HomeMy WebLinkAbout1992-004735 - mechanical . , �
PERMIT
CITY OF ORONO � t� PERMIT TYPE: ����:������.pL
1335 Brown Rd. South • P.O. Box 66 Permit Number: i_����.f��5
Crystal Bay, Minnesota 55323 Date Issued: ��-j!�.���=�''_��'
(612) 473-7357 •
SITE ADDRESS:
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APPLICANT%PERMITEE SIGNATURE ISSUED 9Y SIGNATURE C��J
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CITY OF ORONO �,_,_��_�..__.�,r ��
APPLICATION FOR MECHANICAL PERMIT �'� L��>�vc .V �I �i
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GENERAL INFORMATION
l. You may apply for mechanical permits by maiY or in person at the City
offices. Mailed-in permits are subject to the postage and handling fees
shown below. �;f,T
2 . Permit cards will be sent by return mail the same �i�y�t�e:�Iication 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 invol ved, a separate building
permit must be obtained.
4 . All work must be done in accordance with State Building Code requirements.
5 . AI1 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.
INSTRIICTIONS Complete aI I 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)
MAIL-IN PERMITS enclose fee - Mail to: P.O. Box 66, Crystal Bay, MN 55323
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Please check one: New Addition Repair v Replace
JOB SITE: `�C �5 �d r /�i! Zip:
Owner ' s Name: /� Telephone Number: 7� /�d/
:iailii2g n.r'.Ci�ess: �. C�tr 4{; -�.�-C'�, Zi�: ���51
Contractor' s Name: T d phone Number: ��%;-�d��,
Mailing Address � _ City Zip
********************** �**•*� � y�_ ' " ******************************************
MINIMUM FEE ( $30. 00 per �V�� , ��•I;� S;Y20
P�143�L��
*****************************@$f�9b1�0***********************************************
SYSTEM DESCRIPTION: $15. 00 each unit
Heating Systems:
Quantity: �
Make: - ��
Model: / 3
Fuel:
Flue Size:
Input BTUs : !�T,p�
Output BTUs:
CFM:
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Cooling Systems: �
Quantity:
Make: ,t�vrr�--7G
Mode 1. ,f,1 a1 �/ _
Tons. _%� �
H.Power:
********************************************************************************
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*WOOD BIIRNING EQIIIPMENT $15. 00 each unit
Wood stove with flue
Wood combination or add-on unit
Factory fire�lace 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
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VENTILATION $15. 00 each project
No. Ritchen 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 CALCIILATION
1 . 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 and
the regulations of the Minnesota State Building Code, and certifies that all
statements made on this app lication are complete, true and correct.
Applicant' s Signature: � i Date: /o -�C-�t�•�-
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HEHTtI�NG & A;T;�� C�i:�ITi.,•.��.�1 C�.
87�� ��t1�I V•Y V(�11� 1i1��. v•�•
MINNEAPOLI�, P.��� J.I4LO
g81-S000
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SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO. �Z�� S
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (612) 881-9000 TEST RECORD
ADDRESS ��� �' �`�,��DALC CITY� ��`�v��
OCCUPANT �L� � E"��/�/c�/�K-SL'� OWNER __ ���I�L��LKcSO/v
SOLD BY v �r�1�i4ilCK� INSTALLED BY �F..�C�f/�1�.(�•_
MAKE ��+✓��G MODEL Gal c��— ��
SERIAL NO. S��Z-�'�C`�O Zf� INPUT_ 0`� � ���
THERMOSTAT HO.v�`I f.�/�LL CH�C.��THf�J�I VENT SIZE_ �<< P�J L
VALVE GU�l� TYPE OF LINER /V/ �Q.
LIMIT�—��Z� �i�f LL LINER SIZE ���
LIMiT SETTING Z�O FILTERS: SIZE f���,5 NUMBER
FAN SETTING__ / =3J WIRING ��
PILOT TYPE _ CLCGT��UNf�. TEST TAG
IGNITION MODEL ��'/9rC�i��T LIGHTING INST.
PILOT TIMING_ ��ll Sj�i✓T �!��
p DATE TESTED � ( �
PRESSURE �`� (t� �' PERCENT COz ��
� COMPANY TESTING S�� Ccl� ��-�--
INPUT CFH � PERCENT Oz �/
STACK TEMPr�` "' PERCENT CO � NAME OF TESTER � ����
FORM 235(REV.Q/B9)�-� CQ S FORM DISTRIBUTIOM WHITE COPV-JOB FlLE VELLOW COPV-CITV
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DATE TIME
CITY OF ORONO CALLED IN � I - I L Lf�' `��c�z�
INSPECTION NOTICE � SCHEDULED I (- t � si 3- '� 3c�
PERMIT NO. �� 3 5 COMPIETED ��,
ADDRESS ���5� ����-�K---C/X- � /�
OWNER r��-��cS�4-u-t�-�'� CONTR,,��~,`�`T-'���
TELEPHONE NO. �S�i - � U�'c`
� DESCRIPTION
l� 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
�
03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 ALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 F AL 13 METER SETITURN ON 17 SITE INSPECTION
� DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Q
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLIOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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d C; ORK SATISFACTORY:PROCEED PROJECT COMPLETE
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� ORRECT WORK&PROCEED C; ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
I= CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContrac e:
Inspector.
White Copyllnspector's F le Canary CopylSite Notice