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HomeMy WebLinkAbout1995-007293 - furnace/ac PERMIT CITY OF ORONO �75^Kelley Parkway- P.O. Box 66 PERMIT TYPE: _ :_ __;. : Permit Number: � ` '`� �� Crystal Bay, Minnesota 55323 � ��� � (612) 473-7357 Date Issued: _ SITE ADDRESS: .�FW - -..:- _ - - ,- - -, _ ._ +-{.._. . , .'.�--;.... ..._ .. _ _ _.- , .._ � ,;;;` _, , -, , -: -, ; - - - - . _ _.. . . :.. . -.�.... - - . . ... ._ �;s�� _, DESCRIPTION: _., _ _ . .. _ ._. .: . _ ._ :�.: - - - -. .. ._ _. . _ : .._. ' _.: _ : _i .. ' ` �.. � ti;..�'�?.._ !�:'3_, �'i!?f"-.�..= k_i�l;�s3'?�`:4 : . ._.__....�.�.. _. _. _.��7 `V i�:_ i • ' "i i_7 ��`i:`— _ r — _ _`•�_� • _ __v �.: . ._.. _ " ' ' _ _ s 1 �. _ _.. .__+�_. _ _ `:�i ul- . ._.�'1•.�._.. . _!�'6.. . _, '_:i;.*' L;y':;.��.r.j_.. .��E_�I.��L._i.._ _._ . , _':I�.�� _ �.� , . _.. . .....__ . . � . _L. REMARKS: - � FEE SUMMARY: ,:::":�. `_. " - ��_i�._ . �._ =•�__': . _ _ �`. .�_ �;. --______. _ - _C.4t~ ... ._..':-t:..—.: _�.��.._�.__. . 'F t..i_ . _.:..� - _. r . ' _ _�.� �.F...' _ ..._ . ,_.._ . _..�_� _, C�NTRACTOR.. _ F� ' ' � _ . _ QW�ER...; _ :. :-�� : � . . . : __ .< . :_ _ ., •. _.,.. .__ _ _ : _ _: �_;_I, ..< , ;,. - .•r - - = � - ✓', ; `% _..�i`�•.�. ��� � L�' _ _- � �:..}'`f'�%=� _ 3„P : �''� , �`i j ;�?r„� '�_�;: - _ _ _ °.�tE r _ _.: .._:'-i: _ .__ _ .. .. _ . _. . _ . � . .. . ._ _ ... _ . ; � -. -. : - - — - :_; ...at . < -f t�:.�:._ ; : 1 .'s=..c . . ..._ _. ::_ _. ._ � . _.t_ _. . . _.._ . .,_,. . _' __;, : _ _ �,�.!?•a . _ . . �. .._ . , .. . ._.,. _ .. .� . . . . ..._ . .._ . . _ _, _. ;:•t:; -, - _.�: . �:.,. . r_ ..� . . _ . _ , .S _.3 . . ._ . _ . . . ,.. _ . _ . _.._ _. _._ ._ . :,_.�: _.. ._..-.___. } `, ;: �. : _ '� _ . . _ _ _ . . . _ ...�;i ...�;�.{ ; : } � " . f�; ��-.� .-, ._ . . . . . ... ..,. .�a e . . _ , ._ . , . �, _ _ __. _ .. ,. .�.. t . .. . _.._ .; ,�.;,, . . . , . , :. . � � , . : .. ._ . , �_• _. �- .. L _ _` ,_ _. . _. : . ._ . � APPLICANT-PERMITEE SIGNATURE ISSUED BY:SIGNATURE CITY OF ORONO _ APPLICATIO A,F(�t�CI�ANICAL PERMIT Box 66 (2750 Kelley Parkway) Uv Crystal Bay, MN 55323 �. 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 cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PER'�1IT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical DesiQns - Comple[e 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. �. When any new construction or reuiocieiing is involveu, a segarate buiidir� �er.nit mus: be outai.*��d. 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. Insttvctions Complete all items on this application. Compute the pernut 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 i/ Replace � Residential Comrnercial JOB SITE: � �;� , . -�.. ,� � L Zip: _>'-� �:�'=, i Owner's Name: � - Telephone Number: �; a,-- �r�-, Mailing Address.;:.;y ,.���-��•,�,�' ���,�' City: ,�•ti�.�,_ Zip� Ss3�,� Contractor'sName: TelephoneNumber: MailingAddress: ,,;,1-,�T wce s7aE� � City: Zip: t.'". ,_t.'OIIS,MN 55408-2994 C�"-"^4-2056 SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: > _.