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HomeMy WebLinkAbout1994-006105 - furnace PER1liIIT CITY OF ORONO � • ' PERMIT TYPE: 2750 Kelle Parkwa • P.O. Box 815 '`��``-��"�{���������-��-?L- y y Permit Number: ..;�;;,,�,,_, Orono, Minnesota 55356-0815 (612) 473-7357 Date Issued: ;-;�:;i:,:.,�M� SITE ADDRESS: : ?'= ,=_:`°r:�4���=i?� ;;°#� i�� � �;�; �--— • :..= �i i'�.j � '_':..___7 'f '� _ _" _ . :..... 7 . . ... . . . . . _. _. ... ... _. ........ _ 1 .. - . .. DESCRIPTION: - .. :-=t"��=���-- 4i"� y i��_�-; � l.i`�6!y =��i'��i y�t'?� r-�:}�� t��c:�t 1_!;-�F:.}i i�l=}`._� =!i-i}�.�. �_�i�`'.�'i3.�1''•. ��fi_t(}f�� _, _:�'1`4';-`I�_:i 7—�,�`f 2 • , i'.+f k !tL ::tl�ililt 41! f V! VJSJl�V �lA.':1��{.!'t IiLi�i'� ! 1tT7'7ltL•L V7 ! 14L 3 i t di kr}i if3f1 }� 1 aJ t i•�1 L+�.r vVV 17 V1 L•L ii 1�•r�jy1 .�r..a�i.L�l�L�V t�V T�1 e!� f t�! {!i� V.l VLlf •UV .�.t L7�L41� !-L 1La1V �y " iT ' i.i'iL� i+iiii tl! t t� t ! REMARKS: ;;�:i.,;'_'�: i';:_:� i;'�:� �i=;:;:c !�.i %V i. Vd:i I t !'7 FEE SUMMARY: ;.�:-�; :i�T i,"I{; �r� , _.:i:? ��.����_ ;�,ar� '�'.,?�.y . ; _ _;�s 4�r I'�r_�!-•_��� -------- �.'� ;-:a t -, �:�.�': F-�F; ��:- _�i;- CONTRACTOR: _ :-�-:�::-: ;. ;.;_:.-.:�:T. _ OWNER: _ _.. . �..... . .- - - - - - - - - i : ':'•.it'u i `.;�'•''-� ': - .i t[ ,y 'C't:.lE= -:i7.f..�F;, i L'-1`:: T;"tf`�{� -; ��� . ... ;"� I ` ... �:,. _. _. __. _., _ . _. _ _. _ . ... _._. _. _.. i_�i 3"�.I+��T _: . . : t . __ _ ;'t:='TS!-' . _ . _ ��_ r+` t ,,_i! - t'�`,ih )f�`•� �E� _ - =_ - _ 1 ::L:, . _�_�_ �._; '���.:-,_� F. t� �..j�!._.'..'vI_� F:.T:i �.C}«.j_...' (_iit�}f•tj:_! fi/�€v .�5�� '�_�3'� � .�- a .�-.�, .: ;; �- : - — rt"' ' ' ' ' �.... ' ' ' ' ' ' ' ' ' ' ' ._. _. �J� ..f_r:� :?'..� ��5 _ i s_ ' (�t ...�L.=iE ' _ ( ' • _ - '3 i '?':�i:i:;' .;._, . �. `�r .�7 '.}� �2 �;tF s � � �f:: i � "S�t..fi ��'1�"1C':�i j':�"i !I ' , .• .:�i.�..L. .. . : `t.., t. _.... _ ...';'!!,... ! =..... .!_.S_ F�.��.'•_�•..�....... . ... . ...... .. . . .... ... .. ... . ... .�:[�. ..... .�'.L_. . . .. . _. . .._. ....... . -. �e'i��a i�. � r;��-:-v -.�: � ... � � ._o .._ �t . ._..' 1,.. i.�_�:'si:r..i; ' ' ' ' '"•3 3-I,'_� � � '.._ _ . -_ �- ; '-� F _jt'::i :•w: •- , ' t�i ';3i � '. E i i�,j�iiz'�::, .i _ �t';��,:_I� t_ ���� ?.._..ris`h!�_._ �4j�. 7'L.. i.s! �'i i '• S,i:- ._� t..__ _, __._�_ , . 1 . ...�:;__.___ i i�. _r ?�- . ._..._ _ _ . . y-;�:,- >:�., ..},. - i:.;- _ ��`�"`i` _� �fi��. i Y„ t_�:, �'�i u� � a � ��=: C.::E.? : � i} I i;ii�� ..I.�- `ii-i;1}i L•'r-�'i!��;:i_. . . - .... . ... i� •... , r. . � c.. ». :,s ; 3_.. ._., a.s .r.i�:•�_..... , ��;.._.. . : . ._..._. . . _.� _ .. . .i ... _. . _.. � . . .: .� . . . i � � .. _. :. .. , _. . � /. `, L -... - � .. APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE 1 . . .. . .. ... . . _ ._. _'_"' ."__ _.__....... . .. ............ . . . . .... . . ,n ��,i , _ . � i -�. C� -� C�t��'+�� .-Page No. 1 � , PRO�a�AL � , cOU N T RYSI DE �CO2°x�", ' HEATING I A N D COOLING 446-1299 � SERVICES, INC. " 10880 COUNTY ROAD #20 • DELANO, MN 55328 Date: March 8, 1994 � PROPOSAL SUBMiTTED TO WORK TO BE PERFORMED AT � Name Mr. Larr� .Tacnhg�n Name _ Street 635 No. Ferndale Rrl_ Street City, Zip Orono, Mn. , 55391 City, Zip , Telephone 473-3947 Work Telephone Countryside hereby submits erofessional rec mendation as follows: s8mv F� -1,?0 ,�' ��..tv►�,N�{. � 1 - Car e ' 1 - Honevwell 4�T87F thermo tat (for ower level�.