HomeMy WebLinkAbout1992-004376 - mechanical �,,, PERMIT
� ���T� �� OR�NO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: NlE��HAhI I C�(�L
Crystal Bay, Minnesota 55323 Date Issued: t}�?�:�7�
(612) 473-7357 C)F./tli/'�i;�
SITE ADDRESS:
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DESCRIPTION:
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� HEAT I NG '�Y'�TEM:� Ft 1EL �iAT��Rt�L �A'=: �iAIr.:E AMANf�
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CONTRACTOR: OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �—/
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CITY OF ORONO
APPLICATION FOR MECHANICAL PERMIT �
GT�iT?R1�T• INFORMATION �
1. You may apply fr�r mechanical permits by mai2 or in person at the City �
offices. Mailed•-in permits are subject to the postage and handling fees
shown be low.
2. Permit cards wi]_1 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 con,struction or remodeling is involved, a separate building
permit must be obtained.
4. All work must b� done in accordance with State Building Code requirements.
5. All work must b� inspected (rough-in and final). Call 473-7357. 24-hour ��
notice required.
6. House Heating Test Record must be submitted before final.
INSTRUCTIONS Complete all items on this application. Compute the permit fee.
Siyn and daze the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.
If you have questions, call 473-7357.
WALK-IN PERMITS appl,y 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
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Please check one: _� New Addition Repair Replace
JOB SITE: a� �a .: ��,� �� p� � z�P:
Owner' s Name: �-e, C>�.�,�-- f� .� . Telephone Number:
Mailing Address: � � City: Zip:
---r--
;:cr�tract��' s Name: Teiephone Number:
Mailing Address City: Zip:
********************* �********************************************
MINIMUM FEE ( $30. 00 per project)
*�******************************************************************************
SYSTEM .DESCRIPTION: $15.00 each unit
Heating Systems:
Quantity: / /
Make: ����.o� ,� __
Model: CT- uC. aq� /3�5- G�-lco�� o �3 �3v
Fuel: N' , �,� �L��
Flue Size:
Input BTUs: �) C� /� , -7 D .i`t
Output BTUs:
CFM:
********************************************************************************
Cooling Systems: � /
Quantity:
Make: �ti�--v� ,q
Model. Z' RC � ��3�� � RC� G:3 � �� � __
Tons: a, 5 3
H.Power: ` - -
******************�*************************************************************
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*WOOD BIIRNING EQIIIPMENT $15.00 each unit
Wood stove with flue
Wood combination or add-on unit
Factory fireFlace with flue
'��`��� Factor Fireplace (s ) freestanding Masonry
Wood Stove (s ) franklin, other
BrandName Model No.
Mfgr' s Min. , Clearances, side , rear , min. flue dia.
; Tota1
�:: **********************************************�*********************************
�: VENTILATION $15.00 each project
No. � Kitchen Exhaust ducted recirculating cfm
No. 5 Bath Exhaust (must be ducted outside) cfm
No. Z Other Fans: Locations �0�� V �--�'� . cfm ! 5-` G �
Total
********************************************************************************
FIIEL STORAGE (must be approved by fire marshal)
' $30. 00 Permanent/Temporary
Fuel oil, gallons underground inside outside
�`"` LP Gas, gallons
Other Gas opening
:±:"`•' 7t�k***k*7k********�k�ck*�t***7k*k****7k*****�k**irk****�h***********7Y***7k*k*!r*************
; GAS LINE INSPECTION
: High/Low Pressure $15. 00
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P$RMIT FEE CALCQLATION
- l. Total of above Installations or Minimum Fee ($30.00 ) - $ �7 5, U U
2 . State Surcharge. Add the State Building Code Division
Surcharge to each permit $ . 50
3 . Postage and Handling on all mailed-in agplications, $ 1. 50
4. TOTAL PERMIT FEE add lines 1-3 above $ �-7, � G
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
statement� made �n this application are com�.lete, true and correct.
