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HomeMy WebLinkAbout1993-005720 - furnace �l'� ' ��� � CITY OF ORONO fi PERMIT TYPE: 2750 Kelle Parkwa • P.O. Box 815 '� ��'����_�`��`��L�"�'- y y Permit Number: ;:;;;r�-��_� Orono, Minnesota 55356-0815 (612) 473-7357 Date Issued: � ; ��;;�;;�j::; SITE ADDRESS: �,e�4+':� ._�:t•�r� ;_�i�aC�r� r��:'� �'=�V - . _ .t�l . . t���:—% 1:—�,_—�._.—:}��a:::'��� DESCRIPTION: s:�,t 1� t�,�".s'-��: � �i�rh����i*if� '��Y`��TF_i°1°=; �L�1� __;;��� r:" �t;�i_ iV���T�.=��;t�! f�s�'= t�(=�}::.� J :�EC_:f�.��y�:%f-��'� �'`�1_?L�E� ��'��'�€�.��i i�`t�#F� 3�;!1'�'�'i1T i';='F,,t:��:�C� It�l�'"sj?' �.;�i),i)t?ti �j�Y v� vl{�ifi"ii1� ��;���:cjL ��=�c� 1 JA dJVVV�%iI �! r F C' J}� V�S Ii.7Lt� �JV.ifi/ $+:�r:iftfr tj�J} 1 i.LtC.V�V{JV � f!3 !r� ' f�j} V 1 Ly.lf �.�jjj( y 1✓Jl!t'VVVV }7 V1 VL1Ti IaJV REMARKS: `�" `''' " ;�( "yf`•"' 1�L4L3�1��1t171t11�i fV� i r`4r����.;i:i�r= +�..v�t}i ��tl �{r}u�i.i +9 i�i318; jl! !J/iJ FEE SUMMARY: 4,1"iLs�!l� T y�.�lY i.� °_3j,1�._� _ f �.:. ��s�� i��.� �.5i� . t_}!:F l�it�I I_ I i`� ___----__:����'�' :'�; ,_.. ��1 ��r.") �t.:�,l r=�� ;��:; . .�;i) y��i3'Ci'i�t'°�= ----......_.._ _.�,i�j...e.�. �'= '=��#I_��.�zt.�l ���,'�' . i:fti CONTRACTOR: — �'������ ��:�:_.{—,�t. — OWNER: ..i�s`-fi'i ��`!_�";=-�i���•('��a z 't`�L, , ±�r�,,;:'-•i�t��'�,Lt_: �1�C_L..EI°����_ �..;�,�;t�i'j =��.{� �w�l���..�I�d�� ��`� %i:-��:._�: l_�:��1H i��.���.E F?4'E t��h��ll��'i��!I'�� i'�1t� ���i}:;��� ��ii;+=;t�i�=� t.3t•� �:�:.:�,c� - ��, - ;�,:r: , ... ::.. . ;�.r .,_ _ ,. , :_.:'=•�7 =-;�•; —�!'�f =?;i�;; f t f �:r:_.. - C:f;E #i°i '1_3t,It'( 'i'-' i :- ! ;�i_._ .._. ....:;_�: ._�.!.v:�:t__ ! .�. .»._�- ' :.��_���_. .. . _. e.. . . .. _. _ _. . . . . .i' . . .� . .._ ._ f� . . ...'iC_. . _. . ._,._, , -�-...-: — � �--- ;1; � v � . — . EL s_ E�_ _ � i''T�.; E {_:; "i_.•. ._,� -�. . ` r � _��i'�t` �;-�'':..:i= Y� . � . ;=1%._4 i I�ti— 'W=t ._'_ _. __=L1 (�t'°.'•J ri?.�;':�;__._ 1 �_ _. _ ::,._�_ . _. .. . �f`•; _ . :S � `� ,_ _. _ ;,�:'`t i��= �_��;:i�T f.ir�.#•.[i':"'.. r:`:_.. .. ? r. . �.::. .. . i�F.at.__.:"�i_I i FE _:'1 f%� L;4 s:s;= �,f_:�it� i.'!=:.1�);�--.'(--,.��?����� € �:i . L .. � • J �' � �-�-j-L�. <� � APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � CITY OF ORONO APPLICATION FOR MECHANICAL PERNIIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within 2 working days. 2. Pemut cazds will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical DesiQns - 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. 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 building 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 fina]). Call 473-7357. 24-hour notice required. 7. House Heating Test Record must be submitted before final. Instructions Complete all items on this application. Compute the pernut fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357. Please check one: New Addition Repair � Replace Residential Commercial JOB STI'E: /o S�o � ��A L��„�,� r�-� � Zip: Owner'sName: To�,� /.1.O1�o,..� 6-e TelephoneNumber: Mailing Address: S,s-�--�-�- City: Zip: Contractor'sName: T��-i,-, �j%�c�Lr,o-w« L,,�TelephoneNumber. 7a�s'�6�� MailingAddress: 3 s 6 a Sw.���,,�;4 �� City: �r/.��S Zip: S�yo � SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: � Make: / o c�v� v/�w Model: R g n� ��a pm F i Fuel: !vn-�r�-� Flue Size: C�'' Input BTUs: /�c>� �J �fi l.� Output BTUs: /a�� �rz� S �S� CFM: COOLING SYSTEMS Quantiry: Make: Model: Tons: H. Power � � �� � � , 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. Total VENTILATION No. Kitchen Exhaust ductecl recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. Other Fans: Locations cfm Total FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation Removal Fuel oil: gallons underground inside outside LP Gas: gallons Other Gas opening PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) y�000, "" x .0125 $ (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. y, b Q�. w x .0005 $ (contract price) or $.50, whichever is greater 3. Posta$e and HandlinQ (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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 mazket value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. ** T'he 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 ttus application are complete, true and correct. Applicant's Signature: � Date: //—J—g� Approved By: �� Date: ��— g ��l3 W�eherstcips � ,�.S.H.V.E � t..qniC ctioe Nn. nso on Cuide �' How A �ed tiVindows � �—_ �� Reference c)ut. �Vall � Int. Wall Ceilin� Ra�i �'i�Htr � Kind PP�� Yes•Vo i Yes•No i f 19 i ' . � ' F}. Rc�om f.en h `Nidth Hc� ht f1. Rr,om Lcn Width Hei ht Win ows and Dcx�rs - Crscka and Area Windowc and Doors - Crac a and Area No. Wid�h � Heighe No.�f Lineal ft. �rca.� ,.�`�� Nu. h Widih H�ighc No.af Liaeal ft. Area. of pane of pane lights ' o(ctack � sy.ii. i�, ;..�' i of pane of pane lights I of cnck sq.f�. �y O�1'�( oZ � • .� 'a .�,`�. 4, �(� � I �:lo� �.f� � � ��g G{ S� '7 foo I a� �-{� I ,� �7 - � q�, � � �- Gc 1 7.5.0 51� �9 ��q i - � � ! .z a �� �� � ����� �,�r� � a� o ao� a'� y 8 i `d �c ,g� rocr.l Btu ��- � " p � �?. ! b I. coet'. 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