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HomeMy WebLinkAbout1991-003835 - mechanical . .-•- T J�\. ,LJ.�A v M A �1. CITY OF ORONO PERMIT TYPE: r���:���:;�,�;L:�;L 1335 Brown Rd. South • P.O. Box 66 � i_'ri�:_;;;� �ermit Number: ._ {_, ,,_ Cr stal Ba , Minnesota 55323 `"f �'�i �f Y Y Date Issued: (612) 473-7357 SITE ADDRESS: ;_;��� 3�� ,�, - - - E��t_,�3� F;C� _ �'=�V �'. � . �v. � �t}—i ��—•-r_-;—�;t—i iC3�.7 j, DESCRIPTION: i n�'r'��I�`��.i :_:�':��Tc�'1=� F�iEL t+�r`�T�j�+r'-��_ �;�rt:�� ;°ir={��::E: riR4:==►HI�iE ?�tt�i1EL yi�!�;�`_-��. �ii!I�'!1T ?= �;{;r=; �j'y�'�i� _r.�"�F (l:)i_? 1 A I€"{ ::+_►}�li7l T i i ii��i i��C; Hi�;�_,� F�i��,��'t; _ i: - ;�r��':`� t�E=��_?��I�.E ��_�L�[�» rf!-#i�..:if` ! ��1��= �_ �.!�� ry� ,�i ".-re�w+�rv �r�i�.� �Y ��'� x i�i �"� . . ��� . s� � �� � -�. �� 1�"� � �i . . . .%a "7�'i � �,� � t�.' ♦ . . � � � ,' ��w '�i,.��,�`�'� a� - °�c��'.4���l; � y ...�. � . � � '� � ���rW ,� '�n/ �i1��." .. �*' . . � � � � �� �� � � / �� � �',y � �9`''a�r �� , ���g, � / ��,�". ,�, y� � �i;"Y�� T`�� . ..' �^ rR ^ �y�*' = � � . � u� � � � � . . . . � � REMARKS: FEE SUMMARY: � ��cl5*' �=C �+.:(} , t'_Il'? `��l�l'��lct!'�C -----._` _��.i.��,t-I i�TTJ +iC iii{fl;�tit ����l•ci J. .rr'Ct.' ��s._:i�, _t t L+1/ i C�� ve w v �� i'ii nei�•i ir��i�:� i�i.i�•i.%�%��vv n t:� ui;1 ���:.L'� ,�.����•: }.�;,ffr� � iti�:.:�t�•vvv n C 1.'1 VL7� a iJV( Ll11l•L�•. �L �V a JYe 31�:���l�f.�'L/!A!A' f+ii�! 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' 1 IiS_I�'�i_{ I 1 _ • - i-1S'�L.i :�� i!-S i L_ %,i�- i•�i}• ` ,_.,�. _,..: ��i 3 3� - - — _ _�, _ _.t _�=1.e i'�f iidt•�'.��� . �li�r':_:�li � 9-i . 1 L_L_ !.1'+Ii� �,,.i_1i iC T1E�_��;�_j.l.;ii�j�i:!:i`.��:�� . � C/i��e--�F-�' /( ./�i��t�r-e../ APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE J���— � � 3,��35 . . S� �„�� CITY OF ORONO ��� o ` �r j Y nn,c., APPLICATION FOR MECHANICAL PERMIT ' ���`� r,F.N�rtAr. INFORMATION � _. You May appa� for mechanical permits bl mail or in �er on at the City � offices. Mailed-in permits are subject to the postage a���an�Z�.n fees �; shown below. �``I � 2. Permit cards will be sent by return mail the same day the application is received. PERMITS AR�, NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON .THE_.JOB_ .SITE. ` ? . When any new construction or remodeling is involved, a separate building ! permit must be obtained. ? . Ail work must be done in accordance with State Building Code requirements. a . AI1 work must be inspected (rough-in and final). CaII 473-7357. 24-hour notice required. _ . House Heating Test Record must be submitted before final. �I�TRIIC�'IONS Complete all item:� on this application. Compute the permit fee. Lgn and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. : you have guestions, call 473-7357. LK-IN PERMITS apply at City Offices, 1335 South Brown Road (Cty. Rd 146) IL-IN PERMITS enclose fee - Mail to: P.O. Box 66, Crystal Bay, MN 55323 ;; ****************************************************************************** �ase check one: New Addition Repair '.� Replace ;B SITE: �s'�=�'s `,.:•� �`/� f��� ���� %�� ✓��.�a � ��p: � ,� , "i % � ,, �, , � Telephone Number: j,-�. /?` l_= aner s Name: ailing Address : � __ City: Zip: �ontractor' s Name. � f, , �° ., � �:,� ,::�- Telephone Number: ,� ��,- ��;� t :iailin Address � = ' Zi - - - -- g `/i ', r �, (' ,t C' y: i. ��:r_ P� -� . ,� �************************************************* ***************************** MINIMUM FEE ( $30. 