HomeMy WebLinkAbout1991-004088 - furnace PERMIT
CITY OF ORONO PERMIT TYPE: rMC:HANIC:AL
1335 Brown Rd. South • P.O. Box 66 Permit Number:
Crystal
Crystal Bay, Minnesota 55323 Date Issued: 12/06/91
(612) 473-7357
SITE ADDRESS:
E.45 TONKAWA RD
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P. I . N. ' 05-11 i-23-_ _-0011
DESCRIPTION:
FURNAC=E
1 HEATING SYSTEMS FLUE SIZE FUEL NATURAL GAS
MAKE �Cw.Q`' :MODEL C; 'C;Q2-SO
INPUT ",_ , ` t
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CITY OF ORONO
REMARKS: 13133GC
41 GEN 30135170000 J1of GEW .
FEE SUMMARY: _ '
VAL 1�' i 1tit200000
01 GEN .5
Base Fee $30 .00 CHECK TL 32.
Surcharge ;i RECEIPT-THANK YO11
Total Fee _____--_$___.I,EQ #230100 0001 R01 +7T1 Jit
1:.,U6i
r-lec / �O
4632 a�,
CONTRACTOR: -- Applicant -- OWNER:
C:R1:,NS,TR0i''{S HTC; b AC. I NC: 39203800 TEMPLE I SREAL CAMP PEI(O
4410 EXCELSIOR BLVD E345 T13NKAWA RD
MINNEAPOLIS MN 5541 I=5 CIRONO MN 55-:--G6
(612) 920-:3800 (1612)471-0217
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE -���
CITY OF ORONO
APPLICATION FOR MECHANICAL PERMIT
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City
offices. Mailed-in permits are subject to the postage and handling fees
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.
6 . 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.
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
Please check one: New Addition Repair X ,Replace
JOB SITE: 645 Tonkawa Road _ Zip: 55356
Owner ' s Name : Temple Isreal Camp Peko Telephone Number: 471_0217
Mailing Address : 645 Tonkawa Road City: Lon ?ke Zip: 55 'A56
Contractor ' s Name : Cronstroms Heating A /C Telephone Number: _
Mailing Address 7201 w Lake St City:____St lnuis Pk Zip: 55426
MINIMUM FEE ( $30 . 00 per project)
SYSTEM DESCRIPTION: $15 . 0D each unit
Heating Systems :
Quantity: 1
Make: Lennox _
Model : G20Q2-50
Fuel: Nat . Gas
Flue Size : 3
Input BTUs : 50 , 000
Output BTUs :
CFM:
Cooling Systems :
Quantity:
Make:
Model :
Tons:
H.Power:
� �y
*WOOD BURNING EQUIPMENT $15. 00 each unit
Wood stove with flue
Wood combination or add-on unit
Factory fireplace 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
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VENTILATION $15. 00 each project
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside ) cfm
No. Other Fans: Locations cfm
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
PERMIT FEE CALCULATION
1 . Total of above Installations or Minimum Fee ($30.00 ) $ 30 . 00
2 . State Surcharge. Add the State Building Code Division
Surcharge to each permit $ . 50
3 . Postage and Handling on all mailed-in applications , $ 1. 50
4 . TOTAL PERMIT FEE add lines 1-3 above $ 32 . 00
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 an
the regulations of the Minnesota State Building Code, and certifies that al .
statements made on this application are complete, true and correct.
Applicant ' s Signature: �G�c� Date.
CRONSTWOMS HTG. & AIR GOND., INC. Job Nam
17-56 4410 Excelsior Boulevard, Minneapolis 16,Minn. ) „
NEAT LOSS CALCULATIONS Job Addre�P5 � /� �
Weatherstrips A.S.H.V.E. Construction No. Insulation
Guide
Windows Doors Reference Out.Wall Int.Wall Ceiling Roof Floor Kind How Applied
Yes—No I Yes—No 19—
Fl.� Room I Length Width Z—t_Height F1.1 Room i Length Width Height
Windows and Doors—Crackage and Area �l Windows and Doors—Crackage and Area
Width Height No.of Lineal ft. Area / Z Width Height No.of Lineal ft. Area
No. of pane of Dane lights of crack sq. ft. No. of pane of pan@._ lights of crack sq. ft.
-L td q G
Coef. Btu Coef. Btu
Infiltration / 1 - 2 Infiltration
Glass
Glass
Exp.wall 1140 Exp,wall
Net exp. wall O 0 Net exp. wall
Int. wall Int.wall
Ceiling Ceiling
Floor -7 r Floor
Total Btu. Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 Room I Length Width Height Fl.l Room I Length Width Height
Windows and Doors--Crackage and Area Windows and Doors—Crackage and Area
Width Height No.of Lineal ft. Area Width Height No.of Lineal [t. Area
No. of pane of pan et lights of crack sq.ft.
No. of pane of pane lights of crack sq:ft.
f
Coef. Btu Coef. Btu
Infiltration Infiltration
Glass Glass
Exp.wall Exp.wall
Net exp. wall Net exp. wall
Int. wall Int.wall
Ceiling Ceiling
Floor Floor
Total Btu. Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required s ft. E.D.R. or s
q q. q. iris. W.A. Leader area
F1.1 Room I Length Width Height Fl.1 Room I Length Width Height
Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area
Width Height No.of Lineal ft. Area Width Height No.of Lineal ft. Area
No. of pane of Dane lights of crack sq.ft. No. of pane of pane lights of crack sq.ft.
Coef. Btu Coef. Btu
Infiltration Infiltration
Glass Glass
Exp. wall Exp,wall
Net exp.wall Net exp.wall
Int.wall Int.wall
Ceiling Ceiling
Floor Floor
Total Btu. Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required`sq. ft. E.D.R. or sq. ins. WA. leader arra
Do�O� v
HOUSE HEATING TEST RECORD
ADDRESS 645 TOnka[ia gnarl APT. FLOOR CITY LLake SUBURB
OCCUPANT Temple Isreal Camp Teko OWNERTemple TGr al Camp TPkn
HEAT LOSS. 29 , 216 DATE HTG. INST. GAS CO. METER BADGE #
SOLD BY Cronstroms Heating & A/C—INSTALLED BY Crqn.-strnms Heating A A/c,
Electrical Work By Gas Line By ab 4 81!:Ak2 .
TYPE OF HEAT GA— FA--XHW STEAM— SPACE HTR. UNIT HTR. y OTHER
GAS DESIGN CONVERSION
MAKE Lennox MAKE OF BURNER
Model - " Model
Serial S 97 `7 Max. BTU Rating
INPUT 50 , 000 MAKE OF FURNACE Lannox
Model G20Q2 -0
CONTROLS
THERMOS � eat Plug Vent Size
Valve KIND OF LINER r SIZE NONE
Limit - LEO - 3 �' Draft Hood ` Regulator
Limit Setting /�Od Filters Size,,/A Number f
Fan Setting 7 ,( C Chimney Location Insiders Outside
Pilot Type -6� 772,*UU L'- 7Chimney Construction-5-
Pilot
onstruction 5-Pilot Make 0^e1CF 51 &"J
Pilot Model Smoke Bomb —Wiring Ir
Pilot Timing ZG� 57- Draft Test Tag Y
L.W. Cut Off Door Pressure Lighting Inst.(
Pressure 3 ���(-J' C Percent CO2 7 �� Date Tested 1� c��_ S [ t
Input CFH �S a Percent 02Company Testing
Stack Temp 34 d Percent CO ��-U tl`yam Name of Tester
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