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Home My WebLink About1997-009412 - furnance/ac � � , PERMIT CITY OF ORONO PERMIT TYPE: - - - 2750 Kelley Parkway- P.O. Box 66 � `.��r:v�=:E`'�.- Crystal Bay, Minnesota 55323 Permit Number: ::�;�i��, (612)473-7357 Date Issued: �: ;��,,;,_�-� � SITE ADDRESS: -:::.._... _; ,.��,,..._,_;s�F�, .. ., . �_:_ '`-: - ,..�it:r � #� f-i�''�. —;s .._ _ _ s f— — i't lt'_,�— DESCRIPTION: ��:_-;;;:.-.w__. .":�; _ _ _ :.., � � r � f r-;c t"i �€�l�f= ��!.� -:;: � ��r;i i;�u:� ��`Y= _ --� �- '-` � ' _- �}J� .� � f..�� i�...'3 .F ��l � f f3'�L� � f-t�I_,ii..�t.'(y`!f� � .., . `.;:�, s Z„i i—i 1� t,=i::—� 't a••. . }._...__ :F.��; i : ` i 1?! �`i_�� (,j {!t S!-! i'�� lf,+i_1_ �,j!�s+��t.:l;�t_—._� _ .� �hir' "f' f_',l: :_)(,lt„} '.yi"�:F . - F /� - _ i .� ��i t"'!�'•.� �i 3• i\ s .'-�`3 T�`. �_�_fr4f.�i�'s% %�4 s.f�Ik3 i��_=i t'•��t.�"_ C'=�.i�:.t�s i — - t.7�-��_t� �'tr�!� h:i�srt--� �l;'i=�� i i�l�'v'-� j C' . ._Rr``. t:�•.t�_ REMARKS: FEE SUMMARY: :;�i`.._.: .�'i€_!i`•' . -y =- _ _ _°�,�t� �y:, .��a.�.7�� , �:j _ � - :�:M :_,!}f'_i}=�.�''��' .__,_.'..._._ .._m:.,. (�_i t.:Y[f, �.;�' ~�.%,i,j k:C: CONTRACTOR: OWNER: _ ;-�;_;�l z;��.�-��. -_ , , _. . - } =� , - _= _ ,�� - .... . ._. .... _!. ' _ ` " '. ' �' j'�SF;t � - .� � � L _ti'}I F `'i..ti ' " ,_�.�d'�i�{ _{ . .., r, '-��p F7i:' �-L i� +}6'�i� . . ... . .. . ._ .... . . . . ... _. .. _ " - �i�.. _ � . , . , a ' x!'�1( �� i*fi-:�' _. . . _. �}"�� #��,��?��.�1 i�'�-��- ` ,, .. .. _ _ . � j' >, � '` ��. � „�y�l—��.1� L�2.1`�"Sl�� .�t�ih i t . `'' f�.� [_.�_� � E ` , t . _��i� � �_�3' . o ti;''"C-. —�- r tit � i . .t�'� _ (t"�_ i a"s . � � .. _ _. ._ _ _; . _ .-.ri:- .— .,:. i} .��! .. :._ . ,,� r ' .. _ f � } �3TT'u{ ;.EI � _ . � � ��fi#,s_;h,�t�i i_,shl��jN�l?3f:�:v: �:, t�, ,�, , � ,.._ .,.•• : +w �.�._.._.�_.T� F,t_I��.�. _: .a .. _L'*. . ._.., �, . __. . � � �� APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE c}<::_ t *� .�.�� . r � "`, /, � l. . � � ! � � �� F � � � ��;��vEo � ; `i CITY OF ORONO APPLICATION FOI��i��tP�PI�CAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 G1.�,� p�= pi�ONO 1 �� GENERAL INFORMATION �,� 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be �� '� i reviewed and a pernut will be issued within 2 working days. � , 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID ry_ ,.. UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. � ;�4 3. Mechanical Designs - Complete calculations, details and specifications are 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. �;` M1�, Data shall be presented on form provided. Identification of and specifications for water heating equipment shall also be provided. 4. When any new construction or remodeling is involved, a separate buiiding permit 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. '�� .;� z 4, `w�'.`: Instructions Complete all 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. � f, � Please check one: New Addition Repair � Replace " " "�r� Residential Commercial � � � JOB �ITE: _1��7 i '��rtir, c;�r.1 �c� ZiP: t �' � z� �Y Owner's Name: � ; ,•o��_��i,..j�� Telephone Number: �` � � Mailing Address: � City: C �,�:,.,s!