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:
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CONTRACTOR: _ :-�-:�::-: ;. ;.;_:.-.:�:T. _ OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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_ . � i -�. C� -� C�t��'+�� .-Page No. 1
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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
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� 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�
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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
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❑ 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
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� 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
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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:
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�NSPECTOR WILL REiURN
❑STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContrac or on site:
Inspector. n .�.`_
White Copyllnspector's File Canary CopylSite Notice
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