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Home My WebLink About1992-004375 - htg system '�ti ,�_�ERMI�- , : • :�F ORONO PERMIT TYPE: �n Rd. South • P.O. Box 66 Permit Number: ��L��A�- Crystal Bay, Minnesota 55323 Date Issued: iyt}�t:;7S (612) 473-7357 t�t�./t l j/'i� SITE ADDRESS: �.t�,q.iy Ft i�{ :_T i:N F . I . !`J. � i 7:�.-117—�:�;-1 Q.—i�i�i�:� DESCRIPTION: HT� c�Y:��TEh1'�� '� NEATING '�Y`�TEht'=� F�lEL ±�IL h1�t}�:E LENIV�jX hIi:EC>EL i y�;�i r��::,—�.i�� ' � � �a� . .. . # ,�� y � _ . r �� , � �, �' ��,.. , ,�� sa`�� „��" ;f� . ;..!;•ti+ !:i ;::�n+;�tii � � 41! 1 1.'1 iJ11L•tTil . `..!�1i wii:�[' ;;�"�`��.y �)'�d'�':�:'�'�ti:}i „!?J REMARKS: ��:i��.L•Vvt•ti• � � � 1%1 L•L� L'uiVV T::' +'if�i:i}i}e! n lit.C:it'VVVV r's i i Ch! �.� j,�t L•LIi L'V FEE SUMMARY: °�-`' -�'�""'`' " i��i i i%i�vvv • r� ��1 L"Llf l�i'1: j�ii�l�A: �t7 '*'t L�}t641t f L +It .�.f�'L'L!�_.�'�''tA'�' Y ?t3 !i��l�Llf 1 f f frtlTll f L'L/ .... ...:...: .. . .i .. . T'ioi ' . . .:::� } } _.'i:: •� . �... . i_:r . . EdS� �� t7 ()[) �'L�E'jvt�l :tv.► iti•i'v_ �::: . _ _ MAI� IN -------==��___ :�,�;:-,; ;:,•, '=,urct-�ar�e {� �iy 7r�t•al F�e �:�'� .C3[� �.`.,`:=� '` �___��___SiSa �lUt�'t.i_i t•tt�. �.i�) ,SL 1 CONTRACTOR: OWNER: — RF��1 i c�ct;#. — � Vi iC;T F�'F_D �� C:�=i :��'��7�7 Ni ifiTi�1N H .W. :�;:��::t�� ;i�F�HRM AVE L: 1 F,4t_? F��i?t :;:T `:�T U�1�1I'� FA�tF; h1Pa S�t�zt; i��,�i�i f (�� 5::=+� i�,�.�i ��z�a—F.?r.7 Q.7:=:—i�1�� . � � THE f�hIDER'=,I Gfi�ED H��EC�Y �;E{:��_�F_':T'3 F'FRC�I'��',3��iU Ti=� h1�l��:F_ THE �iE�L I h1F'fi��'Eh1ENT�; :�F`E{:i F I�L� �hiC? �C��.'�� T�� C��r� �LL ��:f�;k�: I t� '=:Tf;I�.�T �:3:+t��'L I F�t�lC�E W I!H �LL C:I TY ±�F ;. i__ i i�t��i� r�};D I t�lAt�IC:E:� Ah�D '�TflTE +►�= t�l I t�4NE'=��TA E�+.1 i LQ I hIG C-�=�I�E RE{:�t j I REMENi'::. �� -�,%�-- APPLICANT�PERMITEE SIGNATURE ISSUED BY SIGNATURE �� j �.3�� !� ,: CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Mailed-in permits are subject to the postage and handling 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 involved, a separate building permit must be obtained. 4. AI1 work must be done in accordance with State Building Code requirements. 5 . AlI work must be inspected (rough-in and final). CaII 473-7357. 24-hour notice required. 6. House Heating Test Record must be submitted before final. INSTRIICTIONS Complete al 1 items on this application. Compute the permit fee. S:ign and da�e tne certific:ation. 1LVl:ClMPLET� AYPLICATTOlVS WTLL NOT BE PROCESSED. If you have questions, ca12 473-7357. �VALK-IN PERMITS appiy at City Offices, 1335 South Brown Road (Cty. Rd 146) KAIL-IN PERMITS enclose fee - Mail to: P.O. Box 66, Crystal Bay, MN 55323 ******************************************************************************** Please check one: New Addition Repair �_Replace 70B SITE: �; , ��1 <�a Zip: �SS �� wner' s Name: ��'j r 5 , 1 ( 1� . ti cr�i�� Telephone Number: 7�-L;/ C� Kailing Address: City: Zip: �'7' �ontractor� s Name: Telephone Number: �tailing Address City: Zip: k******************** d2�1'64�Cl�9Q9M�M*******************�*********************�** �IINIMUM FEE ( $30. 