��_; Zip: ._., � � `L,`� Contractor's Name: � Telephone Number: c.. �"� ' ' t, � Mailing Address: )/ - City: _-r'�"" � �Zip: ,�,_ � � � � S�� SYSTEM DESCRIPTION ,` ,� n� � ��:� . , �.^ HEATING SYSTEMS � �"� Quantity: / � '�'� '�;�.�-.� Make: C�-c�n�l nr,�, �n "�'�� ,�:�� Model: -;� '��v:� Fuel: YJ � � Flue Size: 7'� (� 11 � ' -' Input BTUs: �o:oc��> �; s 3 T '" Output BTUs: l�.�C��, � `�•; CFM: � r,c,c ey�,_x �A _� r � y,'f�. COOLING SYSTEMS '� f �' Quantity: J , =f Make: /T�,c�-1 r��-r_�� 7 �� Model: Sa IS 1�'- i , '� .�`: Tons: / ` j ° ��` ��- �'�' �'� H. Power /, y � ��,'� �,�w �� . � � ; , , � , . ,, � : , . ,. a . . , , . , .t . - ; � � , - � �; . , < :... , , . . , . ,_ .� ' .. ../IP' . . �� ... '� . . . . . � . ... . � . � , ._. . . .. � _. f... , ..._ _. �,,� T ` - , . �;,: , ;,:� 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. VENTILATION No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm �`�'`� No. Other Fans: Locations cfm #;�` �� FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation Removal ��' Fuel oil: gallons underground inside outside }. LP Gas: gallons G Other Gas opening �}�' PERMIT FEE CALCULATION y '� 1. 1.25% of Contract Price* or Minimum Fee ($35.00) �,f;�'�<;;�C. x .0125 $ �.�; �(contract price) � �;� 2. State Surchar�e. �`* Add the State Building Code Division �" Surcharge to each permit. �a rj�:��C�' x .0005 $ or $.50, whichever is greater (contract price) 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �� i''; `r � * 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 are furnished 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 pernut fee purposes. In the event that there is a dispute on the amount of the job cost, the City, �ay request the submission of a signed copy of the actual contract. ;;.a;• ** 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 are complete, true ��i and correct. �� ' - , Applicant's Signature: Date: � - f Z- �'� Approved By: _ Date: �� . , LEHIVOX RESIDENTIAL HEATING DATA SHEET JOB NAME: � DATE --//-9 7 ADDRESS: � • L„j �/(/ O�G/✓O i�� OUTDOOR TEMP: �--/ ° INDOOR TEMP: 7 ° TEMP. DIFFERENCE: Q ' DESIGN TEMPERATURE DIFFERENCE MOVABLE GLASS WINDOWS SnE TRE 30 35 40 46 50 55 60 65 70 75 80 85 90 � HEAT LOSS HEAT TRANSFER MULTIPLIER SINGLE GLASS 39 45 52 58 65 71 78 84 90 97 103 110 123 SINGLE GLASS W/STORM 21 25 28 31 35 38 42 45 49 52 56 59 66 DOU B LE G LASS 28 32 37 41 46 50 55 60 64 69 73 78 82 87 DOUBLE GLASS W/STORM 16 19 21 24 27 29 32 35 37 40 42 45 48 50 SQUARE DESIGN TEMPERATURE DIFFERENCE BTUH SLIDING GLASS DOORS FEET � � � � � � � �' �� ' � � � � HEAT LOSS HEAT TRANSFER MULTIPLIER SINGLE GLASS 42 48 55 62 69 76 83 90 97 104 110 117 124 131 SINGLE GLASS W/STORM 22 26 29 33 37 40 44 48 51 55 59 62 66 70 DOUBLE GLASS 29 34 39 43 48 53 58 63 67 72 77 82 87 91 DESIGN TEMPERATURE DIFFERENCE DOORS S�E TRE 30 35 40 45 50 55 60 65 7U 75 80 85 � � HEAT LOSS HEAT TRANSFER