HomeMy WebLinkAbout1990-003380 - mechanical _ _
PERMIT
CITY OF ORONO PERMIT TYPE: �.��L;�;�����;;=;�
1335 Brown Rd. South • P.O. Box 66 Permit Number: {}';-':ti�;';;=;'•?
Crystal Bay, Minnesota 55323 � Date Issued: 14}f'�'�%'t y
(612) 473-7357
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APPLICANT,PERMITEE SIGNATURE ISSUED BY: ATURE
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CITY OF ORONO "-- �O I�
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APPLICATION FOR MECHANICAL PERMIT '
GRNERAL INFORMATION
l. You may apply for mechanical permits by mail or in persan �at the City
offices. Mailed-in permits are subject to the postage � handling fees
shown below. � 9 ��
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 . All work must be done in accordance with State Building Code requirements.
5. AI 1 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 all items on this application. Compute the permit fee.
Sign and daLe the cert�ficatic�n. INCGMFLETE �PFLICATIONS WILL NOT EE PRCCES�iL.
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 Replace
JOB SITE: � 3�7 b ����^-,�� �'�--�-�-�, iZc� Zip:
�wner ' s Name: w i_-Q_J�_,L..e,.,.�,,,.� �c��J� Te�ephone Number:
Mailing Address : City: Zip:
�ontractor� S Name I fiEATINf.xnmrn�n�n�yy,yr Telephone iVLIIll1J@I':
Mailing Address �GOR4AMAVE s�s��s� City: Zip:
****�k�k*�k***1k****************7k* ic**�k7k*****�k**�k*ic*7k*********************�k********
MINIMUM FEE ( $30. 00 per project)
**�*****************************************************************************
SYSTEM DESCRIPTION: $15. 00 each unit
Heating Systems :
Quantity: /
Make. /�"7 o- ��
Model. PA SG
F�o�_ � ��
Flue Size:
Input BTUs: �D !`� .
Output BTUs:
�FM:
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�ooling Systems:
�uantity:
`�:ake:
Model:
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 fireplace with flue
Factor Fireplace (s ) freestanding built-in
Wood Stove (s ) franklin, other
BrandName Model No.
Mfgr' s Min. , Clearances, side , rear , min. flue dia.
Total
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VENTII.ATION $15.00 each project
No. Ritchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
•i�otal
*******************************************************************************,
FIIEL STORAGE (must be approved by fire marshal)
' $30. 00 Permanent/Temporary
Fuel oil, gallons underground inside outside
LP Gas, gallons
Other Gas opening
*******************************************************************************,
GAS LINE INSPECTION
High/Low Pressure $15. 00
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PERMIT FEE CALCULATION
1. Total of above Installations or Minimum Fee ($30.00) $ 3� �'��
2. State Surcharge. Add the State Building Code Division
Surcharge to each permit $ .50
3:�6' PostaQe and Handling on all mailed-in applications, $ 1.50
4. TOTAL PERMIT FEE add lines 1-3 above $ :s :�.� c-
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 anc
the regulations of the Minnesota State Building Code, and certifies that a17
statements made on this app lication are comglete, true and correct.
Applicant' s Signature: � , ��- �. Date: �� -�� y�
� ��� �
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�r�,-,- �) :.��v #5776'
HOUSE HEATING TEST RECORD
ADDRESS �a ��'�kC�" C�rF l �O Iv APT. FLOOR CiTY SUBURB d�
OCCUPANT � �^-� � OWNER
HEAT LOSS DATE HTG. INST. /�
SOLD BY INSTALLED BY ��C—T � ��T1ktr- �}` � �
Electrical Work By Gas Line By S �w �
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. �OTHER
— `�
,�/ GAS DESIGN CONVERSION
MAKE — Ln��� �K F' MAKE OF BURNER
Model t' �- 5� Model - �
Ssriol ,,30 b � '�C� jpl� O Max. BTU Rating
INPUT SU� MAKE OF FURNACE
Modal -'`'
CONTROLS �U �`r. � .��
THERMOSTAT ��'p�` � Heat Plug Vsnt Size N V
Valve V�4*��� KIND OF LINER SIZE N NE�
Limit ���XC)� Draft Hood V<<. l � Rea.,leror ��'
Limit Setting � � Filters Size Number
Fan Setting �-` �"F= �F � Chimney Location Inside � Outside�
Pilot Type E'n1l � Chimney Construction ��� Cr1�S,) 1)
Pilot Make k}� ��
Pilot Model r Smoke Bomb Wi►ing ���U'���
Pilot Timing � `� �� D►aft � Test Tay
L.W. Cut Off Door Pressure Lightiny Inat. ��
Prossure—���—Percent CO2 � 2— Date Tssted /'o - a�- _�o
InputCFH ��>>''^ Percent OZ Company Test�.,� S� f-F}TtL.�
Stock Temp. Percent CO ��U Nome of Tester ��l-�t-T�
Form 235