HomeMy WebLinkAbout2001-P03813 - mechanical PERMIT
CITY OF ORONO
27'50 Kelley Parkway- PO Box 66 Permit Number: P03813
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 5/15/2001
SITE ADDRESS: 1355 Tonkawa Rd
Wayzata,MN 55391
PID: 08-117-23-42-0010
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
yP Air Conditioning
Ventilation
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUAAMARY: Permit Fee: $ 327.50 Valuation: $ 26,200.00
State Surcharge Fee: $ 13.10
Misc.Fee: $ 1.50
TOTAL FEE: $342.10
APPLICANT: Vogt Heating&Air Conditioning OWNER: Micheal&Ellen Fasching
3260 Gorham Ave 1355 Tonkawa Rd
St.Louis Park,MN 55426 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
'A —4c�e'
IS D BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
a �
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
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.
Please check one: New Addition Repair Replace
Residential C mercial
JOB SITE: Zip:
Owner'sName: --QAr1 t4o V RUTelephone Number:
Mailing Address: +� bL" City: Zip:
Contractor's Name: VOOt HEATING&AIR CONDITIONING TelephoneNumber:
Mailing Address: 3260 GORHAM AVE. City: Zip:
ST LOUIS PARK,MN 66426
SALES 929-6767 SERVICE 929-4011
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity
Make: A vyyyrc, UI►1 L",4 t�c5
Model: q N 1,30 14'0 L- Czj-.—!S
Fuel: A,, qc, C
Flue Size:
Input BTUs: •, V'Y1 0 �
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make: ,� �
Model: `__ U _
Tons: a�/
H. Power
1
�
x� J 6�a5�%�j
� � o
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
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee 35.00
x .0125 $
CD b 3o��
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. 2L , ' x .0005 $ 1 ;. 'D
(contract price)
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �- a- I (-)
* 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 application are complete, true
and correct. /
Applicant's Signature: Date:
Approved By: Date:
Form BDS
HEAT LOSS CALCULATIONS BUILDING DEPARTMENT
I
Weatherstrips A S H.V.E. Construction No. Insulation
Guide ----- - -+ - --
Windows t Doors Reference Out Wall Int. Wall Ceiling i Roof Floor Kind How Applied
Yes--No I Yes-No 19__
I FI r ER Room Length /fir Width t`1 Height I v I _� FI , Lk4o!�hc�. Room ; Length 41 Z- Width c, Height r O
- - - --- -- - -- -- g-- -- -r - ----
�-t
Windows and Doors-Crackage and Area 1 Windows and Doors- Cracka a and Area
Width He ght t No of L neat if.�Hrea—I I WidthHeight No.of Lineal ft.
V of pane of pane 1 gras I o1 crack i sq.ft. No. of pane of pane lights of crack sq.ft.
Zo
3 Zo Z N/ 2- L/ I 13
2-L4 G(I 1 i i So
t 3(o F3
Z_-
_ -- zo i I` -- +e :- Coef.l - - Btu I - - -1 - --- — Coef. Btu
— -- - - - -
Infiltration 1�1 ! f I:5 2_ti15 11 Infiltration I I' 1-15
--------- Glass f i 20
Glass ►ZiJ Z� -� `/
Exp.wall Iro' - ICw Exp.wall I 'UI
-- ---------
Net exp.wall T cf•cl fir/ Net exp.wall
floor j floor �-
Ceil. Ceil• z f Zo
Total Btu. (�t4_ Total Btu.
Required sq.it. E.D.R. Gr sq. Ins. W.A. Leader area Required sq.ft. E.D.R. or sq. Ins W.A.Leader area
FI b,a vj(- Room Length k1k'Z Width I �t�Height to 11 (cj FI. Room 1 Length 29 Width Height to
Windows and Doors- Crackage and Area i Windows and Doors-Crackage and Area
-- - --r- F -- - - e - .-_ _ Width- Hey M —r No.of--t Corel ft--T Area_.
