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Home My WebLink About1993-004894 - mechanical PERMIT ,. CITY OF ORONO PERMIT TYPE: '?��:�`'4-��i t:�'}�- 1335 Brov�,n Rd. South • P.O. Box 66 `-"-'`�'_'�'� Permit Number: _�� ;E;,�;�_�:;; Crystal Bay, Minnesota 55323 Date Issued: (612) 473-7357 SITE ADDRESS: _.:�;�; E;;�H,r•i��; ��T i�;u _j�� ' . s . hv . . ?'`�'—� i.µ �.._—i.t�—{'i�3F l�: DESCRIPTION: _ i-:Gj—': � �!`v(; ,-,''('_�� rT�'_. ��.1�I_ ivT; 1 i�;:;i1`L i_'i—`•,�:, �`'`�E-•]f�•.� [=t(��i�r,r'-z i i _• ja ' ' ' � � `� 1� f i C'��_.��.�__ '••.i?=i.� :`��`!.' 1�y�"`�_i j• _ t_�-3•_ s ��1'.=� i._T�1I� i i�,i�_;i�'��T C:i�; �, �;'L�;'u �SI*fR T�LL L�!-�1LL i'��'�'i:r��trlr'S a +�i.i�.rvvvvv r v.i �i�ii .J{r�,�� t:�`.+%'%ririrst's�ri � 1iGL_r:t�VVVV T � � . 1�.L VL i! a JV - � ' . � 3 tr4''i!f f�}7i1� � � ... � 1NJ1 iY1fVVV T ' � � � � . � . . V1 L7Lt�! 1�JV , �� i'i.�'i'j Ti ;'? tl�rs . :�^�'��"-» I.,11Ltrti• !L r!d-a V V � ^ �' " �. ;•i:•s FuT_'i3.7j�es t�i71 4 %�LLrLlI 1 lf7fTlif� fL'IJ - . . _ . . . ��`� am�, �2Y 9.'s. . . . .. . T7tVi7Vltl 4ViV1 1�V�1 Ti�'T� � Vj!�1.�T%�w REMARKS: FEE SUMMARY: �:��r� F�� :.:_;t l. (ii_� �f;i f �C� ------- '= �� ' ------'- .—. , :_,!_�'�C�I%1)':�r ' i—i-1 �,�;�'..={j, ��A +.ti;`;'` {_ii) -----�_.....��_..=�. -- _.� . `.��f�}t'�.;��.:K�, ��t_3 . �!_t C�� ►��`. .�R�t t_�F�j _;`�',v'iw,?�=�? ��.N��$: h1 I F�:�- ��._��_`= F,�E_��;ti �.��v�� : _._:�,��? �;�==Hhd:_; F�� _r ��,,;��; �==r=��t�:: i•1��; .h.5�.��i�. +:JH'��:�;Tr� t1�a ��:_'�1 �.�� i� ��..��_:}..'t.i�';.p7 ";�-:F €_1��:�i'-;I C=fiVEI? �-IE I-�;�:�::'� �;iV";;?i_�i�'_:'f'= ;'Ef�ti�'=:°=;I f:��'�! �'��; I"i�3�;E !4'-!E: F�'.s=�;t... T#�EF'��=!'-.'�N:�=h;(['=� _�'�t�T�-f�i_} �E`i{.J f�t7�'ti��',,; ..j I�; !�,il? ;�?'_I_ �s;�f.li�`��. ��`� =��i+'.��T' f_�_�1'��"`�_�¢�j�li;?�: i:��"�i'� i��._ _ ;�'f ;�� f��i�.:�f�� :��';!}I��i=fiJ�.:t:�� r—�f('�[:f :��i��; i�� #:Ei== ��'.#�3��::::�;_;"f�=3 E:ti i i:I f�T t��:�� {:�.�L?E� �`;`�t;}�._1:c,�-�,'i-i°ir�,�..:��?i�:� . � � � � � �%u�-�.�� -�'-� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � , . = 3 CITY OF ORONO APPLICATION FOR MECAANICAI, PERMIT GENER�L INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Mailed-in permits are subject to the postage _an.d ,�dling fee� shown below. 2. Permit cards will be sent by return mail the samer� th� ��ication i� received. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NCR' BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3 . When any new construction or remodeling is involved, a separate buildinc permit must be obtained. 4 . All work must be done in accordance with State Building Code requirements. 5. AlI work must be inspected (rough-in and final). Call 473-7357. 24-hou� notice required. 6 . House Heating Test Record must be submitted before final. INSTRDCTIONS Complete all itPms �n thi_s applicati�r_. Comrute the per�:it fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESS�i�. 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 ******************************************************************************� Please check one: New Addition Repair �Replace JOB szTE: ��.�� .