HomeMy WebLinkAbout1990-003354 - mechanical PERMIT
CITY OF ORONO PERMIT TYPE: ��L,���,��t:��
1335 Brown Rd. South • P.O. Box 66 Permit Number: {_��:t=�_���i
Crystal Bay, Minnesota 55323 Date Issued: �,i�:`i:=;!'=;�i
(612) 473-7357
SITE ADDRESS:
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APPLICANTiPEFiMITEE SIGNATURE ISSUED BY:SIGN TURE
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CITY OF ORONO
APPI,ICATION FOR MECIiANICAL PERMIT
(�,F.IJF.RAT. INFORMATION .00�. � $ �'���
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 "'1T�'ndling^ 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. t
INSTRDCTIONS Complete all items on this application. Compute the permit fee.
Sii�i`i cli1C1 CXdC:C �Ile certifiCdtl.OT1. I�1l.UI"11'L�'1� AYt'i,'1C;EH'1'IUNS V�ZLL lV�T BE i'RUC�jSEU.
If you have questions, ca11 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
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Please check one: New Addition Repair �Replace
JOB SITE: l L/ 7 D C`._}\_s�.,. l� �_i�L� Zip:
Owner's Name: ��� Telephone Number:
Mailing Address: FRFnvnrr�. r.� City: Zip:
Contractor' s Name: ►+�AT�Ncan�RcoNo�ner,�vc Telephone Number:
seni�nii nws s�e s�sz
Mailing Address o7L0UISPARKMINNES07A55425 (,,'1t�7; �ilp:
7k*�k***7k7k7k�k�k�k7k*il'**�k�F****7k7k7k�t7kilc�k7k*****�k***7k7k**7k******7k*7k**7k*****7k**ik*******dt***7kdC*
MINIMUM FEE ( $30. 00 per project)
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SYSTEM DESCI�IPTION: $15. 00 each unit
Heating Systems :
Quantity: � �
Make 1_ �_,�;�-� fs,, -�: �.t,�-�
Mode l: �- ��^ [; �3/�i t= � n �� �f -�� i � �J-
r ueI: �.,��> - .�.�c�_,
Flue Size: �
Input BTUs: 1 r"> ��' ;`�`� ,
,,
Output BTUs :
CFM: �
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Cooling Systems:
Quantity:
Make:
Model:
Tons:
H.Power: �
D
yyy y,yyyyy y.y.,yyyy yy yy. .y}...y y y y y.y yy. .y . ...y.y. .y y.y.y y y.y.y y..y. . .y..y.y..y.y..y.y y.y ..y y .y .y . y y '
**T T i{ii ii ii�i*i�iC ii i�i�i{>G i�I�I�i�!{*1�i�!�i��{i�i{ii i�I�**i�**!�I�*^*I�!{!� i{ !� T i{iC�i***I�I� !l T T !� !�i{i���f T*l�**/�******I�ii
*
�
� *WOOD BIIRNING EQDIPI�NT $15. 00 each unit
Wood stove with flue
Wood combination or add-on unit
Factory fireplace with flue
Factor Fireplace (s) freestanding built-in �
Wood Stove (s ) franklin, other
' BrandName Model No.
' Mfgr' s Min. , Clearances, side , rear , min. flue dia. _
4 Total �
, ********************************************************************************
VENTILATION $15. 00 each project
� No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
' No. uL'ner Fans: Locations cfm
Total
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. FUEL 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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GAS LINE INSPECTION
High/Low Pressure $15. 00
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P$RMIT FEE CALCULATION
1. Total of above Installations or Minimum Fee ($30.00) $ -3e* c' �;
2 . State Surcharge. Add the State Building Code Division
Surcharge to each permit $ . 50
3 . Postage and Handling on all mailed-in applications, $ 1.50
4 . TOTAL PERMIT FEE add lines 1-3 above $ �s . ���
' 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 a�e con�plete, true �nd c:�rrect.
Applicant' s Signature: r� �-'�---�-Q.� Date: / � -�� - `��
� � Sy �
��'��r� �.3S�f �`�S`��/
H OU S E H E A T I N G T E ST R E CO ------.�.,.,
ADDRESS ��� C�h��� ��� � APT. FLOOR CITY SUBURB ����0
OCCUPANT ��� � �'�/1IF- OWNER
HEAT LO55 DATE HTG. INST. tr �1
SOLD BY INSTALLED BY 1LOC�T ��- T►�F� �- �-t t�i
Electrical Work By Gas Line By S4L� �
TYPE OF HEAT GA FA �HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE u MAKE OF BURNER
Model 7 — �� — Model
$eriol d� Max. BTU Rati�g
INPUT l��"'� MAKE OF FURNACE
Model
CONTROLS ��I
THERMOSTAT ��1 Heat Plug Vent Size
Valve r�Sti 7�Ov KIND OF LINE SIZE NONE�_
Limit S j L:-�'"`CU Droft Hood �Ut� ! �^ Rwa�ileTor ��iEa_TSI�l�v�
Limit Setting V Filters $ize Number
Fan Setting - �' �`� Chimney Location Inside � Outside
Pilot Type � �� Chimney Construction L�-SS Q
Pilot Make �
Pilot Model �3� � $moke Bomb Wiring ���+�v 2�2`�
Pilot Timing �S �' � Draft v_ Test Tay
L.W. Cut Off Door Pressure Lightiny Inst. ��
Prossure �t � Percent CO � Date Tested U ' � 3— v
2
Input CFH ��� �~ Percent OZ � Company Testing ���`
Stack Temp. ���C Perce�t CO v�� Name of Tester
Form 235