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Home My WebLink About1991-003987 - mechanical , PERMIT ! � �ITY OF ORONO PERMIT TYPE: k;�-..s �r�� .—t 1335 Brown Rd. South • P.O. Box 66 =�F```�r�"��`.�'� Permit Number: :li J,-�'-iiTi; Crystal Bay, Minnesota 55323 �.'•-}_��x�+!`?�. Date Issued: (612) 473-7357 SITE ADDRESS: �__�;�� i,:�� r i�:N � . .E . 1�i. t .��j .� .� f'�.x_..�`.�._—t!t}3._ DESCRIPTION: ��t JFi�'�frE;:E '��' '�r� •_i.-.,zr-- 1 �-1�;=�T I i�� _�i��i tl''i'�� i iF��=`� Lti;��;��s�:4 r��;it.JcL {�',;.i:i°=�:�1 t��,;i s , ��'��m �� ,�� ""n�" � . . b M reb ._ Y' 1 _ _ � � t f � � ! § �, � � �a� �'� � �I � �� tl��z �� *� �� ' .. m lY �' �$��m' �r „��b; �� '�'� . �. � W �'i+=_ 3= -" w� �nr�� k��wu�,4-�'.. � _�*� °fr# , � �N�'�'� �.. t , 3 x��: a � �Y�i� �a , � � +�p�"i°d n . . . > � ��ro��,�`�< u " r i '_{.: - � I �+y4� �� d '"��"�.: -.��'�S "''��r"��r- � � �. ��' � ,.��r� �,, ' ��,dy y ��; . . i+ , � �� r4�� ro ' � � �'�': �� '�s�� '� �`�, � � � � .�t�l �e ��" � la I"�� il �Y ' �� ' ��b� �. } ° � {� REMARKS: L•1 7 1 L� L�t\V!��Il� L 3 RI�:A(F'i !!��T!'� . • 1 11TlilTL•L N! f 1L•L FEE SUMMARY. 1J1Js�VVVVV �'� ;:E:� �;:.G"3 i c:.�:t�:�i%{.%�i}�� n '- -- - - - ' .rt r t� _�=t=k:' !-�C r_:t'_i , i_.ii {'-!F•{ ! �.. 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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. All work must be done in accordance with State Building Code requirements. 5. All 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. INSTRDCTIONS Complete ail items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. 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 ******************************************************************************** Please check one: New Addition Repair �_Replace JOB SITE: ��C �) ��'`C ��c�� • Zip: J��C� � Owner' s Name: � � � _� �� Telephone Num er: Mailing Address: � � �� c`v �' City: Zip: Contractor' s Name: v � � �� -�, ;� Telephone Number: ''� ,�-�"7�,� Mailing Address '� �� , �- ' _ � City: Zip: �'� � ********************* ********* ******** ********************************** ** MINIMUM FEE ( $30. 00 per project) ******************************************************************************** SYSTEM DESCRIPTION: $15. 00 each unit Heating Systems : Quantity: � Make: L�� Model: f"'��' c1,r1�� l��c_, Fuel. Fiue Size: Input BTUs : Output BTUs : CFM: ******************************************************************************** Cooling Systems: Quantity: Make. ' a�s Modei: � Tons: _ H.Power: ******************************************************************************** �� '��-L L.� ��' 4 2�91 �� - � ., . ' , *WOOD BURNING EQIIIPMENT $15.00 each unit Wood stove with flue Wood combination or add-on unit Factory fireFlace 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 No. Kitchen Exhaust ducted recirculating cfm ?�o= Bat�: Exhaust (must a� �ucted outsidei 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 ******************************************************************************** GAS LINE INSPECTION High/Low Pressure $15. 00 ******************************************************************************** PERMIT FEE CALCULATION 1. Total of above Installations or Iriinimum Fee ($30.00) $ �G. — 2. State Surcharge. Add the State Building Code Division Surcharge to each permit $ . 50 3. Postaqe 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, agrees to do all work in strict accordance with the ordinances of the City and the rectulations of the Minnesota State Building Code, and certifies that all statements made on this app lication are coir,�lete, true and correct. Applicant' s Signature: �`�C� �U�ti�� Date: � � �'"� I / #�� HOUSE HEATING TEST RECORD ��FT� � ��/ ADDRESS �� C�J �E.2� TA�.�E� ��` APT. FLOOR CITY SUBURB �� OCCUPANT OWNER HEAT LOSS DATE HTG. INST. `� SOLD BY INSTALLED BY r ��) �L,�� Electrical Work By Gas Line By TYPE OF HEAT GA FA�_HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE � 1 MAKE OF BURNER Model �� ` � - Model Serial Max. BTU Rating INPUT ��S` �C+G G MAKE OF FURNACE Model CONTROLS �r� THERMOSTAT�— Heat Plug Vent$ize ya�Ve � I a O l��S 2 KIND OF LINER SIZE NONE x Limit—�[T�� , Draft Hood �(-� 1�-� � N Regularor� Limit Setting ��L�C Filters Size��X�`�X� Number Fan Setting � � rn�� Chimney Loeation Inside x Outside Pilot Type � PAR�� -tni � (7 N Chimney Construction�� C1..A�S � Pilot Make Pilot Model Smoke Bomb -' Wiring � Pilot Timing Draft �,x- Test Tag V L.W. Cut Off Door Pressure ' Lightiny Inat� �i Prossure ��- Percent CO2 ' Date TesTed �d -�-L�/=' ,,,� Input CFH �$� �� Pereent 02 • Company Tes*�.+� �GT J'��1�C-� Stack Temp. 3�n Perce�t CO � '� Name of Tester �� m �- Form 235