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Home My WebLink About1992-004448 - mechanical � '� � ERMIT `��" ��`��%�� PERMIT TYPE: NlE�:H��EIC:AL rown Rd. South • P.O. Box 66 �ri j4��=� Permit Number: i}�,�y��'�i Crystal Bay, Minnesota 55323 Date Issued: (612) 473-7357 SITE ADDRESS: 1��,� ��ii� =T ,_ C:H F' . I .�I. i I}t�'J, 1�—�_:�_:_i�I_�{JII,G DESCRIPTION: HTG '��Y'��TFM'�� :� HEATINC; '�Y'>>TEM'� htAk::E AIHAi�t� t1E�DEL U��XC��:�:�� I NF`E 1T '�t�,Cyt�i 7 �� ra I R C:�3#VD I T I�+N I NG i�r��:E LENAI�:+X MLjGEL H'=;�:''�—_�11 T�=��#'w: � I :� �°' ��;�° � ,�a �.� `� .� �� — ;;•�' +�i:�:eiia L•.L/! L'1 L.'!\IJIfV ._':tiRr:i�� i�L,��i'i !lt�f":tL•4 L} ! lYl- � :'3 �'iti}itifi! !T � � ,i�fs! VVat17 REMARKS: �i� ��-+_ �, .. . 1 L.i�i.�..='�'�'4�L� � _ • ��Lii ='1 �%1 1?Ltt a�t1: �Ci'?:f'eiffti� }'yj FEE SUMMARY: � � �� !_�� I.��v i%s vi..tr �'uCi.;: s� ��;.:�,vv t!!L4��ti ��" i'.*'i'�r;ti;'..»f�L:iliA' �'f!t!t !!tl!lT11 t L`L' Bas� F�� F,i.>,iyir htfiiIL IN �L. ti. ,-.; :; ,:.:.�- , � --------_�•,.�"�:. �;.:;:_:� ;;'L;l ;;.�G•,!ti '�urcl-iar�� __�y�iy ��tt�al Fec �,��-'.��r ..: ::,- :z� . a- � .:= -------- ;;�,; � , . '�u��t.��t..�1 �F,i� .�t�y _ �L. .a ��l��'��$RtY c:�� F`� 1��'��7�� 3��•!��v�ETc:�E� r�� L:.:;'F,E} �7�_��i�F�� `�� ti� ��F.�, FII�[ :�T �_,T ��!1 I'� PARk:: h11�1 SS�.'�'� ilRi��i�t i MN ��_�'�1 t,F��.',t',? `�;i"�—F,7f�� _ ..__ _ _ __ _ _ _ _ . _ _ ---- —__ __ ____ __. ._._._ _ ._.__ _ _— --____ __ __ _� _._ ' T�fE t�!VpF�;�_:T CP�lEC� HEF�EE:4` �Ei�t�E_T:�, F'ERt�(I _:��I�_}P� T��E �lAE`:E THE �EAL I t�F'fiE��vEh��N?'r� '=�F`Et=I F I ED t��EC� t��si�:EE'�; T�� p+► t�LL W++h�-:: i t�J '�T�i I C:T i�:��+htf='L I AhaC:E ��1 I TH ALL C:I TY �iF i.i�;�_i�z�i s��C�I t,l��,��.:E'�� Ht�lL� '��i ATE: i�� t�!I��ll��'=�3:+Tf� E:t 1 I LC�I Cd� C:�=�C�E �iE��E!I F�EMEl�IT'�; . � . , f l �r..c.L� - ��ti, , % �-�� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ,�c.�� 2'.�� i� � CITY OF ORONO � � ,. APPLICATION FOR MECHANICAL PERMIT GEN�:RAL INFORMATION l. You may apply for mechanical permits by mail or in ,g�1Ks rr.J a�.,�:.��he City �� offices. Mailed-in permits are subject to the postage and anc�`ling fees shown below. 2. Permit cards will be sent by return mail the same day the application 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. AI1 work must be done in accordance with State Building Code requirements. 5. All work must be inspected (rough-in and final). Ca3I 473-7357. 24-hour notice required. 6. House Heating Test Record must be submitted before final. [NSTRi',�lIO�S Complete aIi items on this application. Compute the permit fee. 3ign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357. aALK-IN PERMITS apply at City Offices, 1335 South Brown Road (Cty. Rd 146) �1AIL-IN PERMITS enclose fee - Mail to: P.O. Box 66 , Crystal Bay, MN 55323 k*****�k*****�k*�k*******at**�t�t**�t*�k*�t*******************�Ic*******�k***�r************ic* ?Iease check one: New Addition Repair �Rep3ace TOB SITE: I � �.�.. Zip: )wner' s Name: � � Telephone Number: Railing Address: ��,r-.�.,��, �� , City: Zip: :ontractor' s Name: �p ��ps��mp�p Telephone Number: Railing Address �E060RFUMAVE. City: Zip: t******************** ************************************************ SINIMUM FEE ( $30. 00 p�i project) ��f "`Jj1 r******************************************************************************* iYSTEM .DESCRIPTION: $15. 00 each unit ieating Systems: )uantity: a iake. Sodel. L�.� �Zc��j J -- 'uel. 'lue Size: :nput BTUs . Cl�� ►utput BTUs :FM: �******************************************************************************* 'ooling Systems : !uantity: � ' fake: ��i-Z�]?�.� �,.