�e existing thermoGtat fo main 1eve1 . � * - Gomp1_ete dLCt wo k & i ing� to provid ha fnlln�ing��ll�y 'i'" nlenttm adantPr, rprurn jair drop, & canva onne O Rernnnart to A �i1 l� h,�mir�if;Pr t� ��-�� *o� (C�lin rvside ; Heating iS not liahlP fnr h ondi inn nf he exi� in� �one �}tSYem� * -Com�l�te gas�ine & i ;n s�Qlc�p_�o_g�s�e_te�(there ma�r b_e___p�rr�c,ng___af rhP haS�mEnt cei 1 i ng whi h ma� he di� t�rb d� h i G rhP h�mPn�,,,o,-�S rPGnnnaihi 1 i t�� rn f;x) * - V_�n�ing with�_�V Diping�z�huas�&_sQmbus_tion_�ir�r�ntEd�up�hrouglL�xisting_hrick chimne�f��n�ing acceGGihjlLy=—as_disCugg_ed - rhiG w�t�ld he insT ected�r;r,r rr, ;,,S_tall) , *=�Qnd�nsat_e�r�in�ine�aitiL3��/" �P.v_C_�iping__&�ittings_ ' * - Cement slab t0 Sat new fur.nace�n. * - Remove and hatil-awa� ol d fi,�a�P, , � - �om 1= PrP Plecrriral wirinv hnnk-iin '"�.5, g �� ✓ --�J� _ * - �ompl anc�_p_rpfp,g�in17a1.__lnctalla�pn,_� In$�s�1��pS1� '$�7-5�f� � - ------ ------------ - ----- -- * - Qualifies for $200.00 Minnegasco & �150.00 �arrier RehateG Net co�t = �� -�-5, ` 302� — ' ***0 TTQ�AL pRICIN(' ON NEXT PA F*** All material is guaranteed to be as specified, and the above work to be performed in accordance with the specifications submitted for above work and completed in a professional manner for the sum of Doilars (�., ��, ,,,, ! with payments to be made as follows: ;3 ��� 147��tn.,��lan�e�n�ompl�tinn�R— 6_1`IonthG Same AG ('.a�h_(HRSI� nn rrPc�it�pp�val (�arxie�furnazes_-onl-�7-� All material is guaranteed to be as specified.All work to be completed m a workmanlike manner according b standard practices.My alteration or deviation from above specifications involving AuthoriZed SignBture t�/ extra costs will be executed oNy upo�wriqen orders,and wiil become an extra charge over and TOT1V A. Jae 12 above the estimate.All agreemems contingent upon strikes,accidents or delays beyond our Note:This proposal may be withdrawn by us it nbt accepted within _y—days. control.Owner lo carry fire,tornado and other necessary insurance.Our workers are fully covered by Workmen's Compensation Insurance. 'I ACCEPTANCE OF PROPOSAL The above prices,specifications and conditions are satislactory and are hereby accepted.You are autherized to do the work as specifled.Payment will be made as outlined above. �/��/� � Signature r Date of Acceptance: Signature � � � � ^ � i CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMAT'ION 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 retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns - Complete calculations, details and specifications aze 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. Ideatification of and specifications for water heating equipment shall also be provided. 4. When any new construction or remodeling is involved, a separate building pemut must be obtained. 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 [he 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 � Residential Commercial JOB SITE:k`, �5' ti0 F��ti u�L� ��- Zip:S� �`� I Owner's Name: L.c�r C� ��,z.z,w 5�-,� Telephone Number: �-13 - 3`j�-7 Mailing Address: SA ME A� �b�1�� City: v�t> �v Zip: -- Contractor'sName:Co v�+r�5��r N Th a ��� TelephoneNumber:�..�}(o - �Z q�t MailingAddress: �p S;�c.� c��:�►� ;2� �Zv City: �t�u�, v Zip: 5 5 3z� SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: � M ake: C�•r t-1 t� Model: S�Sn.�vp,Ua -�z� Fuel: N �v Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power � � � 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 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 CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) S . ��� c c� x .0125 $ �/'J ?