W dth I He q t N. .of Uneal It. Aria I 9J1
'J a. f pane ni ,e grt of crack rq. r! _. No. jof pa e cf page I ghts c' �•ack sa, f1.
_- ' `c l I ✓Z. Z SG til - '. - �" J
L
Coef. Btu Coef. j Btu
Infiltration ►5 g`iv Infiltration
Glass �� Z� I I vt�) Glass -
Exp. wall 1zJ'z 1 35 I Exp..wall -
Net exp.wall / QL1 41q � Net exp.wall 133L 1335 Z 8 'I 373
Floor �I Floor
Ceil. Zv Z c-/o Ceil.
Total Btu. I Z-/II L- II Total Btu. �r�
Required sq. ft E.D.R. or sq. ins. W.A. Leader area f Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl. Length Zo Width ZcD Height FI. Room Length ZZ Width I Height ic_
Windows and Doors--Crar.kage and Area Windows and Doors-Crackage and Area
width Helq,t I W cf l r eal ft A,— ! I Width � N qht ! No c1 't .I !r. Area
tJc. of pane of cone i g!+; a1 :•ack 7. "_ I — No. 01 pa a e! p rye qt L. . —sq. ft. -
8 � . .I- Z 1 Z I II -
2e) `(
Z
f
i Coef. Btu _ - - Coef. t Btu
nfiltiation I io t 15 i 151.5 Infiltration
Glass 135 2E', 2- Glass Z Z< 5Y c
txp wall X31 55 5 Exp_ wall _7C)
_ItNet exp.wall 7 Net exp.wall
r'oor Floor Z
Ceil.
ntal Btu. ('_L4 j9 s Total Btu.
? quired sq ft E.D.R. or sr� fns. W A. LfIader area Required sq. it. E D.R. or sq. ific. 'N'.A.. t t ader area
I;equireci �q. it. E D.R. or sr� inS. W.A. Leader area i Required sq. ft. E.D.R. or sq ins. W.A. Leader area
��}�U^llI-�� K-�5� It�/I')�� hTtl� Lth..i 1�-.• �c�SS - .
Fcr BD5
HEAT LOSS CALCULATIONS h ti
BUILDING DEPARTMENT
Weatherstrips A.GuideE. Construction No + Insulation
JVindows Doors ��Reference Out.Wall Int.Wall ! Ceiling Root Floor Kind How Applied
--- r --Pp-- ---
Yes--No Yes--No :119___ --
z FI bEb e3 Room Length &,z- Width 2U Height �, Z Fl_' ylqu Room '. Length ►r! Width It"z Height
Windows and Doors-Crackage and Area Windows and Doors-Crackage and Area- - + -
1 If-
W�d.h Heigh .N9 i{._.i-ofGl�k t --- Z j li Nc.�oiVP the YorePane No.hol7oi caack Ar ft. -�
Li
No. of r a-e of -- .9hIs 1
-3 Z�' '7
Y
�I
qt
I I
- .Coef_ - Btu-- - - - --- �_ Coef. _ Btu
Infiltration X17 15- los 11 Infiltration -
Glass I yl LF3 II�I>�j - !� Glass - Zk
Exp.
- -- Exp. wall
ZNet exp. � �t 1 1~uNet exp wall L" — - --
—� i N,�/ —I
—
�
-
Floor Flcor
Ceil. _ 2-9 0 Z- S`r� CeiL Z S /_...
Total Btu. 35 f3 I Total Btu. 14/Ig0
Required sq. ft..E.D.R. Gr sq.ins W.A. Leader area Required sq. ft E.D.R. or sq. ins. W.A.Leader area
_ - _ - -
FI. RoomLength cT Width a Height � i Z cr Room !Length 2-1"L Width zL Height v
nd Doors-Crackage and Area Windows andfDooes-Crackage andArea
5q
Windows a -1 Vi d!4 T Hei ht T No of Llreal it. Aree
-- t t l - —j——i
WJ+ti q.t No of Leai t. A a g
No }ci c� e ci 1 qn!s c! c-ack -q rt. N-, _ _ q ft.
