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HomeMy WebLinkAbout1992-004673 - mechanical PERMIT `' "TY OF ORONO PERMIT TYPE: 1335 Brown Rd. South P.O. Box 66 MSC: qN I C:AL Permit Number: t7t)4F� Crystal Bay, Minnesota 55323 Date Issued: 10/01/92 (612) 473-7357 SITE ADDRESS: 1080 T►jNKAWA RD CH P. I .N. . t_i -117-23-13-Cy00 DESCRIPTION: HT Y' TFM:OAc,. LINE #_ HEA'r i NG SYSTEMS FUEL INA;I,IRAL GAS 11AKE LENNOX MOD§ - U�Cit L E-7 c 1 GAS LINE INSPECT dmv FMr�r pa ^ rbc Yg L �i , ati a rb r i r 0T L7,L•i eu i l" %ir' 4F 1JJ J0000 ( 1 WE;T1 >.'V•V V L�� .REMARKS: � •i„L�T7 •V •µ'lfTi+i i r} I U 117�jj 17c;•JV AA vv 4 Cd- L!! f L•L 1•JV FEE SUMMARY: z Trj TLShilp r!-ffI _ /q,�Lif f rr rrrrn�t/f(t rvu -� _ _ _ •,a 7'''la:.�l TLV CP0 1 !\V}1 11'1•V1J Base FeeVii.' t'i d'ff) y iV/A,/92 o '�urctrarge ;�7t� VrLL17TL+VVl ItYl fi�f•GI ---------- $' ii 0s Total Fee $-.0-50 CpNTe `gypR - Applicant - vIGTA� T . CO 39296767 � � MARV IN 260 GORHAM AVE S 1080 TONF:AWA RD ST LOUIS PARK MN 55426 ORONO MN 55*356 (612) 929-6767 THE 4 t-jr-'ER'_ I GNED HEREBY RE�}t_1F,_*! PEF M I'�S I ON Tis I�1Ak::E THE REAL IMPROVEMENT.-, .c-:IFIE'�1" FA{t�D rAt_RE�pES'(•�, TC-i CSI AL i3,p�I�fl?'K IN '."TRICT_+i:l/�zi�11=LIr�i�1�:�E WI-;-H AL_L_C:ITY IJ`_ I_I D I NANC•E't' Y2ND :,, ! TLE �_�F M t lili��_��iO I F( �.��1 L����Vt i j.+i�}7_ R�t���i �Y 4t{�.Fj� V _ — APPLICANT/PERMITEE SIGNAT R ISSUED BY:SIGNATURE,11 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. Q-ign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357. 4ALK-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 SITEl:� J. . Zip: " �t )wner ' s Name : l7�,�� � �� Telephone Number: +tailing Address : City: Zip: 'ontractor ' s Name: VGGT "MNG&PJRC0NQMGNitX Telephone Number: flailing Address City: Zip: VI E 9294011 4INIMUM FEE ( $30. 00 per project) SYSTEM DESCRIPTION: $15 . 00 each unit seating Systems : I )uantity: sake. .F,k 4odel. G a8 Q3 E -7 S 'uel : w, cam, =1ue Size : —� _nput BTUs : 7 )utput BTUs : 'FM: tooling Systems : quantity: lake: lodel. 'ons: [.Power: ******************************************************************************* i *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: 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 ) $ 2 . State Surcharqe. Add the State Building Code Division Surcharge to each permit $ . 50 3 . Postaqe and Handling on all mailed-in applications , $ 1. 50 4 . TOTAL PERMIT FEE add lines 1-3 above $ 3a. ©n 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 Signature: Date: � Y�`T _DATE TIME CITY OF ORONO CALLED IN la 9A 30 INSPECTION NOTICE SCHEDULED / 00 PERMIT NO. COMPLETED k ADDRESSy O D OWNER Q CONTR. UG 9�5 TELEPHONE NO. 9a -2 DESCRIPTION 01 FOOTING 11 HANICAL RI 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPTIC FINAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: Q_ ads cc J 0 a az 0 W CC Q 2 W W CC d Uj WORK SATISFACTORY:PROCEED C PROJECTCOMPLETE LIC W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contrao ite: _ Inspector. F'111� r4 White Copy/Inspectors File Canary Copy/Site Notice # `tG7 3 � ���� ✓ f �� HOUSE H EATING TEST RECORD ADDRESS I���y "�' �`� APT. FLOOR CITY SUBURB 0'` U OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY 66 t f n Electrical Work By Gas Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS D tGN CONVERSION MAKE MAKE OF BURNER Model Model Serial Max. BTU Rating INPUT MAKE OF FURNACE Model CONTROLS E( THERMOSTAT t Plug r �� Vent Size Valve Q'7 LKIND OF LIN SIZE NONE Limit CA n- Draft Hood ARegularor Limit Setting Filters Size Nu er Fan Settingt I Chimney Location inside Outside Pilot Type Chimney Construction Pilot Make r 129 L, t Pilot Model Smoke Bomb Wiring Pilot Timing L Draft Test Tag L.W. Cut Off "`---- Door Pressure Lighting Inst. Pressure Percent CO2 Date Tested Input CFH Percent 02 Company Testing Stack Temp. Percent CO Name of Tester Form 235