��' (contract price) 2. State Surcharge. ** Add the State Building Code Division � ��, Surcharge to each permit. x .0005 $ (contract price) or $.50, whichever is greater 3. Posta,�ye and Handlin� (Only mail-in applications) $ 1�_-� 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � 3 ' •y * 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 aze fumished 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 City and the regulations of the Minnesota State Building Code, and certifies that all statements made on this application aze complete, true and correct. /' � � � �/- � Date: � - � 7 % Applicant s Signature:�l ��, � .i'`lii/�-� ^. Approved By: e} _ �'�'�� �Date: �-���- DATE TIME CITY OF ORONO CALLED IN � -�r>- �-S INSPECTION NOTICE� - SCHEDULED /a ` 7 � �' PERMiT NO. ��'� COMPLETED N h ADDRESS �� '�.� �%�� C�a,E-< �G� /�,� OWNER / l� G�c-n-� CONTR. �(G�-�- Crezu�-f.ci����t�. TELEPHONENO. �fi`�- '�r'``/ � DESCRIPTION � T4z`���'/��'�.� �_�— ty� _ 01 FOOTING Ti MECHANICAL RI 18 EXCAV/GRADING/FILLING Q��02 FRA— MING� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNEflICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � W � � J O � � O � W � Q � Z W � W � � d �ORK SATISFACTORY:PROCEED - PROJECT COMPLETE W � ❑ CORRECT WORK&PROCEED f 1 ISSUE CERTIFICATE OF OCCUPANCY W O �l CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. r- pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ` CITATION ISSUED Cl INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContra on i : Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN �.-� y, �"�� % , - �-E INSPECTION NOuCE �" SCHEDULED �� - /� —�i /' ��� ' PERMIT NO. � � �`� �� COMPLETED I� � ADDRESS 3 � ��'�/�� � �--��L OWNER `�, ( �.� -�"��� CONTR.;_" � �c�--��,��'%i._. .�:'s� TELEPH � O. � � � � � � `� � � DESCRIPTION �� ���-- C�-�-�-�� �-�c�� 1 C�.�) ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMI__�!G 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q-�03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q O5 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w c � J O a � O � W � Q � Z W � W � � d W �iWORKSATISFACTORY:PROCEED _ PROJECTCOMPLETE � L i CORRECT WORK R PROCEED � ISSUE CERTIFICATE OF OCCUPANCY ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ,- pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL.INSPECTOR `' CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContr�ctoyan i e: Inspector. �� White Copyllnspector's File Canary CopylSite Notice � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED S•2.�-�S ! 2 � KU PERMIT NO. �r�o5 COMPLETED �5�� '�`� �Z..' � ADDRESS 6 Z.S- �C�/2NO/4,(C N OWNER CONTR. TELEPHONE NO. � DESCRIPTION l� � FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q ? 09 P�UMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: z W � � � O � � O � W � Q � Z W � W � j d ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE � G CORRECT WORK R PROCEED ; ISSUE CERTIFICATE OF OCCUPANCY W � C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR = CITATION ISSUED Cl INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contracto on it : Inspector. White Copyllnspector's File Canary Copy/Site Notice f CITY OF ORONO CALLED IN � _D____��.5� :��M 3 c� INSPECTION NOTICE SCHEDULED �c�S ��' '� ��' PERMIT NO. COMPLETED Z —SS� /U %O� ADDRESS � 3� ��U��� OWNER � CONTR. � � �S TELEPHONE N0. � 7� ` � �� � � DESCRIPTION l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 LL BD. 12 WATER HOOK-UP 17 SITE INSPECTION 05�ptAL 14 SEWER HOOK-UP 06 PROGRESS � EMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a J o �can� stisr��m w�,��r �3.e �Ns��� '' 9 .s . /-�; P. 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