00 per project) ******************************************************************************** SYSTEM DESCRIPTION: $15. 00 each unit q i3eating Systems : � Quantity: � _�Sake: ��- '�/<�1 � -��- -- Model: ����,� -i" :'ueI: ��_-, / <._ _- "'lue Size: input BTUs • �- . ...j� ,..,,, . �utput BTUs -r.; �FM: ******************************************************************************** Cooling Systems: / Quantity: . '_vlake: /'� .-�, �'� t �_ _ _ . -:ode1: ��r�.3 t �w`ans: � ':._ _ __. . _ .. _ .. . si.Power: `> .�r _ _ ******************************************************************************** � ! � . �" _ : _ _ _� __. .�. _ . � = _ ,.. _ _;_ _ . ._:.� __,;.. ._ . . ,_ _. .. 'WOOD BIIRNING EQIIIPMENT $15.00 each unit Wood stove with flue Wood combination or add-on unit Factory fireplace with flue 'actor Fireplace (s) freestanding Masonry-- 'ood Stove (s ) franklin, other randName Model No. fgr's Min. , Clearances, side , rear , min. flue dia. Total ******************************************************************************* ENTILATION $15.00 each project o. Ritchen Exhaust ducted recirculating cfm o. Bath Exhaust (must be ducted outside) cfm o. � Uther Fans: Loc�tions ���" Total ******************************************************************************* IIEL STORAGE (must be approved by fire marshal) ' $30. 00 Permanent/Temporary Fuel oil, gallons underground inside outside LP Gas, gallons Other Gas opening ******************************************************************************* AS LINE INSPECTION igh/Low Pressure $15. 00 E ,�xx�r*����t����r����y�:��t*��*�***��****t******�t************************************ PERMIT FEE CALCIILATION . Total of above Installations or Minimum Fee ($30.00) $ . State Surcharge. Add the State Building Code Division Surcharge to each permit $ . 50 . Postaqe and Handling on all mailed-in applications, S 1. 50 . TOTAL PERMIT FEE add lines 1-3 above $ _ he undersigned hereby applies to the City of issuance of a Mechanical Permit, grees to do all work in strict accordance with the ordinances of the City and he regulations of the Minnesota State Building C-Qde, and certifies that all ta#�ements made on this app lication are complete, true and correct. . � � pplicant' s Signature: Date: � �. 4 s 410 W. LAKE ST. 1072 PAYNE AVE. MINNEAPOLIS, MN 55408-2998 ST. PAUL, MN 55101-3892 612/824-2656 -HEATING AND AIR CONDITIONING C0. 612/772-2449 -c$ervinQ The Twin Cities Since 1930' ORSAT TEST RECORD A D D R E S S ��j � � � � i't.l�t,t�n� ��Q C I TY ��r� OCCUPANT� �C�/ e �j �,, �, � 0 NER � DATE HTG. INST. 7 -�/ IN TS ALLED BY � � GAS LINE BY �_���_ -o-P- TYPE OF HEAT: GA F�HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE MAKE OF BURNER MODEL �j�G�����`��� MODEL SERIAL �9� ys66�� MAX. BTU RATING INPUT 9��� MAKE OF FUR E :. - CONTROLS MODEL ' / �� THERMOSTAT HEAT PLUG � VENT SIZE . VALVE � .� KIND OF LINER SIZE�_NONE LIMIT l� C.�,� DRAFT HOOD RE�ULATOR �� LIMIT SETTING ` � CHIMNEY CONSTRUCTION ��� FAN SETTING � � � � DRAFT � TEST TAG�'���� PILOT TYPE_��� � ��-/�c � LIGHTING TNST. �-�-.�C//�,...C�, 7-- PILOT MAKE LV � PILOT MODEL � PILOT TIMING ��'�� �— PRESSURE � � `PERCENT CO2 ,,-' DATE TESTED � `" G����/ INPUT CFH PERCENT 02 , STACK TEMP._'�PERCENT CO �_ NAME OF TESTER � :.+.�&.�are�.:�':: .,:'S�,.:�:s.��+.�...iws:.wwaa�w���:�w�P^�'�:x:��'�fiw+er� . . ._. •-: .� . �a.wr�aBrR�'4�i4�:1`�"`. 'G�•'�' .+�n�tn�,. ...+cY:. r�?��'IL:: � . ... . .,._ � .. 1 , ., . � i I �` `� r6sr� �� � . r ��� � �o� O,y �� �,�0 0 L,.`.� ' `' �� .. . � __ ..... - . . __. J . .