The URL can be used to link to this page

Home My WebLink About1996-008457 - furnace PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 MECHANICAL Crystal Bay, Minnesota 55323 Permit Number: 008457 (612)473-7357 Date Issued: 1#�7(),q/=tF SITE ADDRESS: 750 T;�NKAWA RD LSV P. I . N. r 05-117-23-34-0006 DESCRIPTION: FURNACE I HEATING SYSTEMS FLOE SIZE 4" FUEL NATURAL GA'_ MAKE LENNOX MODEL G23Q3/4-10C INPUT loo'000 REMARKS: FEE SUMMARY: VALUATION $1 ,:�:7� Case Fee $35.00 MAIL IN Surcharge --------- 1-24 Total Fee $:37.44 Subtotal $35.34 CONTRACTOR: - Applicant - OWNER: D I TTER INC: :347:9SS EDELMANN LARRY 820 TOWER RD 750 TONK:AWA RD MEDINA MN 55:340 ORONO MN 55356 (612) 478-956 (612)471-0073 THE VNDERS 6WO HEREBY REOVESTS PERM� I, -T DD, 'E T I, R ED SPECIFI �AN6 AC FLEES, TO 00 ALL. WOkK ` Ili T �T � r; �n. T . ° u t T DRQ ORDINANCES AND S3ATEE MN��iES � � I� ?�IO APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE CITY OF ORONO APPLICATION FOR MECHANICAL.I IT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within 2 working days. . 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs - Complete calculations, details and specifications are required for each heating, ventilation,humidification-dehumidification, and air conditioning installation including heat loss/heat gain calculation, design temperatures, equipment ratings and identification as to type, manufacturer and model. Data shall be presented on form provided. Identification of and specifications for water heating equipment shall also be provided. 4. When any new construction or remodeling is involved, a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected (rough-in and final). Call 473-7357. 24-hour notice required. 7. 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.qu Please check one: New Addition Repair _ZReplace Residential Commercial JOB SHE: _M _M 1'(AL A P' Owner'sName: L � - -t— t /Yfr•)l ) Telephone Number: 7�I -J 00Z3 Mailing Address: �� City: Zip: ' NTelephoneNumber:Contractorsamen II MailingAddress: Twt721�2 City: 1{fc*i'teC, Zip: Seo SYSTEM DESCRIPTION HEATING SYSTE�M�S Quantity: Make: r1 D Model: 3/-4'106 Fuel: N Flue Size: !i" Input BTUs: 100, QF10 Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power IL WOOD BURNING EQUIPMENT Wood stove with flue Wood combination or add-on Factory fireplace with flue Factory Fireplace (s) Freestanding Masonry Wood Stove (s) Franklin, other Brand Name Model No. Mfgr's Min., Clearances, side rear min. flue dia. Total VENTILATION 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) Installation Removal Fuel oil: gallons underground inside outside LP Gas: gallons Gas opening Other PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Min* Fee ($35.00)x .0125 $ (contract price) / 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ (contract price) or $.50, whichever is greater b $ 1.50 3. Postale and Handling (Only mail-in applications) $ ' .50 4. TOTAL PERMIT FEE (Add lines 1-3 above) 7 ily CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor,or installation are furnished by the owner, tenant or any other party the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is greater. For valuations over$1,000,000 call the Department of Inspectional Services for the price. The undersigned hereby applies to the City for 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 statements made on this appcomplete, and correct - j - �_- /< Date: IQ/ . Applicant's Signature: Date: Approved By:- DAT//E_ / TIME, CITY OF ORONO CALLED IN INSPECTION NOTICE rr// -I SCHEDULED d 30 PERMIT NO. �7`� COMPLETED /o-o-54 Z---3j ADDRESS -2 e- OWNER 1 CONTR. TELEPHONE NO. �-7 by 7`' DESCRIPTION LU 01 FOOTING 11M 18 EXCAV/GRADING/FILLING 02 FRAMING MECHANICAL FINAL 19 LAKESHORE/WETLANDS O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q x 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS ~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT v �Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Z 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: CC W Q_ J O cc O W cc Q Z W W cc qqj lam/ WORK SATISFACTORY:PROCEED PROJECT COMPLETE W 0 CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. F PHOTO TAKEN INSPECTOR WILL RETURN El STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73557 Owner/Contractor On,sit Inspector. White Copy/Inspector's File Canary Copy/Site Notice {�HgUSE�( HEATING TEST RECORD t Jv pGeO ADDRESS APT. FLOOR CITY SUBURB OCCUPANT ^K�� ✓ �'rh OWNER HEAT LOSS DATE HTG. INST. I4-/O —"j'{ �SQ6&-Sl` ��ti-, FYIri'FZ 14e INSTALLED BY Electrical Work By Gas Line By TYPE OF HEAT GA FA,[,�g_HW STEAM SPACE HTR. UNIT HTR. OTHER LGAS DESIGN CONVERSION MAKE C 43 Q IN MAKE OF BURNER Model 54-90(_ Model Serial Max. BTU Rating INPUT � � �T� MAKE OF FURNACE Model CONTROLS ! ' THERMOSTAT Heat Plug Vent Size y Valve •..KIND OF LINER L SIZE NONE Limit Draft Hood h 1�4^ P Reguloior Limit Setting fi� �� Filters Size Number Fon Setting Chimney Location 13(19(z- Pilot Outside Type Chimney Construction 13( Pilot T oG✓ Sd^ C��^��b C �n 0f � Pilot Make Pilot Model Smoke Bomb Wiring Pilot Timing Droft Test Tog L.W. Cut Off Door Pressure Lighting Inst. Pressure Percent CO2 Dote Tested �,� �� Company Testing X77 �✓ L' Input CFH Percent 02 � Stack Temp. ' 2iz 25 ' ' Percent CO b Nome of Tester Form 235 r'. .