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HomeMy WebLinkAbout1992-004214 - mechanical PERMIT F CITY OF ORONO PERMIT TYPE: viECHAN1.CAL 1335 Brown Rd. South • P.O. Box 66 Permit Number: 0042i4 +Crystal Bay, Minnesota 55323 Date Issued: C, ir.,' 2 (612) 473-7357 SITE ADDRESS: _aC _ t�5-1 i !-�_�-ti:ti�-tjijt�l DESCRIPTION: i HEATING SYSTEMS MAKE MODEL RH25 CITY Or ORONO FLk'ANCE OFFICE 41 Xv A 01) 12X.:200040 H 41 GEN 1:31 Ttt {t4 � 1 GEN 1. CHEff TL 32. REMARKS: RE " 1 111, #23,7150 CON R01 T13 40 0116192 FEE SUMMARY: Base Fee $30 .00 MAIL IN --------- Surcharge _ 5Q Total Fee $32.00 Subtotal _$,.---,.0 . _;0 .so CONTRACTOR: - Applicant - OWNER: CR13NSTROMS HTC; b AC: INC: :39203300 CAMP TEKO 4410 EXCELSIOR BLVD 645 TONKAWA PD MINNEAPOLIS MN 55416 LONG LAKE MN 55356 (612) 920-31800 471-0-217 I THE UNOERS I GNED t,5y`` iiUttt�T" P��I' S I .: 'EC:I F I D, A���S KL IN ' AOI' �L I SNC E= W 17 H,a,tLt C.I T`f , CODE fiE� L_ ORONO ORD zJI DEMENT n . APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT (� 6ENER_GENERALINFORMATI N O 1. You may apply for mechanical permits by mail or in person at the Cite offices. Mailed-in permits are subject to the postage and handling fee:. shown below. 2 . Permit cards wi 11 be sent by return mail the samEW �� kation is received. PERMITS ARE NOT VALID UNTIL YOU RECEIVE R It. WK MUST N07_ BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3 . When any new construction or remodeling is involved, a separate buildincg 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-hou 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 certify cation. INCOMPLETE _PPT ICAi1vNIS Y7ILL 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 _Replace JOB SITE: (-1Jj- i Zip: . ' Owner ' s Name : Telephone Number: - ';�/ Mailing Address : it Zip: Contractor ' s Name: Telepho e Number: Mailing Address _ _ ' City: TIL " ALL Zip: S MINIMUM FEE ( $30. 00 per project) ******************************************************************************** SYSTEM DESCRIPTION: $15 . 00 each unit Heating Systems : Quantity: Make: 1- , Model . a Fuel : Flue Size: Input BTUs . Output BTUs : CFM: ******************************************************************************** Cooling Systems : Quantity: Make. Model : Tons : H.Power: *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 ******************************************************************************* VENTILATION $15. 00 each project No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside ) cfm No. Other Fans: Locationscfm 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) $ 3o. C,) - 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 $ 3,�t ,O 0 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: Date: z w � * R License or Permit Bond Bond #500847443 ® Continental Casualty Company CNA ❑ National Fire Ins. Co. of Hartford For All the CommitmentsYoaMake' ❑ American Casualty Company of Reading, Pa. CNA Plaza A Stock Company Chicago, Illinois 60685 KNOW ALL MEN BY THESE PRESENTS, That we Cronstroms Heating & Air Conditioning, Inc , of 7201 West Lake Street, Minneapolis, NN 55426 hereinafter referred to as the Principal, and Continental Casualty Company a corporation organized and existing under the laws of the State of Illinois and authorized to do business in the State of Minnesota , as Surety, are held and firmly bound unto City Of Orono herein after referred to as Obligee, in the sum of Two Thousand and No/100------ ro-nnn nn)-- , lawful money of the United States of America, to the payment of which sum, well and truly to be made, we bind ourselves, our executors, administrators, successors, and assigns, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, That whereas, the Principal has made application for a license or permit to the Obligee for the purpose of, or to exercise the vocation of Heating Machanical License NOW, THEREFORE, if the Principal shall faithfully comply with all ordinances, rules and regulations which have been or may hereafter be in force concerning said License or Permit, and shall save and i�uep harmless the Obligee from all loss or damage which it may sustain or for which it may become liable on account of the issuance of said license or permit to the Principal, then this obligation shall be void; otherwise, to remain in full force and effect. THIS BOND WILL EXPIRE 03-11-93 but may be continued by continuation certificate signed by Principal and Surety. The surety may at any time terminate its liability by giving thirty (30) days written notice to the Obligee, and the surety shall not be liable for any default after such thirty day notice period, except for defaults occurring prior thereto. SIGNED, SEALED AND DATED this 10th day of March , 19 92 Cronstroms Heating & Air Conditioning Inc. 007 Principal By. Continental Casualty ConD - �i Surety /moo k By: UE'`rdia K• Sr�=zl- ttorney-in-fact G-23172-A J � G-23208-B ss. STATE OF COUNTY OF I Richard nevine Ramsey Minnesota Notary Public of County, in the State of do hereby certify that Gerald R. Brazil Attorney-in-fact, of the Continental Casualty Company is who personally known to nye to be the same person v.,hose name 1!