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Home My WebLink About1990-003371 - mechanical �ERMIT CITY OF ORONO PERMIT TYPE: 1335 Brown Rd. South • P.O. Box 66 Permit Number: Crystal Bay, Minnesota 55323 Date Issued: (612) 473-7357 '�'—�'h"�"��k'�'�- _"��:_ � SITE ADDRESS: j � •��— :__-� �t�/ .a..{-.. _r{3 '_��;� ��J��j[J �'1��•=� fti#� °�� 4PT�g�=� ��—�=.—�.�—t st 3��_ -s- r. —•�i�—�-rr�,—• r-i -�-�sr•�r r��—• rs�;r F � �-{c Fi f I E�fta =,, .w•� �_�•}.:� Ft 1��_ P�fi-�� ::r�r1L ��rE•_= f�r-sr•..c L_Eh�I�J�_�%i _._ . . _. t.��:�'�_.-!tL' � �:!•� . . . . .... . ... . ...... .. . . . "_ _ ".._. .. _. ..._...._._.. _ .........._ ..,._._._...... .._..._....__'_._.—___._� �.__—__— ......... r� �': . . _ . ".uy} �} ....t_..:t.'t%V Y V n � . 'rAt i r k !N1 tl.1. 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Tftr_ ' '•�' '�..� !";' 1;• — ef_'� '+T "'� 'Y'." fi,�i.r{'C� 'E"L T-:.' t �:'rT'�' ! i.". . ...."_ f!"7i_ 't_�E�L%GF��i L�4�_t.+ �"i��1��7 �I.=t��i i�.��!�_ �"i._Ri•� i :_�'_,�i_�!� €t_� z tl'f�'•.L_ I I!E r�r r��i._ T I�.s-n�_t'r r i'iE.i�i i �� J �— '__�'-'��':£�I�=D ��€�1 ;t�FiF�'== 7f�� l�+�j �;�._I__ a,�f��:�::. z rti� ';'TF;t�:T r:��t�4i=?_I�wlr=�� 1 I��—f t"s!_�_ �_I'�`4' 4=��= _.t e:-. r ti�h�:.n._., _ . . �..�_.,_ . _. r: - - :r�� r..- -� - - _. . . .�.. _,f. ,,. , .. _. �_i�'ti�_�l4t� t..��1t?S t�Hi��_-��<< t=f{�� ,-•�H i � �_!I- 1 F 3 1`�f�C_•=�f_{}ti C,+t_ �._LI J. �z= L.' iE_%C:. ;"!C_L�!t_'�h�} 3'r_"..`d € _. . : ��c.�� APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE ) . � 3�� CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT GENERAL INFORMATION l. You may apply for mechanical permits by mail or in person at the Cit� offices. Mailed-in permits are subject to the postage and handling 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 MUS.T .NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. When any new construction or remodeling is involved, a separate buildin� permit must be obtained. 4 . Ail work must be done in accordance with State Building Code requirements. 5. AI 1 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. 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. WALK-IN PERMITS apply at City Offices, 1335 South Brown Road (Cty. Rd 146) MAII,-IN PERMITS enclose fee - Mail to: P.O. Box 66, Crystal Bay, MN 55323 ******************************************************************************** Please check one: New Addition Repair �; Replace JOB SITE: ,> > :-�, :�,:�-�' ^-�-��. �� - � �� Zip: Owner ' s Name: 9�' ��,`- _ '�� ' -+ �--� .. �., . Telephone Number: :�Rai?ir_g Ad3resG • City: Zip: Contractor' s Name: „roT,�, • Telephone Number: � G 81�I'i 68NBiTIBHIl�fi Mailing AddresS ��coAHa�avE szs.s7s� City: Zip: ************************ ************************************************ MINIMUM FEE ( $30. 00 per project) ******************************************************************************** SYSTEM DESCRIPTION: $15. 00 each unit Heating Systems : , Quantity: Make: , . Model: __? �. � ; ., _ ,. ; , : - -. - �... j+1,�CZ� - . . J ,1 .�) Flue Size: ' Input BTUs : � -� ' Output BTUs: �FM: *******************************************************************************� Cooling Systems: Quantity: �;ake. ?