I
Coef. Bte Coef. Btu
Infiltration - IS - Infiltration
Glass -
ZY� Glass Zt� 1C, '>
Exp. wall Li' Exp. wall
Net exp.'wail I iiNet exp.wall
Floor Floor '�'5
I
Cell Ion Z Zig- ,� CeiL - Ki3 1F3; -
Total Btu. ,` Total Btu. - J
Required sq. ft. E.D.R. or sq. ins. Nl.,A. Leader area J5 it Required sq.ft.E.D.R. or sq in . W.A. Leader area
Fl. 6ch 1�Z Room ' Length I,f Width IE3',L Height I I Fl. I ri4,,1,L� Room ' Length Width i Height lc)
Windows and Doors--Crackage and Area Windows an Door,,- Cracka,e and Area
W.dtn Hc'q•,t Nc. of —1 !• A,ea Area
No. If ,,r. c el ra-e 1,qh+, o! c .j ft. I No. ,f D.sn. I of Dene q t _ ck so. `t. a
q8
- Ltz , 19 ' 2 t
� l 2� r1c�
---
I �Coef. Btu -3 Z�. 3Z 5b L� Coef. i Btu
Infiltration 1 31 f iJ 1_1&�5 Infiltration
Glass 27 Z E�) 5(� Glass 253 2�
Fxp. wall r��+.4. �( Exp. wall SZJ'>
Net exp.wall Lf.rr tr�n3 Net exp.wall PCZ
r1oor — - Floor
;ell. 5Z So°r Ceil. ,��
otal Btu Zoe Total Btu.
tiequired sq. ft. E D R. or se ins. W A. Leader area Required sq. ft. F.D.R. or sq. ins W.A. Leader area
form BD5
HEAT LOSS CALCULATIONS BUILDING DEPARTMENT
Weatherstrips i A S.H.V.E. Construction No. Insulation
Windows Doors
Guide
_ _ I Reference i Out.Watl Int. Wall Ceiling Roof Floor Kind How Applied
Yes—No Yes—No I19-_---_ ---
FI. Room Length Z& Width aZ He ght to Ij, FI. I Room Length Width _ Height
Windows and Doors and Area i _ Windows and Doors—Crackage and Area
Width Height No.01 i L'ncal {}, Arca II Width Height No.of Lineal ft. I Area
No. of pane of pane a li hts of pack sq. It. No. of pane of pane hghts 7 of crack sq.ft.
3 Zo 6,/ I I u�
---
1 2f-�> 80
Cz Zz ?Coef. --- Btu — Ij - - -- -- - -
- - - li - - - --- Co_ef. Btu
Infiltration ___
- - Z .- -- - __ - , Infiltration �-
I i
Glass ZZ�i Zy (014 t Z IjGlass - -- -- -- - —
--- --------------- ----- -------
Exp.wall -i L " Exp.wall
!?o
Net exp.wall ZLt.� �1,1/ Ic7w ;i Net exp.wall
I
.5)U
Floor `�!�7 l l'-- - 3�5L Floor
Coil. Ceil. -. i
Total Btu. ((. Total Btu.
Required sq it.E.D.R. cr sq. ins.W.A.Leader area I Required sq.ft. E.D.R. or sq. ins. W.A. Leader area
AFI. Room '
_ _:- ------- -- -
d5n-Tq Room ' Length lz Vdth it"L -Height tp i FI. Room !Length Width Height
Windows and Doors--Crackage and Area Windows and Doors- Crackage and Area �-
Width r He ghl ; No o1 ! Lneal ft.- - A _r 1 Width -7 Heighf T No of LL eal ft. — Area
No. 1 pone I of tone q its ! of c-ack q i! No. hof pane of cane Ggn!s o` _pack sq ft
jj I _. -
I I Coef. Btu - i _ - -Coef.t.._ Btu
Infiltration — Infiltration
Glass - _ _ Glass --
Exp. wall II/ Exp.wall -
Net exp.wall f
L/ _ .Net exp.wall _
FA I icx�o i.
floor t2P Z- 25(- Floor
Ceil. Ceil.