f J App licant' s Signature: � � �-�-�Q Date: J'� 8'��
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�?� HOUSE HEATING TEST RECORD ����
ADDRESS �`� �� �������"a F� '�APT. FLOOR CITY SUBURB � ���
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST. ` 'OC
SOI.D BY INSTALLED BY �f
Electrieal Work By Gas Lin� By �����
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
AS DESIGN CONVERSION
MAKE � � MAKEOFBURNER
Model � Modsl
$�;a� � Max. BTU Ratiny
INPUT `�n le� ----- MAKE OF FURNACE
Mod.l
ONTROLS r,_._._ � i(
THERMOSTAT � Heat Pluy Ve�t Sizs
Valv� KIND OF LINE SIZE NONE
Limit Droft Hood Rsyulawr
Limit StHing � Filt�►s Size � Numb�r
Fan Settiny Chimnsy Location Inside�0utsids
Pilot Typs v Chimnsy Conatrvetion ��
Pilot Mcke Q`,-
Pilot Model "—' Smoke Bomb Wiring �1�"`��
Pilot TiminQ 7 � Draft Tsst Tay
L.W. Cut Off �— Door Pressure Liyhtiny Inst.
Pressure � � P�rcent COZ � Dote Testsd r � Z
Input CFH �'� Peresnt 02 Company Testing
Stoek Temp. Porc�nt CO Name of Test��
Fum 235
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HOUSE HEATING TEST RECORD
ADDRESS oZ0 l� S v C�2 I�.,.C�a p� N � ' APT. FLOOR CITY SUBURB �'�" �D
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST. � )�� � C /
SOLD BY INSTALLED BY u
Electrical Work By Gas Lins By
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE � MAKE OF BURNER
Model U � Model
Serial �3 Mox. BTU Ratiny
INPUT MAKE OF FURNACE
Model
CONTROLS q t(
THERMOSTAT _tisat Pluy Vent Sizs ��"
Valve �� KIND OF LINER SIZE�NONE
Limit Droh Hood R�qulator �� rL n-�� `
Limit S�Ning n6 Filt�rs Size Num •r
Fcn Sstting � Chimnsy Loeotion Insids tsids
Pilot Typs � Chimney Construction
Pilot Make ��
Pilot Modsl /� Smoks Bomb Wiring ��`
Pilot TiminQ ` Draft v~ Test Tap
L.W. Cut Off ��^ Door Pressure Liyhtin9 Inst.
Prsasure " � P�resnt COZ � Date Testod �
Ir�ut CFH Percent 02 Company Testing �
Staek T�mp. Perc�nt CO Nams of Tssf�r
Fwm 235
pATE TIME
CITY OF ORONO CALLED IN �--% �'"�'
INSPECTION NO/T�CE SCHEDULED i-/-'��°-�= '� ���''
P�RMIT N0. �`� � � COMPLETED ^�__ ��
ADDRESS c��''l.%-� ,i/r i , ,.,�-��- ��r.
OWNER���;�}���.-citJ CONTR. �� >� c'
TELEPHONENO. � '� � ���` �
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� DESCRIPTION __��.�;,.� ��1 v �C f�Z�_-�i- �� �/li,�;.Cr1...- f
� 01 FOOTING 11 MECHANICA R� , 16 WELL TEST PUMP
�— ----_
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
� 031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
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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 06 PROGFIESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
T 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,— PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next'nspection 24 hours in advance.473-7357
OwnerlContr on i e:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
ATE TIME ✓ /
CITY OF ORONO CALLED IN
INSPECTION NOTI SCHEDULED �-- � � �n
PERMIT NO. � � COMPLETED 1 �
ADDRESS Z � '�
n �
OWNER������2�� CONTR. '
TELEPHONE NO. �-� ``�L''�n �� '�
� DESCRIPTION ��'e�-�r'�a� 1
�
Q02 FRAMING 11 MECHANICAL FINA � 18 EXCAV/GRAD NGIFILLING
� 03 INSULATION 24I25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Q
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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� ❑CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnedContra �ite:
Inspector.
White Copylinspector' File Canary Copy/Site Notice