�c C�_i�l��>,�, fodel: � �, '�-`-�\\ �5�a- �-l1_ 1 -___-- 'ons. ��(� � :.Power: ******************************************************************************* a� a5�� . � 1 � �� -� <So3) � � T ♦ *WOOD BIIRNING EQIIIPMffi�7T $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 Brand Name Mode 1 No. Mfgr' s Min. , Clearances, side , rear , min. flue dia. Total ******************************************************************************** VENTILATION $15. 00 each project r:o. K�_tcher_ Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. Other Fans: Locations cfm Total ******************************************************************************** FIIEL STORAGE (must be approved by fire marshal) � $30. 00 Permanent/Temporary Fuel oil, gallons underground inside outside LP Gas, gallons Other Gas opening **************************************************************�***************** C:AS LINE INSPECTION High/Low Pressure $15 . 00 *********************�*************************:�*****x***�*��*�*��************* PERMIT FEE CALCIILATIUN 1. Total of above Installations or Minimum Fee ($30.00) $ �C.� 2 . State Surcharge. Add the State Building Code Division Surcharge to each Fermit $ .50 3. Postage 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, ,�r�`� +� a� �i i ��Q�k ;n c+r; �+ ?��ord=_n.ce w�t�± th� ordinances of the City and the regulations of the Minnesota State Building Code, and certifies that all statements made on this application are comglete, true and correct. AFplicant' s Signature: ,[,/)Q ��'�{�Y1 Date: �'��/"� � �r�,< � D ✓ HOUSE HEATING TEST RECORD (�� y�� t / r- -T--� � � ��' ADDRESS 1 �°��'-%� ►` ��X �-=T APT. FLOOR{=_CITY SUBURB��f� , OCCUPANT OWNER ��-� '�� HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY �hC3T � E�I�I �E.��-, Electrical Work By Gas Line By TYPE OF HEAT GA FA�_HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE ��ih�Pj � MAKE OF BURNER Model '�� lX�` (��-(C) �-� S�� Model $eriol �-� �� %:� n�'{ri�. Max. BTU Rating INPUT �� 'a�� MAKE OF FURNACE Model CONTROLS THERMOSTAT T� � Heat Plug Vent Size � 1I Valve � d (� � �� KIND OF LI�ER SIZE NONE X Limit ��?��e � 5' Draft Hood —T � Reyulator Limit Setting��,�� Filters Siza � Number Fan Setting ` � �+'�r' n Chimney Loeation Inside � Outside Pilot TYPe N� `� 2:��s� � �I�) C`t 11'„ n1 Chimney Construction ��i i �l��, Pilot Make Pilot Model $moke�Bomb ' Wiring � Pilot Timing Draft 1.�� F�� tJ Test Tay � L.W. Cut Off Door Pressure —' Lightiny Inst.� Prossure n•�� ) Percent C0� �� Date Tested � ~ ^--~-� Input CFH "l-�' Percent 0 �` � Company Testina � i�� -� �f,�,'TJ,(V( Stack Temp. ^�I'�—Percent COZ �' �� Name of Tester —� 1 f'�1 '�� Form 235 � ��,�1 HOUSE HEATING TEST RECORD r �R'M�� y��g �/ ADDRESS � ``� �� O� �� APT. FLOOR�CITY SUBURB��`�n � �% . OCCUPANT OWNER a C j-(l:_.�� HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY �c�C��,' �C--1�"4"1 N (;., Electrieal Work By Gas Lins By TYPE OF HEAT GA FA�_HW STEAM SPACE HTR. UNIT HTR. 0 1� �„�a+ GAS DESIGN CONVER51 ��Q�� MAKE MAKE OF BURNER Model �v `• �� Model Sxiol U r ~ Max. BTU Rating INPUT �O G Ci MAKE OF FURNACE Model 11 1 t i n '1 Qo`� —�-�� -� CONTROLS l�� THERMOSTAT J i�J__ Heat Plug Vent Size �1 Valve ��('��O �t.1'� KIND OF L ER SIZE�_NONE� Limit ' ,��rt� 1 �� Draft Hood �� !�.t�1 RsgulaTor�� Limit SeNing �� Filters Size � �� C- � Number � Fan Setting � � , Chimney Loeation Inside �s,� Outside 1' �J�1 A� Pilot Type 1�Q�' �L� 2�A C;i�s ��f`.� � L, N Chimney Construefion ��. Pilot Make Pilot Model Smoke omb J Wiring �1 Pilot Timing Draft ��ATr�� A tJ Test Ta �� 9 L.W. Cut Off Door Pressure — Lightiny InsT V '� /.� l i Pressure �� Percent COZ �� 4' Date Tested �` - -- Input CFH i Percent OZ � �� Company Test�� Cj V", ��;�:'�'G fV t,. Stack Temp. �' Percent CO � �� Name of Tester �� 't � T• Form 235