��'��lr� �� ,�� n . ziP: ;�;��,1 Owner' s Name: �1 ti �r Telephone Number: Mailing Address: City: Zip: ,_ Contractor' s Name: Telephane Nun►ber: � Mailing Address City: Zip: . ******************** ��E *******************************************�: MINIMUM FEE ( $30. 00 per project ) ******************************************************************************�:�. SYSTEM DESCRIPTION: $15. 00 each unit Heating Systems : Quantity: 1 Make: �M - Model. „ t ax l L� L•'��L� Fuel: (, k� Flue Size: Input BTUs . 'C`c� Output BTUs CFM: ******************************************************************************�� Cooling Systems : Quantity: Make: Model: Tons: � H.Power: ******************************************************************************;= * � � L��-�L �,U,;�v�n��.�� e �,� C�� ,, � �-\ , { ' � ' i *WOOD BIIRNING EQIIIPMENT $15. 00 each unit Wood stove with flue Wood combination or add-on unit Factory fireplace with flue Factor Fireplace (s) freestanding Masonry - Wood Stove (s ) franklin, other BrandName Model No. Mfgr' s Min. , Clearances, side , rear , min. flue dia. Total ******************************************************************************* VENTILATION $15.00 each project � No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. Other Fans: Locations cfm Total ******************************************************************************* FIIEL STORAGE (must be approved by fire marshal ) " $30 . 00 Permanent/Temporary Fuel oil, gallons underground inside outside LP Gas, gallons Other Gas opening ******************************************************************************* GAS LINE INSPECTION _ High/Low Pressure $15. 00 ***********************************************�******************************* PERMIT FEE CALCULATION 1 . Total of above Installations or Minimum Fee ($30.00) $ , ,�`�_ 2 . State SurcharQe. Add the State Building Code Division Surcharge to each permit $ . 50 3 . Postaqe and Handling on all mailed-in applications, $ 1 . 50 4. TOTAL PERMIT FEE add lines 1-3 above $ 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 an the regulations of the Minnesota State Building Code, and certifies that al statements made on this appZication are comp7.e�e, true and correct. Applicant' s Signature: �/� _�C� I�(��,��,1�� Date: l�-,3�-�/ ,� � � 3i ` ��rt� Lf�� / oA-rE rEsrEo_��'__`�'�_ HEATING TEST RECORD �oB rvo.��`-�_ . ADDRESS _ ��_��_�a��Lr�_!_�_y_Lv_�___�� CITY __�c�l��-_ -------— OCCUPANT - --------- ----------- OWNER L�1�-�� SOLD BY __ ___ INSTALLED BY ---_ ------- ----- --- ------- __ --- ---- MAKE_ �I��i_��'1_-_ ----------- - -- MODEL_�?u�A--l-��-L]_s;�� SERIAL NO. �L��-1=��-� l c� -------- - INPUT--��,2_VC�'_�_— � THERMOSTAT_��_____ _______ _ __ VENT SIZE_.__- �, __. VALVE __��_�( _ __ TYPE OF LINER__ _! v � �G-- ----------- -------- LIMIT��\G S �`� LIMIT SETTING __�_��f� LINER SIZE ____�" ___ ______ FAN SETTING__ � �-� _____ FILTER SIZE_�,ri��_-NUMBER _�_ -,.. c / � PILOT TYPE �_1__-�1�,�F��U___-- -- --- WIRING-- �-----_-------------- - IGNITION MODEL - ___________- - - ______ __ TESTTAG _ �______________ PILOTTIMING _ _ LIGHTINGINST._��__ __ -- - -----__..-- • t 1 1 /') .� PRESSURE___�_��__________ __ INPUT CFH ___�_I �___ _. ___ STACK TEMP. __ v ^ _ PERCENT CO2___�__ ___ PERCENT OZ __��_ _ ______- _ _ PERCENT CO __ �y� COMPANY TESTING�S�Sz_�_��'�_l_l� �` __—_- NAME OF TESTER __�� FORM 235(REV.11/92)