MULTIPLIER SOLID WOOD 31 36 41 46 51 56 62 67 72 77 82 87 92 97 SOLID WOOD** 18 21 24 27 30 33 36 39 42 45 47 50 56 METAL URETHANE 23 27 30 34 38 42 45 49 53 57 60 64 72 METAL URETHANE*" 13 16 18 20 ?2 25 27 29 31 33 36 38 42 ""Weatherstri ed or Storm RUNNING FEET � CEILING HEIGHT X WALLS GROSS WALL = WINDOWS & DOOR AREAS - NET WALL AREA � DESIGN TEMPERATURE DIFFERENCE FRAME WALL S�E TRE 30 35 40 46 50 56 60 65 70 75 80 B5 90 � HEAT LOSS HEAT TRANSFER MULTIPLIER NOINSULATION 8 10 11 12 14 15 17 18 19 21 22 23 26 R-11, 3" INSULATION 2.7 3.1 3.6 4.0 4.5 4.9 5.4 5.8 6.3 6.7 7.2 7.6 8.1 8.5 R-13, 3-1/2" INSULATION 2.1 2.4 2.8 3.2 3.5 3.8 4.2 4.6 4.9 5.3 5.6 5.9 .3 6.6 R-13 + 1" POLYSTYRENE 1.8 2.1 2.4 2.7 3.0 3.3 3.6 3.9 4.2 4.5 4.8 5.1 5.4 5.7 R-19 + 1/2" POLYSTYRENE 1.6 1.9 2.2 2.5 2.8 3.0 3.3 3.6 3.8 4.1 4.4 4.7 4.9 5.2 DESIGN TEMPERATURE DIFFERENCE MASONRY WALL SQUARE BTUH ABOVE GRADE FEET � � � � � � � � �� HEAT LOSS HEAT TRANSFER MULTIPLIER NOINSULATION 16 18 21 23 26 28 31 33 36 38 41 44 46 49 R-5, 1" INSULATION 4.3 5.0 5.8 6.5 7.2 7.9 8.6 9.4 10.1 10.8 11.5 12.2 13.0 13.7 R-11, 3" INSULATION 2.3 2.7 3.1 3.5 3.8 4.2 4.6 5.0 5.4 5.8 6.2 6.5 6.9 7.3 R-19, 6" INSULATION 1.4 1.7 1.9 2.2 2.4 2.6 2.9 3.1 3.4 3.6 3.8 4.1 4.3 4.6 DESIGN TEMPERATURE DIFFERENCE MASONRY WALL SQUARE BTUH BELOW GRADE FEET � � � � � � � �' �� HEAT LOSS HEAT TRANSFER MULTIPLIER NOINSULATION 4.4 5.1 5.9 6.6 7.3 8.1 8.8 9.6 10.311.011.812.513.214.0 R-5, 1" INSULATION (� 2.6 3.0 3.5 3.9 4.3 4.8 5.2 5.7 6.1 6.5 7.0 7.4 .8 8.3 R-11, 3" INSULATION 1.8 2.1 2.4 2.7 3.0 3.3 3.6 3.9 4.2 4.5 4.8 5.1 5.4 5.7 R-19, 6" INSULATION 1.2 1.4 1.6 1.8 2.0 2.2 2.4 2.6 2.8 3.0 3.2 3.4 3.6 3.8 HEATLOSS SUBTOTAL Heat Loss Subtotal from Pa e 1 (/ DESIGN TEMPERATURE DIFFERENCE CEILING SnE TRE � �` � �` `� `� � � �� HEAT LOSS HEAT TRANSFER MULTIPLIER NO I N SU LATIO N 18 21 24 27 30 33 36 39 42 45 48 51 54 57 R-11, 3" INSULATION 2.6 3.1 3.5 4.0 4.4 4.8 5.3 5.7 6.2 6.6 7.0 7.5 7.9 8.4 R-19, 6" INSULATION 1.6 1.9 2.1 2.4 2.6 2.9 3.2 3.4 3.7 4.0 4.2 4.5 4. 5.0 R-30, 10" INSULATION 1.0 1.2 1.3 1.5 1.6 1.8 2.0 2.1 2.3 2.5 2.6 2.8 3.0 3.1 R-38, 12" INSULATION 0.8 0.9 1.0 1.2 1.3 1.4 1.6 1.7 1.8 2.0 2.1 2.2 2.3 2.5 DESIGN TEMPERATURE DIFFERENCE FLOOR OVER AN SQUARE � � � � � � � � �� BTUH UNCONDITIONED SPACE FEET HEAT LOSS HEAT TRANSFER MULTIPLIER NOINSULATION 10 11 13 14 16 17 19 21 22 24 25 27 28 30 R-11, 3" INSULATION 2.4 2.8 3.2 3.6 4.0 4.4 4.8 5.2 5.6 6.0 6.4 6.8 7.2 7.6 R-19, 6"INSULATION 1.6 1.8 2.1 2.3 2.6 2.9 3.1 3.4 3.6 3.9 4.2 4.4 4.7 4.9 R-30, 10"INSULATION 1.1 1.3 1.5 1.7 1.8 2.0 2.2 2.4 2.6 2.8 3.0 3.1 3.3 3.5 DESIGN TEMPERATURE DIFFERENCE BASEMENT FLOOR SaE TRE 30 35 40 45 50 55 60 65 7U 75 80 8.�` � � HEAT LOSS HEAT TRANSFER MULTIPLIER BASEMENT FLOOR 0.8 1.0 1.1 1.3 1.4 1.5 1.7 1.8 2.0 2.1 2.2 2.4 2. 