HomeMy WebLinkAbout1990-003486 - mechanical — � , ,
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CITY OF ORONO PERMIT TYPE: ���;�.�Hp���.,��
1335 Brown Rd. South • P.O. Box 66 PermitNumber: tii�:=,�:y.�_r,
Crystal Bay, Minnesota 55323 Date Issued: 1��"14i'?;_j
(612) 473-7357
SITE ADDRESS:
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� APPLICANT P_ E SIGNATURE ISSUED BY�SIGNATURE �
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CITY OF ORONO
APPLICATION FOR MECHANICAL PERMIT
GENERAL 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 and handling fees
shown beZow.
2. Permit cards will be sent by return mail the same day the appZication 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.
INSTRDCTIONS Complete all items on this appl.ication. 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)
MAIL-IN PERMITS enclose fee - Mail to: P.O. Box 66, Crystal Bay, MN 55323
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Piease check one: New Addition Repair y� Replace
JOB SITE: ��; `��`�a �����c,'��.N--v�-,.� �:, ;a ZiP: '�� `��'.
Owner ' s Name -�`�,,,�-�s.`�;� Telephone Number: �- � p'
-`'���--L�
Mailing Address � �_ � � " `;�,. City:�;� ���.J„ -i:�� Zip:��:���
Contractor` s Nam . " '� ���,��s.._ "�� ' � � _�� _ ,Te ephone Number: `���,�.��-� �1��
Mailing Address ����\�;� _����� ��„_ City: ����_v'�_ �_���_ Zip:��Z���
************************************************�*******************************
MINIMUM FEE ( $30. 00 per project)
********************************************************************************
SYSTEM DESCRIPTION: $15. 00 each unit
Heating S��ems : t \\
Quantity ,� � )
Make. �'`'�_,_,_�,,�,�,�,,( _>� � �
Model. � ��,� .� �, ��D'��. 1`�
Fuel. `'��� _ ti�� '.'��->
Flue Size. �� `� ��'
Input BTUs . A�, � ��;� ��,� ���` �
Output BTUs � T
CFM:
********************************************************************************
Cooling Syst�ms:
Quantity: �\ 1
Make. �,_'�-- ,, �,- �
Model. �� :��`�� �`�\
Tons. '�;��s.v�.
H.Power: ��`�'� , C��y���
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*WOOD BURNING EQIIIPMENT $15. 00 each unit
Wood stove with flue
Wood combination or add-on unit
Factory fireFlace with flue
Factor Fireplace (s) freestanding Masonry
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. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
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FIIEL 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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PERMIT FEE CAI�CIILATION
1. Total of above Installations or Minimum Fee ($30.00) $
2. State Surcharge. Add the State Building Code Division
Surcharge to each Fermit $ . 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 and
the regulations of the Minnesota State Building Code, and certifies that all
statements made on this ap�lication are complete, true and correct.
A�plicant' s Signature: Date:
_J J(/,�f
MIDLAND HEATING -
6442 Penn Aa�ue South • Phone F3G9-321 3 / ;k' G � ��
.
ADORESS __._/�> �S � ��'���-</[��i � � � APT.___FLOOR----y�-CITY 5 BURB7��
OCCUPANT___ _OWNER _ �ff� �'�� 'b�� �'� �h
HEA7 LOSS DATE HTG. INST. _
SbLD BY _____ INSTA�LED BY
Ei�chicol Work By __,Gos Lin• By _ ��� 'J ��� � .� � �
' �
7YP[ OF HEAT GA FA_LHW STEAM_ SPACE HTR. UNIT HTR. OTHER
� GAS DESIGN CONVERSION
�e?-.`;E ____ 'p G � U � MAKE OF BURNER
Mwi�i __ � a�'� � S G�.� ' / Model
Seviol _���� � � `�-s U / Max. BTU Ratir,y
INPUT ��C)�"I —MAKE OF FURNACE
Model �A n� 7 �i �
� _ CONTROLS S ,_„
7�tERMOST T_ —� H�P at Pluy Vent Size--
Vnlve — {��J-�f/ iSLll.t�cr�"J KIND OF LINER -��� 1 • �� SIZE_ ��_NONE
Lim�t __ _ 7`��'r�� � / �� �� Draft Hood ___ R�yulator /x" �
Limit S�tt�ny__— %�J Filters 5ize ►�umb�►
Fon 5ettinq � �'��� -� � __ Chimn�y Location Insida Outsids
Pilot Ty W _ �'`�'` �� � Chimnsy Conatrucfion
Pilo� Mak� --- SA/ 4/1 /�
Pilot Modsl _ �Gr,y'—f'u- � ,� IQ� Smoke Bomb Wirinq �` —
Pilr.t Tim�ny — � � � C Draft T�st Tap �
L.W. Cut Off — Door Prossura_ Liphtinq Inst. �
i� Q'
Proaaure___ f'J P�runt CO �v��O � Date T�ated � ` �`� ���
lnput CFH__ �l/� r P�runt 0�.�_— Company Tesfing � � �N ` ''� �
?/ D. L�
Stack 7�mp. _�P� P�run► CO Nam�of T�stn _
Fwm 235
MIDLAND HEATING
/ / /,1�'C%�) C_�
6442 Penn Avenue South • Phone tt69-321 3
AUGRESS ____ f U��S �ry I'F W v G � �� APT..___FLO R C,I(�Y SUBUR6
OCCUPAN7__ _OWNER_ �F�` ` �'' '� �� f'��
FIEAT LOSS DATE HTG. INST.