___._ Make: ModeL• ,5��; Fuel: � Flue Size: Input BTUs: �� .c c � � Output BTUs: -��r , c�,� ,�'� CFM: �'� COOLING SYSTEMS Quantity: 1 Make: � „t _ Model: —���i� Tons: �� H. Power � WOOD BURNING EOUIPMEiVT 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 cfm No. Bath Exhaust (must be ducted outside) cfm No. Other Fans: Locations 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 CALCULATI01�' 1. 1.25% of Contract Price* or Minimum Fee ($35.00) ��.�;�, c,�, x .0125 $ �, ���.� (contract arice) 2. State Surchar� ** Add the State Building Code Division Surcharge to each permit. �i������,�,� x .0005 $ �,�y (contract price) or $.50, whichever is greater 3. Postage and HandlinQ (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �,..i . ��., 'k CIiI�TTD,��'T DF.ICE cr J:?B��ST:�e.�:s the::,�al or esti�te� do:la:�mau�t c:argeu fo:the pe�.i«ed 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 parry 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 wi the ordinances of the City and the regulations of the Minnesota State Building Code, and if s that all statements made on this application are complete, true and correct. 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Yll::"��W� � t.JUtJZ:�i i 'r• � j lrllir2 ;y, �'I :S�ir•�y i J i y / 7 � ' ! ; � �. !� �' _ - � � ; 1 k rr� � � .�-.,,-"��� _---_... � ,.�3I�!:i-jt ` �,i-� '. }� „SY:?tr. iilr=Y"..., �;i � � !F j^yCa F 1 I 1Tu_ Ftern � 1,� _ .. ,�.k.,�r ^- � �,/.l t_-. . . :- �_,,,-�., , F-�., ..__._-__ ` ..,.,_ ._. . ICn '�.�e.4.r_�.� ��-'ti n� G _____.� r7`P lC�(I�i� ri T"G_f f3-��-_� l . . �h(r��•u .—� • (-: v�.� i �_.� _ � � � �i'h, i � � irt�n ; y!� - �. . L. � i � .....i.�.,..�.�.,�.�. _._i:..���1 l�J �� .1 410 W. LAKE ST. 1072 PAYNE AVE. MINNEAPOLIS, MN 55408-2998 ST. PAUL, MN 55101-3892 612/824-2656 HEATING AND AIR CONDITIONING C0. 612/7 72-2449 �cServina The Twin Citiee Since 1930' ��� ORSAT TEST RECORD ��� g 1 ADDRESS %�-';�� - � ; �, ;� ��� � . _ ,; CITY ��r ,:•r,-; .:�',T---=- - OCCUPANT ;��. : �yLm ,�� � /� � `�- OWNER ..5��-, .c ;> DATE HTG. INST. � - � � s— '�NSTALLED BY �-•�� �,,��-�.� -' ,:%�„ .'.„9 GAS LINE BY t ; �,-�,,� TYPE OF HEAT: GA FA �� HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE , ' ; y-,_' MAKE OF BURNER � M OD E L _. �-�ih a v�?�,�;_°1�;-7 �.��'� MO D E L "� _ SERIAL ,i �!�S.�� ,�.r"1.��5--� MAX. BTU RATING r INPUT � o�,v MAKE OF F/U _ .�- i CONTROLS M� THERMOSTAT :' ',� ���, HEAT PLUG i,�.�` �� VENT SIZE �- � ' P ✓ � VALVE �.. � :� _ KINC OF LINER �Qv�II-� SIZE !,,- NONE LIMIT /?`���r �� DRAFT HOOD : n1 ur�-c1 REGULATOR �� %rr�,,, ;' LIMIT SETTIN� ��;�' � CHIMNEY CONSTRUCTION ; �,. �-�>�`-_ FAN SETTING � ���� a� DRAFT ;�,�`; ; �' - �'%!° TEST TAG -%� �� �-: � � ; ,��� PILOT TYPE �� � �' -� S � �.ti�r�� LIGHTING INST. v� f;':',;�,� �n2 �) God� PILOT M.AKE -- PILOT MODEL —" `' PILOT TIMING�� d, < �",; �� 1- PRESSURE ? , � � � PERCENT CO2 ��/ DATE TESTED ��- � - '�s INPUT CFH �r4 � PERCENT 02 ��� 3 STACK TEMP. / ��G%� PERCENT CO ,>� NAME OF TESTER ��,��_�;�r�,�c;��,��