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:
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DESCRIPTION:
i HEATING SYSTEMS MAKE MODEL RH25
CITY Or ORONO
FLk'ANCE OFFICE
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REMARKS: RE "
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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