SOL� BT _____ —INSTALLED BY
Eiectricnl Work By _____Gos Lin• By � " n� �y �
7YPE OF HEAT GA FA�HW STEAM SPACE HTR. UNIT HTR. OTHER ---1
GAS DESIGN CONVERSION
'r5��.';E �___��� �1O�C MAKE OF BURNER
Mod�l __ ��� S J � � Model
�
Seofol s �U ��r�2 '� � Max. BTU Ratiny
INPUT .— , J M �MAKE OF FURNACE
Model
,� CONTROLS �
' , I
TttERM05T �� Hsat Pluy Vent Size_ A n�
Valve .___ ��� j h��"''��Il KIND OF UNER �� ���� SIZE_������ NONE
L imrt _ � J��� '�/ / � `�- _ Draft Hood __ _R�yularor ' `— F
Limit S�rtin9-- � �U Filters Size ►�umb�r
Fon 5ettin '7"' '� ' � _ Chimne Lacation (nsids Outsids
9 _� y
F�lot 7ype _ �' °� �� �.himnsy Consfrucfion
Pilof Mak� --- � �y"'� -
i' ^��/1 �� /�)/
Pilot Model ._�_ ,� � �+ ��"""`� —__ Smoka Bomb_ Wirinq _ v�
Pilut Tim�ny_ �- Draft — ��` 7�st Tap
L.W. Gut Off Door Pressure— Liphtinp Inst. U�
� Q ,l
Prossuro_ `"�� P�rc�nt CO� v' U Dote T�atsd �� ` ��y v
I�put CFH_. �/S� Perc�nt O���� Company Testing "` � �� � � 7� � �
$rock 7�mp. 3'�� P�rc�nf CO '�' �' — Nam�of Tsst�r l��''' _
Fwm 235
MIDLAND HEATING
h �
6442 Penn Avenue S��uth • Phone fi69-3213 ��P�jv� U
ADGRESS ___.�y��� �' ' -`�'� � LU� �`, APT..___FLOOf�—�C,ITY � 5}1�BUR8
(KCUPANT�_ --OWNER_ 1C �E f-
HEAT LO55 DATE HTG. INST. —
SOLD BY _____ INSTALLED BY - ' �`'
El�ctrical Work By ----Gas Lin• By _ f.-- ---
TYP� OF HEAT GA FA�_HW STEAM SPACE HTR. UNIT HTR. OTHER
/ GAS DESIGN CONVERSION
�M1r•.`;F __�`^—�`0—�� h v MAKE OF BURNER
Moci�l _ t� " �f/l � fU� ` � Modsl
S�otol � ' �7� � 1� -/+ Max. BTU Ratiny �
INPUT -- �G U ��? MAKE OF FUFtNACE
Model R�•�
t-
CONTROLS
7iiERA10ST T _ � t Pluy Vent Size _—
V�Ive-.� L��K � ���''� KIND OF I.INER �' � ° SIZE_ /�� � NONE
L im�t __ _ ? L� �r� _� Draft Hood _— _R�yularor r
L�mit S�ftiny—_— � Filters Size Numb�r
Fan Sattiny_����'�U� �{'y _ Chimney Lacation Inside Outsids
Pilot 7y�» �/`'P� � •` �� Chimney Construction
P�lor Mak. -- r��
Pilot Modsl _— L � J Jff'� —_— $moke Bomb . Wirinp O�
Pilut Tim�ny — � � � � Draft �'� T�at Tap
L.W. Gut Off Door Praasure— Liyhtinp Inst.
'7 S - � _ � � yU
Proaswe_—�`y� �� .—P�rc�nt CO� ��� Date T�stsd �' �F
Input CFH_. �e'�'� Psrc��t O� �� — Compony Testing !^� � � C
Stack T�mp. 7 U P�runt CO �U Nom� of T�stn _
Fwm 235