2.7 DESIGN TEMPERATURE DIFFERENCE CONCRETE SLAB WITHOUT LINEAR BTUH PERIMETER SYSTEM FOOT � � � �' � � � � �� HEAT LOSS HEAT TRANSFER MULTIPLIER NO EDGE INSULATION 25 29 33 37 41 45 49 53 57 61 65 69 73 77 1" EDGE INSULATION 13 15 17 19 21 23 25 27 29 31 33 35 37 39 2" INSULATION 6.3 7.4 8.4 9.4 10.5 11.5 12.6 13.6 14.7 15.8 16.8 17.8 18.9 20.0 DESIGN TEMPERATURE DIFFERENCE CONCRETE SLAB LINEAR � � � � � � � � �Q � � � � � BTUH WITH PERIMETER SYSTEM FOOT HEAT TRANSFER MULTIPLIER HEAT LOSS NO EDGE INSULATION 7 67 76 86 95 105 114 124 133 143 152 162 171 181 1" EDGE INSULATION 34 40 46 52 57 63 69 74 80 86 91 97 103 109 2" EDGE INSULATION 28 33 37 42 47 51 56 61 65 70 75 79 84 89 An additional infiltration load is calculated only if the home is loosely constructed or when window infiltration is greater than .5 CFM per linear foot of crack. �vo o FLOOR SQ Ff. x � CEILING HEIGHT � � CUBIC Ff INFILTRATION/ p��., VENTILATION 0.40 xQ /�/ CUBIC Ff = 60 =�CFM MECHANICAL VENTILATION CFM = FRESH AIR INTAKE DESIGN TEMPERATURE DIFFERENCE BTUH CFM 30 35 40 46 50 55 60 65 70 75 80 85 � � HEAT LOSS HEAT TRANSFER MULTIPLIER INFILTRATION 33 39 44 50 55 61 66 72 77 83 88 94 99 105 MECHANICAL VENTILATION 33 39 44 50 55 61 66 72 77 83 88 94 105 HEAT LOSS SUBTOTAL DUCT LOSS BTUH HEAT LOSS R-4, 1" Flexible Blanket Insulation: ADD 15% (.15) R-7, 2" Flexible Blanket Insulation: ADD 10% (.10) TOTALHEATLOSS / NOTE: All Heat Transfer Multipliers from ACCA Manual "J" Sixth Edition. H1-841-L7 (14G48) Litho U.S.A. CREDENTIAL CERTIFICATION APPLICATION CITY OF ORONO 2790 Kelly Parkway, P.O. Box 66 � Crystal Bay, MN 55323 Phone: 473-7357 Business:� � �� _�,l•1� � '��Phone:�� - g�J�' � �/�J` -�� (Business and xome> Address: �� 1 � f c7 C �� City: S �}�� _ State:_y�r�+ �_ �P� �C 3g`�' Type of License Held: Master Plumber House Mover Other State License No. ExpirationDate Have you ever had a license revoked?�_ When �� NOTE: The City dces not have a special bond form to use. Proof of Workers Compensation insurance coverage is required for all contractors. Check kind of trade applying for: Septic Contractor (Required: MPCA Individual Sewage Treatment Systems License) House �..�Required�._$2,.420 Bond, 10-50-100,000 Insurance) —�---.___.�., �_ Mechanical (Required: $2,000 Bond, 10-50-100,000 Insurance) Plumber (Required: $2,000 Bond, 10-50-100,000 Insurance OR a copy of the State Plumbing Insurance/Bond) Municipal connections (sewer/water) Yes No Fire Sprinkler Iastallers (Required: $2,000 Bond, 10-50-100,000) Work shall not commence until this application has been approved and required permits are issued. Please indicate any other persons authorized by you to apply for permits: � 1 �� I � L--- - � "�1�1 �`/l� 1 (_t,- The undersigned hereby makes application to the City of Orono, Minnesota, for credential certification as indicated above, subject to the laws of the State of Minnesota and the Ordinances of the City of Orono. All applications are subject to a ten (10) day approval period. If disapproved, written notice ill be se . ( Signature: Date: �` � � ` � � iC: Sec.13.04 RIGHT'S OF SUBJECI'S OF DATA Subd. 1. Type of data. 