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HomeMy WebLinkAbout1991-003703 - mechanical ERMIT CI:Y.OF ORONO PERMIT TYPE: 1335 Brown Rd. South • P.O. Box 66 PermitNumber: ���`����'���''-'�' t'_3t):_ (1:i t Crystal Bay, Minnesota 55323 Date Issued: �y�;���_�j (6i?_� 473-7357 SITE ADDRESS: 1�7=:i Li_ti�% Lt�k::E cLVD TL.iV �' . I . Pd. : .�E�-1 f=�-;;:°:�:-:�::��-t�i;�:a_; DESCRIPTION: 1 HE�,T I NC; L�Y���TEE"::: FLl1E L�I.�c �. F;�EL t�lHTl��:�L Ua:�� hiA��::E ,=���.:_�=�t t.i I�;E Fi��(it_`='_ ta!J� C�;5 i..tt 1T�''�_`i r.i i, ���•_bc_! �!y'r'';j ! 7�i,�.){)(,) I �i� C:f iiVu I T I u�I fidG h1H��::E �_Ct�����#=�:� i°�i�i�=�;� H::��'.�-��,1 T��thl'=: � d�rrk�'p,�"���,� ���"�"`� r�.�,���'� ��y�r�� ���'; � �"�� ��`�� � "��� �"� ��������'� �i ,"���.�� �+ . � ,���r � �����,#". '��``�'� � � ��,������ � T . �+�` . �' ;�s�i",�/1 ,�,�a�'v z.� ,� �.�kr°`w�,✓h'l� }�"��llN,�'���'y'�"'a„'��a��b s����^'fr���1�,�F�'�"�'�'���"� _ � . : `�� � � �' �s� ��U��„��y; �,��, ' pi� ,� "��� �r,� � � ��is� y�K� � �� �^ k�, �� �' � - k� �� �� � '�'� "�� 'W ���'�� ��"�"��#an'"+ � ���'���µ�`��'p� . � y� *Y�,� / � A4'.. �� ��'. � �*'��'�'_.,�. >-�.k'b'� aw+.=��'�#"�.e��, REMARKS: •`i s'y -- ai�:i�eif# FEE SUMMARY: ��"{.�^'''� f��rT�'� _:tr.�e�_�. t�� � s�a. a�{=1,t,:rlrl:•l .��1, � i,.t 2,��,�_._r�.,:�. ;+ f""�t �!1 �fti VLlT 't�+VV Ea�� F�c �=�i� ,t.�Cr .I:t���--=�n;:' �:; n ��L�)'C�"!ct)'�� ._...�_,_.... _�'..�.�-a,i7 _`a `,-.T� ..�rv Tt��•�i F�� ^��:(z. �';t) �;yc�r�• ;'L ��v.�:� '-e�t�_•-'_:;:Aeih� �hit , !��L_L3t . 111�"'!!T!1 f{:V 1!`L3•�•5r'+� i.'•.:'i7 �i4f Tf i�'SL 1�!_..�.'=' l'�!=�1 !1V1 :lt'LV i3=f+•+j i{4? 1Ji't tl: !J. CONTRACTOR: -- f�F���l ica��t- -- OWNER: C:�I"��TE ENG I hyEzn I tdi� ,_:'�.�:ri 2 riCt� �IIZ�!'!YFlv 4..•r�tii�LG�t� �._�_,r, E� :�F-{��Y Es�#�:: fia 157i r U fh��� LAF::E E�Lb'Q #�I�it�ETi►Pat�A t�l�I ��_;�.: t_iRiJP�{�� i��! ��_:�;�. ;�,���:� ��a:��-f�55 �.7=;-��a7S _. _ ___ _ __. ___ _ _ _� _______._�_ � — - - fi — S ;f•i` T P• f'�i'F'�ii [ . ' �_F'ihriT _ '3`:; Fii+lj, P':r^-r•.i �'�I'r '!"ivr"1'"F."f'- :1"'�� t��'kt.�G-4.. �;��'��L3 t`:�n�CC�I �iz t fl_+L_�=� � �_ �'�r,r..i'1 i�_��=���_�!� i t_• ! €He�.�_ ��"E�_ 4'"��?-�L_ j,{Til"T'�i :�%i_f lC:i� !�� r �-�i—. : � —•: , -_�r •- � • = t• �— �=��'�'.:'1�' t f�_�) H's��i� til:i�i3.:c.��� ��_� �!_� lti�+.._ i��Ji�:i�•. �t•�{ ���i''.s.i•4 �•�_iE'ii�E.''.t-�i'ti_.�' _�.�i i'� ��L ?_���� �_s�'- wr,r_�-� r:;. • - -r.r.. ., . n,,-.r,_�_z M.�. . _, r- .i z rsr- �..i�l�.����_� i_��"SL�.t�`�+-��4`•�C_•= P-}�'+�L,i � �Py} r, �_I� �}i l4Fvr�._�I„�} j�'� _�%j�,�_���i`�:i i_.i I 1 r `{�'t�I i i�t'it=��� ��+ . � �� �� /�f „__'J �J APPLICANT/PER E SIGNATUR ISSUED BY:SIGNATURE ����r � .x.. -� .�t §s";��.r+. ,,.a.�- �. _"•'`a;__s, r .�:=it5......-a - �t �"�;;�':. ' . . � CI�'Y 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 be 1 ow. 2. Permit cards will be senz 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). Cal 1 473-7357. 24-hour notice required. 6. House Heating Test Record must be submitted before final. INSTRIICTIONS Complete alI 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: i'✓,�v Gv �Jv LAi<<= �/�G ✓� Zip: Owner' s Name: ��AZ�fS �7"7z v�-i� ''7 Telephone Number: 7 3 �� ?� Mailing Address: �5 7o Lv.v� 1�,�r :��,�City: ��o .v� Zip: � Contractor' s Name: G��f�IA.-� FNvi�.=�����<-" c?� Te ephone Number: �13Sis�� Mailing Address �,�3c, f3 .s;-l��y o.9� ��Z� City: ¢�f'/��,✓5 Zip: .,�� 3 �i ******************************************************************************** MINIMUM FEE ( $30. 00 per project) ******************************************************************************** � SYSTEM DESCRIPTION: $15 . 00 each unit , ����Heating Systems: f ��'- L Quantity: �' �?