- - - _
Total Btu. Total Btu.
Required sq ft. E.D.R. sq.
ins.W.A.hLeader arWidth Hei ht �j Required sq.ft.E.D.R. or sq.l ins. W.A. Leader areaFt. i
Length g I I. Room , Length Width Height
—Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area
_ — Width Height l N:). of TUneal ft A.eaI -- I Width I Height ! No cl _ r �I it.
!Je. c1 Pane cf cane I ghts of c,m k t,J. ft. ; No, of pane of pane igtt- e'. J sq.ft.
I
,
I _
I I t Coef. Btu Coef. Btu
Infiltration Infiltration
Glass - - - - -
Glass
Exp. wall Exp. wall
Net exp. wall Net exp.wall
Floor Floor
Cell. i Ceil.
,otal Btu. Total Btu.
Required sq. ft. E.D.R. or se. ins. W.A. Leader area Required sq. ft. E.D.R or sq. ins. W.A Leader area
form BD5
HEAT LOSS CALCULATIONS BUILDING DEPARTMENT
Weatherstrips A S.H.V.E. Construction No. Insulation
Guide - —+- - - T
— — --- —
Windows Ocors Reference i Out.Wall ng R
Int.Wall I Ceiling Floor Kind How Applied
Yes—No Yes -No , 19--____
--- ---_-�-
I FI K, c.HEt..t Room Length 2_z``z Width Lg Height (o FI. Room 1 Length It IL Width I5'�_ Height fo
Windows and Doors--Crackage and Area Windows and Doors—Crackage and Area
- .h --- — .t -
Wid!h He ght t No.of-T Linea t ft �Area I Width Height No.of Lineal ft. Area
No of pane of pa a fights of crack i sq.if. No. of pane of pane lights of crack sq.ft.
_ -e --L--- _ --
2- 2 Lo ti i t lb fi o 32 1 3z z -Z- T P
-I — - } - ---- -- -- - -t---
2 -Zo Lc. ► t5 1 to I I 9(, 1L I Zx> i 'n;
t 32-
n- 2_t-- - ' Z t 2 2.y Z,
Coef. Btu I 3 21 n Coef. Btu
Infiltration 93 f5 t X95 Infiltration 13Z- i t
Glass i `Z Z8 o2x, Glass %W i 26 _33,(.0
Exp.wall It; tY.v Exp.wall 3 i 3 kC>
Net exp.wall y,y sl9 Net exp wall 1 19U
Floor � � ---- 11 -Floor -t-
- -.I- - - - -- -- -- - - -- - --
Ceil. IocD Z 2_0o i Ceil.
Total Btu. 3 Total Btu.
Required sq.ft. E.D.R. cr sq.ins W.A.Leader area Required sq.ft E.D.R. or sq.ins W.A.Leader area
t FI. ( (oA-"cfL Room !Length \9 Width Height I� 1 FI. I ,m, 6A-rvj Room;Length (q'L Width /I/ Height r6_
Windows and Doors—Crackage and Area T Windows and Doors—Crackage and Area
--- - - i- - -, _ .- q._.... �I -- -- pane lights i c act q.ft. '
W;dth 1- He Of— No. `of Linea_l ft. /area I Width TNei 5—T-No of - -1 if. Area i
No. 1hof oa a ei c �e lights of c•ack s +' No. ;of pane I of
s 26 3` 4 i
--1 zZ --
�L 34e;,
Zz r5
z 3e 3z z9 Coef. B t c L Coef. I Btu
-
32- ' _ t
- - - _ -
Infiltration i zyy f5 3Infiltration %ate IS 9ov
Glass
Glass y y 2bt2-152-
. wall 3o z-'
Exp.wall Exp
, � - _— _ . ._
Net exp.wall �,� 4,y N i Net exp.wallz�i :4., IiNY
Floor floor
Ceil. 3`1Z (.1 Ceil. 19v L �o
Total Btu. Total Btu.