'Ibe rights of individual on whom the data is stored or to be stored shall be as set forth in this sec6on. � S�bd.2. In[ormation reqaired to be�ven individual. An individual asked to supply private or confidential data conceming himself shall t be informed of: (a)the pu�pose and inoeaded use of the requested data within the collecdng state age�y,Politicai svbdivision,or statewide sysoem;(b) I whethec he may csfuse or is legally required co supply the requested data;(c)any lmown consequence arising from tris supplying or nfusing oo supply , private or coofidemial data;and{d)the i��ry of other persons or entides authorized by state or federal law to receive the data. This requireme�shail not apply when an iadividual isasked to supply investigadve data,pursuant w section 13.82,subdivision 5,to a law eaforcement officer. �«��++� °-�vemie mav olace the norice rew�re� '��pr thic thriivicinn It1 (�IE llldlVIQU2� li1COIi1C f2JC Oi DLODC[CV CdJC iEfillld instnctions instead of on�hoas forms. Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on urlividuals,ard wbedxr it is classified as pubiic,privaoe or confidernial. Upon his fiuther request,an individual who is the subject of stored privaoe or public data on individuals shall be shown the data without any charge w him and,if he desires,shall be informed of the content aad meaning of that data. Afur an individual has been shown che private data and informed of its meaning.the data need not be disclosed to him for six months thereafter unless a dispute or action purwa�oo this secaon is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the i�ividual subject of the data. The rosponsible authoriry may require the requesdng person to pay the acwal cosu of making,certifying,and compiling the copies. The responsible audroriry stiall comply immediately,if possible,with any roquest made pursuant to dtis subdivision,or within five days of the date of the request,ezcluding Saturdays,Sundays and legal holidays,if immediate wmpliance is not possible. If he cannot compty with the request within ��.}��}'arm the individual,a�may 6ave aa addidonal five days within which to comply with the request,excluding Saturdays,Suadays az�d legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or privau data conceming himself. To ezercise tt►is right,an individual shall nodfy in writing the rosponsible authoriry describing the nature of the disagreement. The responsible authoriry shall within 30 days either. (a)correct the data fouixi to be inaccurate or i�omplete and aaempt to nodfy past recipients of inaccuraoe or incomplete data, including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed onty if the individual's statement of disagreement is i�luded with the disclosed data. The determinaaon of the responsible authority may be appealed pursuant w the provisions of the administraave procedure act relating to contested cases. DATA PIZiVACY ADVISORY In accordance with M.S. 13.04, Sub�. 2, "Rights of subjects of data", we would like to inform you that your request for a permit or license from the City of Orono or any of its departments may require you to fumish certain private or confidential information. You are notified that: 1. The information you fiunish will be used to determine your qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the permit or license. 