HomeMy WebLinkAbout1991-003835 - mechanical . .-•- T
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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�� ,�, -
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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 ;;
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�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 _ _
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� !
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�" _ : _ _ _� __. .�. _ . � = _
,.. _ _;_ _ . ._:.� __,;.. ._ . . ,_ _. ..
'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
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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
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IIEL STORAGE (must be approved by fire marshal)
' $30. 00 Permanent/Temporary
Fuel oil, gallons underground inside outside
LP Gas, gallons
Other Gas opening
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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
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