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Home My WebLink About1993-004952 - mechanical - � _ - ERMI'��' � �CITY OF ORONO PERMIT TYPE: �{�,:�:��;��;��:G� 1335 Brown Rd. South • P.O. Box 66 Permit Number: ;';!:;�,�� Crystal Bay, Minnesota 55323 Date Issued: " ` -�;-,;F��_; (612) 473-7357 i�1:f SITE ADDRESS: L�� 't3f��T �`� _�� { { C� . 3 . 1�� . e ��Li.— i F ;/_i_��i� tY+�{��_�� / DESCRIPTION: 'r_ �-i��FY�1 i�IC� -4"::i��1'=: �_i;_L_ #'�i��;i_1�:'i-�� tf��:� 's?r;F��.E r:hi�i�(�€ �•({j;ltig�i {.3t�[�. .I,`��;4�f.1 1 I�_IT��(�"` 1 �.t} ,!!t_.`•;/ 1�`�}{-��_f"�.. '; _�: i.R_.[i V 1 J !' V� �'li�ul fL' L f df:ilii's f/�L f f'r 1 11t1�17LL 4�t 1 2{'L 1Jl�.t�•VL}VVV f�l 1�2 LL� �'rtsYV 1 L.i.4.�t.V V t�V V �1 V 1 VL!f� +!}J +7='f-t"s:`�t ti�r� � .L JJl I VVVVV V1 VLl��t 1�JV REMARKS. 4•/!L4l�• �� ,��'.J ±,Ci•�T�T_?iid'ein' 1%t�t3 l�L4Lle ! !1!!'ATII iVi! � L�.iA%! !'f!f}] (f�fl� TftV'] 1fi�6:JVTV L�V�fl /11•1 !L•L7�li t! i 3 11��: FEE SUMMARY: � ::;� ��::.-;t r�:r,� ��1 � �i,i; k 'i"'". . . _ _ . .� ' ' �w �_r-. � 'G :ifF t.�r.- ' � � t r•:. ��ct___ . t.t_ a.._..-� • - - t F-€�.�.... .��; ---------�'-==-�t 3 =*L��'t=t-ic?l�'�w' ------- � . �_ �t_t�.:�t�. i''=s �•��r' . .:_� _;'��,#.�:t.�j '; :; :'� CONTRACTOR: — FtF�F-1 �r z.��Et- — OWNER: �_'��i t=�i��.! %� tti��! =�`�z'�:�:_?__�? i•j��I__I�d C:1�s�t=� ��:'`�_� t�'=�F;�;��t i i"��'� _ "?:;: i:Y t:C�ET �`L ;,�- ��_��._��'��; ��t��;.=}::. Clt•; �,�c1.'.�i�� f i�t:i�� L��::� t•1t�! ��,�;!�r, t i-.i ` :.,•- - _ — � i� �' ��' "_ i_�_" _�'�= c_� i T�_ � -ff' r,,Er -�i.s � _).°s -.s t = f—:. � r-{W 1_iE'�.:{�`r��;`._:1.k:.�f��i . ...._,-'`.!"��'? . .�_?:E;i-`..r . _. } �{-�;(.�._:'.-�_Ii_.�';� _ �_I (''lr�r•�.� � set; F'.�.�L �.� !-'s:_�k�!'�k:.,F'yl ., � =c'` �_'��_�!_! n�;i.�� -�'.:fi�:��.C"�-� �a_¢ �,i f i-i�._�.. �1��..fi'�?'�: ��`� ��i��!_� f�=�i'�i'`!_3.�!�!�� 4�j�i-`t (=;i � f:f�l' 1_�T � :.;in_t, ,I i !_S a e� �V;-;r�i_.� �-`s('e!�i -� 3.fi=~[�v� E�i?- ��T:V;:3�`-`-�� (� '� r;�: i �(_3 ( }�f` � t_.1 ! i r;�!,1��i[�`�r�C:5�,�-�-�_ � ... _. .r's... .i . .F 4 �.�_ . . ._. _. . �C. _. _.. . ._.__. _ . !"E _ . C !.3�4'�� . _�� I .�. ,_ !�':_.!�!L! �. . �. � � JCf►1_� APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE � . > � � �__ � .�----,,� CITY OF ORONO APPLICATION FOR MECHAIVICAL PERNIIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 FE� 1 6 199� GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within 2 working days. 2. Permit cazds will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERM�T. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns - Complete calculations, details and specifications are required for each heating, ventilation,humidification-dehumidification, and air conditioning installation including heat loss/heat gain calculation, design temperatures, equipment ratings and identification as to type, manufacturer and model. Data shall be presented on form provided. Identification of and specifications for water heating equipment shall also be provided. 4. When any new construction or remodeling is invalved, a �eparat� builu�g pe:mit �ust he o'�±ained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected (rough-in and final). Call 473-7357. 