� subscribed to the foregoing instrument, appeared before me this day in person, and acknowledged that he signed, sealed and delivered said instrument, for and on behalf of the Continental C'.asrtalty C'ntnz 2ny for the uses and purposes therein set forth. Given under my hand and notarial: at my office in the City of Minneapolis in said County, this 10th d o M rr- A.D. 19 92 -1 C" ■ Notary Public. �. RICHARD A. DEVINE NOTARY PUBLIC—MINNESOTA RAMSEY COUNTY My Comm.Expires April 22,1994 .� ......nn n ss •,.nn.,l�N 0 ,Continental Casualty Company I CNA For Aft t he Comm it nw•nt a You Make" AN ILLINOIS CORPORATION POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT Know All Men by these Presents, That CONTINENTAL CASUALTY COMPANY, a corporation duly organized and existing under th laws of the State of Illinois, and having its principal office in the City of Chicago, and State of Illinois, does hereby make, constitut and appoint Thomas W. Devine Richard A. Devine John C Reichert, Gerald R_ Brazil , Individually of Minneapolis, Minnesota Its true and lawful Attorney-in-fact with full power and authority hereby conferred to sign,seal and execute in its behalf bonds,undertakings I and other obligatory instruments of similar nature - In Unlimited Amounts - and to bind CONTINENTAL CASUALTY COMPANY thereby as fully and to the same extent as if such instruments were signed by the duly authorized officers of CONTINENTAL CASUALTY COMPANY and all the acts of said Attorney, pursuant to the authority hereby given are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the following By-Law duly adopted by the Board of Directors of the Company. "Article IX—Execution of Documents Section 3.Appointment of Attorney in-fact.The President or a Vice President may,from time to time,appoint by writtencertificates attorneys-in-fact to act in behalf of the Company in the excecution of policies of insurance, bonds, undertakings and other obligatory instruments of like nature. Such attorneys-in-fact, subject to the limitations set forth in their respective certificates of authority, shall have full power to bind the Company by their signature and execution of any such instruments and to attach the seal of the Company thereto.The President or any Vice President or the Board of Directors may at any time revoke all power and authority previously given to any attorney-in-fact." This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company at a meeting duly called and held on the 3rd day of April, 1957. "Resolved, that the signature of the President or Vice President and the seal of the Company may be affixed by facsimile on any power of attorney granted pursuant to Section 3 of Article IX of the By-Laws,and the signature of the Secretary or an Assistant Secretary and the seal of the Company may be affixed by facsimile to any certificate of any such power, and any power or certificate bearing such facsimile signatures and seal shall be valid and binding on the Company. Any such power so executed and sealed and certified by certificate so executed and sealed shall, with respect to any bond or undertaking to which it is attached,continue to be valid and bindino on the Company." In Witness Whereof, CONTINENTAL CASUALTY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on this 31St day of May , 19 91 ��cAsur�r` CONTINENTAL CASUALTY COMPANY State of Illinois 1 coro•„r County of Cook ( ss t SEAL ? 1891 J. E. Purtell Vice President. On this 31st day of Ma-Y , 19_4L, before me personally came J. E. Purtell,to me known,who, being by me duly sworn,did depose and say:that he resides in the Villae of Glenview, State of Illinois;that he Is a Vice-President of CONTINENTAL CASUALTY COMPANY, the corporation described in and which executed the above instrument;that he knows the seal of said Corporation;that the seal affixed to the said instrument is such corporate seal;that it was so affixed pursuant to the said instrument is such corporate seal;that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority,and acknowledges same to be the act and deed of said corporation. �# De . h .o N IWART tD PUBLIC Linda C. DempNotary Public. My Commission Exp res 0 tober 19, 1994 CERTIFICATE 1,Robert E.Ayo,Assistant Secretary of CONTINENTAL CASUALTY COMPANY,do hereby certify that the Power of Attorney herein above set forth is still in force,and further certify that Section 3 of Article IX of the By-Laws of the Company and the Resolution of the Board of Directors,set forth in said Power of Attorney are still in force. In testimony whereof I hav ereunto sub ribed my name and affixed the seal-of the said Company this l8t� day of larch 19 92 us 1tS I” ir Robert 5/Ayo /Assistant Secretary co•�''r • GV SEAL U17 Form 1.23142-8 INV. NO. G-57443-B