�� `��� �� Make: iZc�A,�z,: __ Model. ��;_ ��7� _ Fuel. �/A;�;zA� ��s Flue Size. ,s�• Input BTUS: %$,rz v OUtpUt BTUS F�GL��v" CFM: ******************************************************************************** Cooling Systems: Quantity: � Make: �E,v�v��-�= Model: � z ?- - z4�� Tons: L H.Power: ******************************************************************************** � ����� ' �.�s� .� f . �, �� ,� Y �� �,��: ����;� ' * `�.� �� ��� � � � ", , ����f� �,����,��'x � ��,����. � � � .,$ ';» �'�a� , T �.-�` y �a�- �§��r,. ' ',�-. � �«� �3`t"�< � `�t��;�z^ ."�. � -r,�... �, y����`��E t�'��, ''�-:�p �, `, ��� _ �, �� #��.+v x"`� - � ^ -�:� -xa�� -_�t�� �.� � ��, t: _ � � a � .'A' - � �` �g- . ,� :�i� .' �'�:'$,��..,'!9(�: _ „ : �_. � . . �� z _ . .s z _ .. . ,' -. -. .�-. �-��a- _:...a , . ., . � � , . . , .�'�, _ � _ �w�=*.�,•'''t_ *WOOD BIIRNING EQIIIPMENT $15.00 each unit Wood stove with flue Wood combination or add-on unit Factory fire�lace with flue Factor Fireplace (s ) freestanding Masonry Wood Stove (s ) franklin, other BrandName Model No. Mfgr' s Min. , ClearanQes, side , rear , min. flue dia. Total ******************************************************************************** VENTILATION $15. 00 each project No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) 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 $15.00 ******************************************************************************** P$RMIT FEE CAI.CQLATION l. Total of above Installations or Minimum Fee ($30.00) $ 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 regulations of the Minnesota State Building Code, and certifies that all statements made on this application are complete, true and correct. � � �> � � .. �� Applicant' s Signature: ����.�1� �� Date:�Z�y/ / ✓ N� :E" ��A3'" :t�":�4s� �"y�xTrt+t tr�1?£�'"� . .y t��'��`�. '���� a .�,�,� '���. L 4^ afi � , v��, ,Z�+ � ."� ����s��.. � w� �. �, �t�r ���: ��"��'Ei � �` � �'�aa �. s�g�v ,.�� � �sr.�'`' � „�,' ���i +� �#�t`�� " � ���� �� s' x��zh[.. >,�� a �' ,� i .�S..Az''``�,a a � � k�^v k.,�„ 9 t„�' �,�' a+ y�i�� � ., l �*.� ,P� '�k � - < < � �- -�. �� ��. � , . s. �� 5� „ z « �"^ _ , W � . �� �r��-��! �-�'s� •., t�,,�,��� �� �`�� �"' q : ,� ��� � � . � � ,� ��-.� .� :� � �G��� � .��,��:_ t�°�,�: �" - � rwa � � � �� �,.� � � �. � ��$ � �� � , Y�yy'� ;>. Y .a . �y��•�.i C��--.`F_ C� - ... ,� .. 't'l�,y. �s` , �,� ` �. . x , . _ . � d m i , �d _ � x. � ��� � dFN'4 . R r y _ ,».e. �..�. . � .. .. . . ��..� '� .`aa'�., �� _. . . .. ,. � � : , � `�Y c- ��n� P ' .»m . . . �.,....�. �.:. - ..�. .�.. . .. ..g..�... . .. . e�'..`. '-.:.! � _ HOUSE HEATING TEST RECORD .DDRESS ���d ��6G4�cr �L� APT. FLOOR CITY ��'�`� SUBURB , �CCUPANT OWNER ;EAT LO55 DATE HTG. INST. GAS C0. METER BAD OLD BY INSTALLED BY �lectrical Work By t Gas Line By 'YPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER /�,�� GAS DESIGN CONVERSION �AKE n�w"�l'� MAKE OF BURNER ^odei U� O 7s � l Model xial ��� �O/�� Max. BTU Roting JPUT �s�`� MAKE OF FURNACE Model CONTROLS p �� "HERMOSTAT �� Heat Plug � a Vent Size � �a1Ve �Lt h�.OGf�S KIND OF LINER LU��''Jv'"� SIZE�"'r��NONE _imit ��� ` �� Draft Hood �'J��'��'�� Regularor .imit Swtting /�d Filters Size Jbx ZS� � Number l �an Setting �� —�3 b Chimney Loeation s�de � Outside �J ilot Type ��� -�U��'4c'� Chimney Construetion ����� 'ilot Make 'ilot Model � $moke B_oy�b Wiring -S�"� ilot Timing �-s���a S• Z iit/F pra{t �!S!/�z ��C Test Tag_o/ ..W. Cut Off Door Pressure Lighting Inst. ressure 3^��'� � Pereent CO2 �� Date Tested --� x 9� iput CFH S�r� Percent 02 ��s� Company Testing tack Temp. ` Percent CO �'�� Name of Tester orm 235 `L`L n