00 per project) k*�t*****�r********�k*�t**�k******�k**�k*****�k******ic****�k*********************�t****�k** 3YSTEM ,DESCRIPTION: $15. 00 each unit 3eating Systems : Zuantity: � � 4ake: < L�?�1 � _ Rodel. C, L, %�� I.S_�S C' O � ��o ?uel. 5��; ; \ �lue Size: '—� Cnput BTUs: )utput BTUs: :FM: �� r***************************************************************************-,t�*** :ooling Systems : )uar�tity: iake: iode 1: �'�� c�:A� 'ons: - e [.Power: �******************************************************************************* 3�� :�c ,5 L��C.� c� Lc��L, `s7��;c�(.��Q � �� , ♦ ' , w *WOOD BIIRNING EQIIIPMENT $15.00 each unit Wood stove with flue Wood combination or add-on unit Factory fireFlace with flue Factor Fireglace (s) freestanding Masonry Wood Stove (s ) franklin, other Brand Name Mode 1 No. Mfgr' s Min. , Clearances, side , rear , min. flue dia. Total ******************************************************************************�r* VENTII,ATION $15.00 each project No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. Other Fans: LocaLions c�� Total ******************************************************************************** FUEL STORAGE (must be approved by fire marshal) ' $30 . 00 Permanent/Temporary Fuel oil, gallons underground inside outside LP Gas, gallons Other Gas opening ********************�r***********************************�*********************** GAS LINE INSPECTION High/Low Pressure $15 . 00 x*iricirrcx�i�xx�zx:%�iRn�i�.'**�:r�eartY;::�c7cickxic�:rr:ir:ric*ic*:t°kie'st^�Irx�*�e��icicskxscie#**Yri��Eic7k�jc*'k�xt.�Jcxie�-�� PERMIT FEE CALCULATION l. Total of above Installations or Minimum Fee ($30.00 ) $ _�L% �� 2. State Surcharge. Add the State Building Code Division Surcharge to each permit $ . 50 3. Postage and Handling on aIl mailed-in applications, S 1. 50 4 . TOTAL PERMIT FEE add lines 1-3 above $ �,�-G <� 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 application are complete, true and correct. 7 Apr licant' s Signature: � i�, �,��-Gvf7 Date: �� /�' �E�VK \�� HOUSE HEATiNG TEST RECORD �� ✓ ADDRESS G� `v / C� J" S�/C.2� � APT. FLOOR CITY SUBURB �-J�U �'� OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY � � � � � Electrical Work By Gas Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE j'�- MAKE OF BURNER Modsl T � Model $erial � Max. BTU Rating INPUT ��`� (,.s_ MAKE OF FURNACE Model , CONTROLS (� � THERMOSTAT e� Plu Vent Size bL Valvs � KIND OF LINER SIZE ON Limit Draft Hood � Rsyularor � ` r �'L Limit S�Hing Filters Size Numbe► Fan Setting � Chimnsy Location Insids t�— utside Pilot Type Chimney Construetion � - Pilot Make / �� Pilot Model Smoks Bomb Wiring �� Pilot Timing � Draft Test Tap L.W. Cut Off Door Pressure Liyhtin Inst. Prossure � � P�resnt CO2 � Date Tested — � � / Input CFH � Percent 0 Company Testing � � 2 Stack Temp. �(l�Perc�M CO —a��-- Name of Tsat�r Form 235 ��y ��.