�:odel: Tons: H.Power: ******************************************************************************** . *WOOD BIIRNING EQIIIPI�NT $15.00 each unit wood stove with flue Wood combination or add-on unit Factory fire�lace with flue Factor Fireplace (s) freestanding built-in Wood Stove (s ) franklin, other Brand Name Mode 1 No. Mfgr' s Min. , Clearances, side , rear , min. flue dia. Total ******************************************************************************* VENTILATION $15. 00 each project No. Ritchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm i:c. 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 CALCIII,ATION l. Total of above Installations or Minimum Fee ($30.00) $ ` � 2 . State Surcharge. Add the State Building Code Division Surcharge to each permit $ . 50 3. � Postaqe and Handling on all mailed-in applications, S 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 app lication are complete, true and correct. AFplicant' s Signature: �\ ` � Date: !'' ' ' �� :`�' � ' � � � 3 - 4.. .��a. ..-y. . .. ....::. .:.... ' . . �f.: .. ._... .i-......?e...._-...� �..� . .._...�-c...�__�r".:r-. ��_��cir..... ..-.-:_ �':-�.� _ . . . . _ _ .._ .. . ,�.�$�-�� .� ?� �� ?- �l o� HOUSE HEATING TEST RECORD ADDRESS � � , �`- 'J' APT. FLOOR CITY SUBURB �� OCCUPANT � ' OWNER HEAT LO55 DATE H G. INST. /� SOLD BY INSTALLED BY �Ot:� E I�}T111G- '�' c Cr Electrical Work By Gas Line By �� TYPE OF HEAT GA FA �HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE — k MAKE OF BURNER — Model — Model $srial Max. BTU Rating INPUT �� MAKE OF FURNACE Model CONTROLS � 1( THERMOSTAT � --7 Heat Plug �f Vent Size Volve � J / 1O� KIND OF LI ER SIZE NONE Limit �� Draft Hood � � Regularor CS�T S F�'�}I` Limit Setting U Filters $ize Number Fan Setting Chimney Location Inside ��/ `�SO_u,tsid� Pilot Type �''<< Chimney Construcfion Pilot Make � J Pilot Model Smoke Bomb Wiring �� Qn'/ Pilot Timing � ��?� Draft �/ Test Tay L.W. Cut Off Door Pressure Lightiny Insf. �� Pressure �� Percant CO2 � Date Tested � � Input CFH �� Percent 02 �[�� Company Testing � �^- � $tack Temp. --- Percent CO �� Name of Tsster Form 235 t'e�c►�R-r �► �,��I � � $103 HOUSE HEATING TEST RECORD ��• ADDRE55 6 u � ��C E�Ua D �tL�,S I�-QpT. FLOOR CITY SUBURB �'�O�O OCCUPANT � � �� S OWNER HEAT LOSS DATE TG. INST. ,/,� SOLD BY INSTALLED BY 195.1 "" �'� t�" 'f' ` � Electrical Work By Gas Line By -�� TYPE OF HEAT GA FA �HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE � ��^ MAKE OF BURNER — Model '� ' S� �v Model Serial �—!� �d Max. BTU Rating INPUT ,��'�- MAKE OF FURNACE Model CONTROLS � THERMOSTAT ` Heat Plug �^ Vsnt Size � Valve � S� �IOU KIND OF LIN�!R�� SIZE TNO� N�� Limit �7E'�^^C� Droft Hood L�v�� Regularor , ��L�„�Z� Limit SeNing �� U Filters $ize Number Fan Setting� �- Chimney Location Inside ,� utside Pilot Type � Chimney Construction � '� ��`iJ Pilot Make ��2wK` / Pilot Model $moke Bomb Wiring �— 7 Pilot Timing Draft L� Test Tay L.W. Cut Off Door Prossure Lightiny Inst. �/� �7 _ a _� . Pressure J�{ Percent COZ � Date Tested Input CFH �Percent 02 � � Company Testing ' � �L` � Stack Tsmp. Percent CO �� Name of Tester Form 235