24-hour notice required. 7. House Heating Test Record must be submitted before final. Instructions Complete all 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. Please check one: New Addition Repair /� Replace Residentiai Commercial JOB STTE• �-�%� � ��C P�� Zip: Owner's Name: N� „ " � i��;�. Telephone Number: Mailing Address• City: Zip: Contractor'sName: V 0 G T H E A T I N G & A/c TelephoneNumber: 9 2 9-6 7 6 7 MailingAddress: 3 2 6 0 G 0 R H AM A V E Cl�': S T L 0 U I S P�lp: 5 5 4 2 6 SYSTEM DESCI�.,T_I'Tx�N HEATING SYSTEMS Quantity: � Make: � ��-��- Model: G U x 1 l� � � � Fuel: T� �� Flue Size: Input BTUs: � � � M� Output BTUs: �_ D CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power r ' , , WOOD BURNING EQUIPMENT Wood stove with flue Wood combination or add-on Factory fireplace with flue Factory Fireplace (s) Freestanding Masonry Wood Stove (s) Franklin, other Brand Name Model No. Mfgr's Min., Clearances, side. , rear , min. flue dia. � Total VENTILATION No. Kitchen Exhaust ducted recirculating cfin No. Bath Exhaust (must be ducted outside) cfm No. Other Fans: L,ocations cfm Total FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation Removal Fuel oil: gallons underground inside __ outside LP Gas: gallons Other Gas opening PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) i St � x 1.25 $ � ' �, C`D .� contract price) 2. State Surchar�e. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ � � 5 (contract price) 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ .3�? � S * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor,or installation are furnished by the owner, tenant or any other party the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price. The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the Ciry and the regulations of the Minnesota State Building Code, and certifies that all statements made on this application are complete, true and correct. � $� 5`5 � Applicant's Signature: ��' -�� " Date: a"�� 3 Approved By: � . Date: p{?��(>—q S �e�r �� 5Z DATE TESTED �-_- i�_�3_ HEATING TEST RECORD JOB NO._t1��-�5_— ADDRESS _��I� G � �L�J��_ CITY .�_rC�.N_�_ __ ___ --- OCCUPANT _ __ _____ OWNER _11-• _ ..-.L__�-��_�._L�� -_ - . . SOLD BY _ __ __-- --_-_ ._ _ __--- - --____ ___ _ _ INSTALLED BY Y ��_��__��'1�� 1.�----------- ---- -- - ---- -- - --- -- ---___- _ - - - __ --�- - MAKE- ��Y�I_�� -- - MODEL_ F-5 ��_!.1_� �_jV 1"S� --- --- SERIAL NO. -_�_�_�_�_,�_��e`� _ ___ INPUT __ ��5_ __ ___ - - I � THERMOSTAT_.��________ __ _ __ _ _ VENT SIZE _ __ � VALVE _��3?� �.__�__ __. __.__- _ TYPE OF LINER ___ ��L�.___ _._ LIMIT �� j �_LIMIT SETTING _ __�_��-_- �I LINER SIZE �_. _ FAN SETTING__�� -�_ _____ _ _ __ FILTER SIZE ��_NUMBER �__________ PILOTTYPE_-_�4�_��-�-- __- WIRING_ �- -- _ -- _ -- IGNITION MODEL __ TESTTAG _�___ PILOT TIMING LIGHTING INS�. _ _ ____ -- --___ _-- - ---- ---- - _ - - --- - _ _ - - - -_ --- _ - , PRESSURE_ _ _J��J_ _ _ _ __ INPUT CFH _ __�. ��__ _ _ __ __ _ _ STACK TEMP. �� . �7 Fl PERCENT CO2 ____ __ '�___ __ PERCENT Oz ___�._ I_ -- _--_- _ PERCENT CO -�/-0 1.�' COMPANY TESTING j (��T.J L'+ NAME OF TESTER __ __ �_----_ _ s.�-�--�--� FORM 235(REV 11/92)