers[k p.ft. �1'IQt� Hlf�ht No.Ot Lln��l!t. Are� ' �� O No. ot p�n� et p�n� II�AI� of er�et p tt. � 3`�� 5�� / v �' D o Coef. Bcu f. cu Inb)tration 3 In6ltrstion Gl�u � / Gla�s Esp.wall Eap.wall ' I�et c:p.wal) � 0 Z � Net e:p.wall Int.wall G. � S 3 (� Int.wall Ceding Ceiling j Floor 8 7 Floor � Toesl Btu. NS� Total Bcu. i Required�q. ft. E.D.R. or aq. in�.WA. Le�der�rea Required sq.ft.ED.R.or sp.in�.W.A.Leader��ea � Fl. itoom Lee=th �Vidth Hei�ht � Fl,� Room I LenQth Width Heisht Window� •nd Door►—Cracka�e and Area Window� �nd DoorF—Crackate •nd Area w'lOt� N�i��t Ne.ot Lln��l t�. Are� Wldt� HN�Dt No.e[ Lln��l It. Are� No. ot o�n• •f O�n• tll�t• ef er�ek �p.fL -- Ne. et o�u� et p�n• U��i� ot eru4 �a.t�. Coef. Btu CoeE. Btu In6ltr�tioa 1n61tration C.lau ('ilas� Eup.wall Eup.wall Net e:p.wall I�ct exp.wall lnt. w�ll Int.wall Ceilmg Ceiling F loor Floor Tot�l Btu. • Tot.l Btu. Required sp. (t. E.D.R.o► . in�.W.A.L.e�der�rea Required iq. ft. E.D.R. or tp. ini. WA.L.eader�re• • ,�. t�oG� ����c -- - ���('C HOUSE HEATING TEST RECORD ADDRESS � �� �� `�L'�` �`� �<<`� 1J `{' APT. FLOOR CITY SUBURB ��L\��� OCCUPANT OWNER HEAT LOSS DATE HTG. INST. �/ / SOLD BY INSTAL1LED BY `t ��` � �!� 't v` , • � � Electrica) Work By Gas Lins By - � � , TYPE OF HEAT GA FA HW STEAM--SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE �"L�� ��� MAKE OF BURNER Model V C. � � I_7 ` L Model ^ f �..� � �. _ . . Sxiol Max. BTU Rating INPUT �� L� MAKE OF FURNACE Model _--- CONTROLS � (j THERMOSTAT ��"'� ' Heat Plug Vsnt Size Valve ��� KIND OF LINER SIZE NON�, L Limit �� Draft Hood _ y�'� Reqularor C � �i1 �` Limit Setting �� Filters Size Number Fa� Setting � U Chimney Location Inside �_ Qu side Pilot Type � �-�7 ' �'��- �}��' Chimney Construction � �� �� � � i Pilot Make r1`L �}L , L Pilot Model - 2-�'— $moke Bomb —M�iring �-�`1 L f�'�i��� Pilot Timing � � �"`' Draft L Test Tay L.W. Cut Off Door Pressure Liyhtiny Inst. ,� / �; Prossuro ���; Percent CO2 � Date Tested L � � � � Input CFH �� � � Percent 02 Compeny Tes*'�� ,���.._-=.�— f Stack Temp. Percent CO �%<<-� Name of Testsr �r�r�� � Form 235 I