3. The information may be shazed with other local, state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5, You have certain rights under M.S. 13.04(available upon request)to review private data on yourself. 6. Your full name is required to process this application or permit. � �P� yN � � r �� First Mi e e Last � � r � � �ss � �' ��G 7/�g�� C�S� , State Zip Phone I understand m rights tated above /' — � 2 _ ' . S� n . � --�-�..o-.----R, -�., --T_-_- --;-----�.-�--�-- , � , , House Heating Test Record Address '� �-f • _r � , 't, . r`r" �1Ca4'1 Apt. Floor f'`-;1�� , _ �,- City _ , -?�. �' �_�a Suburb Occupant �� ,-- t'ti�� : Owner � � � �i� i i-t I� l��t r'_...-L-- E-�� j� „__- .- Heat Loss Date Htg. Inst. ��' ` ' � Gas Co. Meter Badge S o I d By �� t't��- ��, (C�l�� Installed By `� . Y�'� i Electrical Work By �-� �r j� �: ! �> r" b''� Gas Line By `�;f-, ,n�i � Type of Heat GA FA �` HW Space Htr. Unit Htr. Other Gas Design Conversion � Make of Bumer Model Make �,-o C,<� !�'�o� n Model�'� ;��- .� Max BTUh rating Seriai �l��"?�4i��. Input ��f1r"X' �-;�� ;' � Make of Fumace Model Controls � Verrt S¢e <�� Knd of Liner -r' Thermostat -s `�;-`r-� Heat Plug r `�3 ;� S¢e None Valve ,=?�� ,�� t � Limit � ��k c::.� 7 ,n`;��i c t1 t� 5rE j ` ^ Draft Hood �� g � � ,� Regulator C, � Lim�Setting �?�G;'' Fan Set6ng _ �s�- !� � ^ � Filters Size � x`".=�x �^ Number / Pik�-Type � `", '� Pilet Make ,��: y'�- ��;�f j„ �� Chimney Location Inside j :� Oufiside Pilot Model � � � � � � Pilot Timing ;7 �`�s t� v.�. -� r- 7 Chimney Construction :`=_�{-�;.,�L L.W.Cut off Smoke Bomb wring ; Pressure �r �� Percent COZ �,_% Input CFH ./.,-�t�-96 Draft;-t ��,• i Test Tag Door Pressure Percent OZ ► r_: 96 Stack Temp t "%�`" Percent CO �:� % Date Tested �� .l-{ - `� � Compan - � Name of Tester White=Office Canary=InspectoNCity Pink=Jobsite �. , . _ w �... _ DATE TIME CITY OF ORONO CALLED IN �" -.S � ,7 INSPECTION NOTICE SCHEDULED � "— �` � /U�f PERMIT NO. `r1^�/�, COMPLETED � �_ ADDRESS c..�'�� T�z,.s-�� OWNER �,G��i�-✓ CONTR. ��g,� G��,�. � i TELEPHONE NO. �7� ' ��s'�"7 ° � DESCRIPTION .1'l�'�i ��, ,� J � 01 FOOTING 11 ME ANIC:AI a4 i!` 1g EXCAV/GRADING/FILLING �Q 02 FRAMING y3 MEC ANICAL FINAL' 19 IAI�SHOREJWETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = OS FINAL 14 SEWER HOOK-UP O6 PROGRESS ~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT J W 07 DEM�-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNOATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � � d �ORK SATISFACTORY:PROCEED - PROJECT COMPLETE W � ❑ CORRECT WORK 8 PROCEED �. ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ; pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �^ CITATION ISSUED ❑ INSPECTION REQUIRED.CA�L TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlCon r ite: Inspector. White Copyllnspector's File Canary Copy/Site Notice