HomeMy WebLinkAbout1988-001558 (Mechanical) _ � LS F
CITY OF' OROIVO r������ ����: ��t:�. ��c:��. �
1335 Brown Rd.South�P.O.BOX 66 �ermit Number: t�4�1����,�,
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Crystal Bay, Minnesota 55323 Date Issued:
(612)473-7357
SITE ADDRESS: �:�;:1s� ,���:iJ� �:�T
DESCRiPTION:
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THE �jN�EFi:�I+�iP�lED HE�E�•Y hE��`�E:�:T:� FEFii''iT::�:�I��l� T�� i"{P-�t�:� THE !�'EAL Ii'�fFF►+:f�E�lEf�lT:_
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APPLICANT/PERMITEE SIGNATURE ISSU Y:SIGNATURE
---�.---r . - -- -m-�--�-- �.;,,,., .. � T � -��_..,._ �
HOUSE H El,+�TIKi'��T�ST RECORD -- r - - I
ADDRE3S � APT. FL '� ,� ���U�URB i
� �' ,
OCCUPANT �°' - - OWNER � ;
HEAT�LOSS T�HTG. INST. "��� g �
SOLD BY `'� INSTALLED BY �� � ' -� �
Electrieal W�rk By _ � � __�`� Gaa Une By d
�'�-� kIW S�AM._S�ACEIiTR UNLT__kt'fR._ (LT_HER --- --�------�
GAS DESIGN CONVE SI01� �
MAKE �'E'' � MAKE OF BURNER ',
Model ,�.+� � '�� � Model '
�ia� ^ Max. BTU Rating
(NPUT `�� ��� MAKE OF FURNACE
Model
Cpt�ROLS °�
THERMOSTAT eat Plug Yent Size
Valve KIND OF LINER SIZE NONE
Limit a `���� Draft Hood RegulaTor f_
Limit Ssfting �� Filters Sizs �>� ° � umb�sr''_ _ _ . ._,
" ' �'P ' _ " ' _ '_" _ _ _
Fan Setfing ,���N �� , Chimney Loeation In f� Outai
Pilot Type Chimney Construdion �-� ��� �
Pilot Make �
Pilot Model Smoke Bomb s Wiring � �''� ,
Pllot Timing Draft Test Tag "� �
,�
L.W. Cut Off Door Presaure ,�ghtirtg Inst.
Preaaure -� �� Percent CO2_ �, � Date Tsated � � `� �_ „
Input CFH ,���/���� Percent 02 � � Company TesHng ? ' � -��
Stock Temp.��� Percent CO , �P� Name of Tester - �� E�
_��
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Form 235
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CITY OF ORONO 11 ���Q
APPI�ICATION FOR MECHANICAL PERMIT U n n�
l/
GEN�L .INFORMATION � /
1. You may apply for mechanical permits by mail or in '' � son at�C
offic�s��i�ed irr rmits are-suh'ect tQ- t�- sta a' andlin £;,'
� �ed- P� 7 P� � - - �l ' - --�
shown be 1 ow. � � ���"
2. Permit cards wil2 be sent by return mai7. the same day the a ' cati � i
received. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORR ! T
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.
INSTRIICTIONS Complete al 1 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.
' 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
*a�********�****�*********************�t****��**�****�*���*�r******�*�r�x********�*�*
P].ease check one: New Addition Repair �Replace
JOB SITE: 1 �80 .A.rbor Street Zip: 55��1
Owner's Name: Kurt Rakos Telephone Number: 476-1765
Mailing Address: 1�80 Arbor Street Cityr Wa,yzata� MN Zip: 55391
Contractor's Namea Ron' s Mechanical Inc Telephone Number: 445-858�,
Mailing Address 18 � Eas Shakopee Avenue City: Shakopee, MN Zip: 55379
�***********************************�********�**�r****�t,r**�*********�************
PRINIMUM FEE ($30.00 per project)
******�******�***********�r**�******�***�r*******************�t***************�r**�*
SYSTF,M. �DE$CRIPTION: $15.00 each unit
Heating Systems:
Quantity: �
Make: Sears
Model: N�T�=F.Q$0]�''r0 _
Fue l: �r _
Flue Size:
Input BTUs: �O,,OOQ
Output BTUs: _
CFM:
**�r**************�*�r*�**�t�t***�****�*�********�*****�***�***************�*******�
Cooling Systems:
Quantity:
Make:
Model:
Tons:
H.Power:
**********�r*****************�r*******�t****************************�*****�,�*******
. «
*WOOD BDRNING _E�IIIPI�:N'P $15.00 each unit
Wood stove with f2ue
� Wood combination or add-on unit
Factory fireplace with flue
Factor Fireplace (s) freestanding built-in
� Wood Stove (s) franklin, other
Brand Name Mode 1 No. �
. .. . . .. .-- - - -� -
Mfgr's Min. , Clearances, side , rear . , min. f3.ue dia.
Total �
**�****�*�***********************�***�****�r*******�******�***,r***���r*****�******
� V'BN�IY�ATYON $15.0 0 each pro j ect
ATo. Ritchen Exhaust ducted recirculating _ cfm
No. Bath Exhaust (must be ducted outside) cfm
; No. Other Fans: Locations cfm
Total
**s�***,��r*�*�*ar**��*-********�*�r*�r�*��r*�**�*�*�r****�*****�r,u***��*�r��*��*�***�*****
' FOEL_ .STORAGE (must be approved by fire marshal)
$15.00 Permanent/Temporary
Fue1. oil, gallons underground _ inside ou�side
LP Gas, gallons
Other Gas opening
*****************�*�***,�***�**�u****�**���***��**��**�r************�a*�*****�****�*
� GAS LINE INSPBC'�ION
High/Low Pressure $15.00
*�*******�**�**�******�****�r**�****�*****�**�*�****************�******ar*****�***
PffitMIT FEE CAI�CDLATION
` 1. Total of above Installations or Minimuffi__Fee_ _(.$�0._00)_ $ ,���U�
2. State Surcharqe. Add the State Building Cmde Division
Surcharge to each permit $ .50 .
3. Postage and Handlinq on all mailed-in applications, $ ._ .1..50
4. TOTAL PERMIT FEE add lines 1-3 above $__,�,���e�
The undersigned hereby applies to the City of issuance of a Mechanical Permit,
agrees to do al 1 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.
� �,ppZieant's Signature: _ lC�m . f . Date:_ . ��✓ S„
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