Required sq.ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft E.D.R. or sq. ins. W.A. Leader area
I FI i L1 h 2nny Rcom ' Length ( C. Width t'I Heigh4 0 1 I'L I � ,•� Room Length jNr L Width I,jt•L Height i C
Windows and Doors—Crackage and Area i Windows and Doors--Crackage and Area
i.neal ft. Area _---
.. g _ 1 2-1,_. lo. N`f-.-1 of pen. I of I +t sq.
ee-
W�dth He t No of Width Hei ht � No cf ? L
No el aye of pr^e I ht ct xk t I!. I i ;�
p 9 9 1s � cf �a.k sq it.
-.. ._- .I...._ .. - _-
1 9(�
i 2 ce 3Z Z l5 i�
}}' }Coef. Btu Coef. ( Btu
Infiltration15 102-0
cam 8! Z>3 Zz�Y� iratlon - - 2 S�='v
Glass Glass
Exp. wall zo'L 2o5- ' I Exp. wall laz. I�
Net exp.wall -571/( Net exp.wall 11ci
Floor Floor
Cell. Ceil.
Total Btu. i3_7 E�) Total Btu. 7_Z
Required sq.ft. E.D.R. or se. ins. W.A. Leader area i Required sq.ft. E.D.R. or sq. ins. W.A. Leader area
CITY OF ORONO VVV/ CALLED IN DATE TIME
INSPECTION NO CE SCHEDULED
PERMIT NO. 593 COMPLETED 3 '� G!•'�S
ADDRESS t 3S3_ 7D^�t A?-,o• //
OWNER CONTR.
TELEPHONE NO. 1?3� n1.)c7 74a7
DESCRIPTIONy1 v-�U Q �f PVC
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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LU ORK SATISFACTORY.PROCEED ❑ PROJECT COMPLETE
W l❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑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. (952) 249-4600
Owner/Contrac or on site:
Inspector. GL.4z r S
White Copylinspector's File Canary Copy/Site Notice
,DAT
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED —l�--
ADDRESS �
OWNER CONTR. I1,-<1' j_
TELEPHONE N0. l ��� �� " �D :7 (4::7 \
DESCRIPTION f 7
L 01 FOOTING 11 MECHANICAL RI 18 AWGRADING/FILLING
" 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
MENTS:
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContra t r on site: _
Inspector,, -- )9�4 �
White Copy/Inspector's File Canary Copy/Site Notice
/ DATE TIME
CITY OF ORONO CALLED IN to-.�-0
INSPECTION NOT CE SCHEDULED
PERMIT NO. /3 COMPLETED
ADDRESS___/3J-5 /DrL ka.-,,
OWNER CONTR. 1/D 4Z- kl -
TELEPHONE NO. 25-s-2- c�- ! 2-9 Cy 7619 7"
DESCRIPTION //� �S �C1!'1 "�t`�
4 01 FOOTING 11 MECHANICAL RI 18 E�XCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
1 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Ci 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. (952) 249-4600
Owner/Contractor on site:
Inspector.._� _1 ��
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN r
INSPECTION NOTI / SCHEDULED '
PERMIT NO. / ` COMPLETED i6D
ADDRESS 5 7 D,6A -� -
OWNER CONTR.
TELEPHONE NO. 'Irs d
DESCRIPTION
14 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
CC
W
a
cc
O
O
cc
O
U
W
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Q
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L >OWORKSATISFACTORY.PROCEED E3 PROJECT COMPLETE
W (❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contrac or on site:
1
Inspector.
White CopylInspector's File Canary Copy/Site Notice
CITY OF ORONO CALLED IN DATE TIME
INSPECTION N E 3gZ3 SCHEDULED
PERMIT NO. COMPLETED 'CIf r 3
ADDRESS
OWNER CONTR.