� ��,� � � ��s �-��3 y � HOUSE HEATING TEST RECORD ADDRESS �iP `� i' `�� APT. FLOOR CITY SUBURB `-' ��`� OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY O '� '- L i Electrical Work By Gas Line By � TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER 't- GAS DESIGN CONVERSION MAKE V_` • �- MAKE OF BURNER � Model Modsl $sriol Max. BTU Rating INPUT �� f ., MAKE OF FURNACE Model CONTROLS � �� THERMOSTAT He t Plu Vsnt Size Volve KIND OF LINER SIZE I�ON Limit Droft Hood Rsyularor Limit Setting Filters $ize N-u�er Fan $etting Chimnsy Location Insids C,�Outside Pilot Type Chimnsy Construction —�� 1� Pilot Make � L� Pilot Model 1 Smoke Bomb Wiring Pilot Timing �X� � Draft � Test Tap ` � L.W. Cut Off Door Pressure Liyhtin9 Inst. �� Prossuro �• � � P�runt CO2 � Date Testsd � � t-" Input CFH � Peresnt 0� � Company Testing $tack Temp. �.��—Perc�nt CO W � Name of Tsat�r Form 235 �r�� . 3 ��3� ✓ �� HOUSE HEATING TEST RECORD ADDRESS �C.0 -1-� �O � J 1 ��-�- � APT. FLOOR CITY SUBURB �,`�� v OCCUPANT OWNER HEAT LO55 DATE HTG. INST. SOLD BY INSTALLED BY O� — L I Electrical Work By Gas Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS,/�DESIGN CONVERSION MAKE � • i� ''7 MAKE OF BURNER Model v Model Serial �'" Mox. BTU Ratiny INPUT \7/�1 l. MAKE OF FURNACE Model ONTROLS �� THERMOSTAT Heat�lu —1 Vsnt Size Valve KIND OF LINER SIZE NON Limit Draft Hood —� �T�Reyulator � ' �� - Limit Sstting ' � � Filters Siza Nuy�ber Fan Setting �"� Chimney Location Inside—.C�—Outside Pilot Type `' � Chimnsy Construction �� Pilot Make �' V� �_ Pilot Model �� — Smoke Bomb Wiring Pilot Timing � :, �-� Draft Test Tap L.W. Cut Off �— Door Pressure Liyhtiny Inst. r � , � \ � -- Pressure ��-1 Peresnt C0� Date Tested Input CFH�� Percent OZ Company Testing $tack Temp. �� Perc�nt CO �� Name of Tester Form 235 n � � �-c��.� �-c� DATE TIME CITY OF ORONO CALLED IN � �d"�� ,• e� " INSPECTION NOTICF�/ SCHEDULED %� • �'��,/ ��+ PERMIT NO. r3�S COMPLETED � "` ADDRESS /�v`�� x ��' OWNER ��'� CONTR. �� `�� TELEPHONE NO.�%�='��' " � ��' -% � DESCRIPTION � 01 FOOTING �1 MECHANICAL RI � 16 WELLTEST PUMP Q 02 FRAMING \11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING � 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q O5 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT Q = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPTIC FINAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: ��# ' u-� c�' ��` :/�,�'�L� ��d.�- W a � � O � � O � w � Q � Z W � W � � GW�WORK SATISFACTORY:PROCEED �, PROJECT COMPLETE � :.:CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT C?CORRECTUNSAFECONDITIONWITHIN HOURS. �: PHOTOTAKEN INSPECTOR WILL RETURN CITATION ISSUED C;STOP ORDER POSTED.CALL INSPECTOR Cl INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContra on si e: _ Inspector. White Copyllnspector's F le Canary CopylSite Notice