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HomeMy WebLinkAbout1991-003924 - mechanical CITY OF ORONO PERMIT PERMIT TYPE: 1335 Brown Rd. South • P.O. Box 66 Permit Number: MECHANICAL Crystal Bay, Minnesota 55323 Date Issued: 00.3924 (612) 473-7357 019/0-2-1/91 SITE ADDRESS: 9:35 TONKAWA RD LSV P. I .N. . 08-117-23-21-0013 _c DESCRIPTION: 2 HEATING SYSTEMS MAKE 140DEL GUD 115E:•_0 AIR CONDITIONING MAKE �� IAC CITY OF OW f 1JdANCF -TICE I IIJJtVOOO y.J 01 GEN SOM All ii.LLiV{/{/VSI / 01 GFX .50 1351700000 h REMARKS: CMECli 01 X X1 ''.00 kEfflPT—T YO U ''001 1 T14:16 OM FEE SUMMARY: M VALUATION $4 Base Fee $60.00 MAIL IN ---------�1��{i Surcharge �s5C Total Fac $F-32.00 Subtotal ----------I .5i r CONTRACTOR: OWNER: -- Applicant -- VOGT FRED b CO :9296767 MCLELLAN WILLIAM 3260 GORHAM AVE c; 93S TONKAWA RD ST LOUIS PARK MN 55426 ORONO MN 55:356 (612) _29-6767 i JN a�-'� t..} r,ti: -.,--.. _� .. ,; T, .r.. ,. I i;Nr 6. HER _� Y FR;E U;E �:_, €'i sold= �- r- _;1=`E-::IFIED AND AGR E'= ;< i�I�I �;�L ,'} , : _ =r -: _. t �+- :�•. yi ? �_• 3 c.i_"I"L 1€-il`?t_E WITH E-?;_l.. tr I ? t� �1- ,-jr,..tSIJI4j_� %Ijiiil yAl (_:r-s, tlIYL3 %Ei % i 1lI=€ +E.:-:",iF,A x: r'I1 r-.T :1-i JE_ frl�1: J ra_.. �.'^ L_ — .— IRE_? E- a .. . APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE CITY OF ORONO D Ro oNa D APPLICATION FOR MECHANICAL PE"It 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 postSage� anti handling fees shown below. tt 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. 20 INSTRUCTIONS Complete all items on this application. Compute the permit fee. !"HT1 wYld dato t ccrt t INCOMPLETE NC MP TE APPLICATIONS PP IC TION '� ^S _ __). �� .. _ . - Lf-L '-�.Cn. 11+..Oi•11LEli, HYYL1l�A11VLVJ WILL LV'Vl 251 YRtiCL,J.7Lill. if you have questions, call 473-7357. ;TALK-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 Y Replace JOB SITE: Zip: Owner' s Name: tk) LLQ-Lo� C Telephone Number: .ailing Address City Zip Contractor' s Name: Telephone Number: Mailing Address `,n,,,;F nK.MN5542s City: Zip: MINIMUM FEE ( $30. 00 per project) SYSTEM DESCRIPTION: $15 . 00 each unit Heating Systems : Quantity: Make: R c►,� Model: GUS Ii58 ,5o P„o l Flue Size: Input BTUs : Output BTUs : CFM: ******************************************************************************** Cooling Systems: Quantity: Make: Model: 5 51I Tons: y H.Power: ******************************************************************************** *WOOD BURNING EQUIPMENT $15.00 each unit Wood stove with flue ` Wood combination or add-on unit Factory fireplace with flue314 Factor Fireplace (s ) freestanding Masonry ' '. Wood Stove (s ) K franklin, other Brand Name Model No. Mfgr ' s Min. , Clearances, side rear min. flue dia. Total ******************************************************************************** VENTILATION $15. 00 each project a # _ No. Kitchen Exhaust ducted recirculating cfm � kF � No. Bath Exhaust (must be ducted outside ) cfm � .. No. Other Fans : Locations cfm Total �t�t*ic�tic�t�t�tieieic�cic�tieie***ic�r�e***�t**�r�e*ie�k******�e�tie�t�ticic*�c*ie*�t�c****�t�ti�***�t�t�eic*icx *ic�ticir**** 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 ) $ 4n, 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 $ '_. o C; u u::-.to •si°=:•.' ^� '� 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 statements made on this application are complete, true and correct. Applicant' s SigSignature: ��`��-E-- Date: � -a.$-:"�ai.._3r,..>.:-..:: '•:Y: "'rr ssr..°,s;^. ', ..�n_' * .g='®m .. a .; - '°::"- 7 F;:.» q s •:,s, �f `' t` t qk,Y e ta .7r r * se sA } �«`�' a 'gv�Y:r� ., d�t�+?+�L+'� r��,� ��,u :a u� •N. � �Q `« '�� # .r� �, � �'� t si� .3" ?�L� # '�-.a TMf' r .� 745-o) HOUSE HEATING TEST RECORD *SIT SW 3 /2 I ADDRESS t , w A APT. FLOOR CITY SUBURB LL 6 OCCUPANT OWNER HEAT LOSS DATE HTG. INST. _ n SOLD BY INSTALLED BY oc- 1 Electrical Work By Gas Line By TYPE OF HEAT GA FA ' HW STEAM SPACE HTR. _UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE MAKE OF BURNER Model Model Serial Max. BTU Rating CNOF INPUT lr� C)ejc3 MAKE OF FURNACE `� Model J a CONTROLS THERMOSTAT 1_1_( Heat Plug Vent Size Valve KIND OF LINER SIZE n.--NONE Limit �(�T)l 43 Draft Hood C�9Q:FL hj Regularor �(� t'+ Limit Setting S go Filters Size E A C Number Fan Setting rrn 1py�) Chimney Location Insides X Outside Pilot Type c)Ppru<1 `_,NRCL-N Chimney Construction DII P YC Pilot Make Pilot Model Smoke Bomb Wiring Pilot Timing Draft f FIZTTIQ w Test Tag s L.W. Cut Off _ Door Pressure — Lighting Inst / f l -� Pressure �`� Percent CO2 Date Tested aci Input CFH 5 606 Percent 02 Company Testing \ oGT W Efl-Tl N 1:_ —1J' Stack Temp. y Percent CO //�� 6 Name of Tester `T —T� Form 235 aw 7'501HOUSE HEATING TEST RECORD 1 -`" �or �r ADDRESS YSs APT. FLOOR CITY -SUBURB"�L�JL^ . 00CUPANT OWNER HEAT LOSS DATE HTG. INST. \( SOLD BY INSTALLED BY Y Electrical Work By Gas Line By TYPE OF HEAT GA FA_2�,­HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE MAKE OF BURNER Model U Model Serial 1 Max. BTU Rating INPUT MAKE OF FURNACE Model CONTROLS T _ h THERMOSTAHeat Plug Vent Size Volvo aros KIND OF LI ER SIZE NONE )S, Limit ins (33 Draft Hood �(ZpF1 "FAw Rogularor Limit Setting---A-V) Filters Size E. A I C, Number Fan Setting m is-v Chimney Location Inside X Outside Pilot Type S P A 2 k,_ -- KIT! 0 IJ Chimney Construction—Q 'I py C- Pilot Make Pilot Model Smoke Bomb s Wiring Pilot Timing Draft ULA VET Test Tag L.W. Cut Off Door Pressure — Lighting Inst."I Pressure—J l lA Percent CO2 Date Tested g'-Lq -9 1 Input CFH 1 O Percent 02 Company Testing r / NG Stack Temp. Percent CO ©/a Name of Tester —LTA r�T• Form 235