TELEPHONE NO. � � �� :
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU-X YES_NO
COMMENTS:
W
a
o;
J
O
a
CC
O
W
CC
Q
2
W
W
CC
O
WORKSATISFACTORY:PROCEED bVPWOJECTCOMPLETE
W ❑CORRECT WORK&PROCEED / I ISSUE CERTIFICATE OF OCCUPANCY
❑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. (952) 249-4600
Owner/Contract In site:
Inspector.
White Copy/Inspector's File Canary CopylSite Notice
pp,�� P. 03n5 _1w 1:zF6*
HOUSE HEATING TEST RECORD
ADDRESS (34 o.C4, r2L APT. FLOOR CITYQPQK0SUBURB
OCCUPAN OWNER °
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
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 �(, 3!J Model
Serial add Max. BTU Rating
INPUT MAKE OF FURNACE
Model
CONTROLS (t'
THERMOSTAT b 010 Haat Plug Vent Si:• ev 1
Volvo Lea KIND OF LINER SIZE NONE
Limit Draft Hood Regulator
Limit Setting � U Filters Size Number
Fan Setting �/I iA Chimney Location Inside Outside
Pilot Type Chimney Construction
Pilot Make
Pilot Model Smoke Bomb Wiring
Pilot Timing Draft Test Tag
L.W. Cut Off Door Pressure Lighting Inst.
Pressure yi, Percent CO2 1�0® Date Tested I-L/15 16
Input CFH Percent 02 qsg Company Testing
Stock Temp. G'�— Percent CO r^ Nome of Tesler �� {��
l' - I HOUSE HEATING TEST RECORD
ADDR S lw./ 4-oi fL.Gcu� rK APT. FLOOR CITY Or�SUBURB
OCCU;NT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Electrical Work By Gas Line By
TYPE OF HEAT GA FA)_HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE ,dmiattQ MAKE OF BURNER
Model �71J�i/�'0 Y0�4 �7 d Model
Serial 00jzx l jam Max. BTU Rating
INPUT OC17 MAKE OF FURNACE
Model
CONTROLS ni�
THERMOSTAT O:L Heat Plug Vent Size 3/ 1' t/ C/
Volvo_LI, R- KIND OF LINER SIZE NONE
Limit Draft Hood Regulator
Limit Setting 0 . Filters Size Number
Fan Setting 4_ Chimney Location Inside Outside
Pilot Type Chimney Construction
Pilot Make
Pilot Model Smoke Bomb Wiring
Pilot Timing Draft Test Tog
L.W. Cut OffDoor Pressure Lighting Inst.
Pressure Percent CO2 (I Dote Tested
Input CFH A Percent OZ 10 Company Testing
Stock Temp. �_ Percent CO Name of Tester �✓r v
X / / HOUSE HEATING TEST RECORD
ADDRES �� 'rO,c 6�v.� r d APT.-FLOOR-CITY '*/"&Ay
SUBURB
OCCUPAT p'=f�,y(Y1? OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Electrical Work By Gas Lina By
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE 4e-eb 0 X MAKE OF BURNER
Model _�./'� - W-y
Model
Serial - 6 004 K.3-7 040 Max. BTU Rating
INPUT !�000 MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT ad Heat Plug Vent Size
Valve 1 .1i'✓ .f� KIND OF LINER SIZE NONE
Limit Draft Hood Regulator
Limit Setting Filters Size Number
Fan Setting Chimney Location Inside Outside
Pilot Type C4. Chimney Construction
Pilot Make
Pilot Model Smoke Bomb Wiring
Pilot Timing Draft Test Tog
L.W. Cut Off Door Pressure Lighting Inst.
Pressure 3� S Percent CO2 S Date Tested iz Hlol
Input CFH 0
� Percent 2 ein Company Testing
p
Stock Temp. �0_ Percent COl��_ Nome of Tester �fh K-