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1991-004050 - mechanical
P�RMIT CITY OF ORONO . PERMIT TYPE: 1335 Brown Rd. South • P.O. Box 66 �-����`������r`� Permit Number: i y=:y�.i i.,i� Crystal Bay, Minnesota 55323 Date Issued: i�_�`��:�a%'�i (612) 473-7357 SITE ADDRESS: .�:�Sr._; L±Jl�I��v i�W +�:I'r'i i..•�4Y !"'`. i . l4. . �1:�:—J. j j—,,::.•�-�;'�—t)t}i�.-_�i . DESCRIPTION: ��, -�€ �;-,-. . r-:e= L•��lH �RF�.1_:sf 4 •_�i � _�f� .� HE�,TIt��� ::'r:=�T�M'=� FL!�� =; �`�;: _ �t#�L t�i�,Tt!R3�L t��i:�: 1"!f-)T�•.C Y'E i 1 i.i,'fi'!��'•C �'!�_�L��� ���!�-{1.��tf'}L+�.f-. i iii 3 i=�.i�i _i�� , i sts:_� 1�'f�-`l}� �.';=?) ,{�}(tt�i �- �' � � , � � � � 't� �" o- � „ :` �in'� �r�)�� � _" � ,� r �� 't �a� � 4 - „� ���h��ti' Y� ��M'�b _ "� W Ny ; f �� § 4 r� . � y �: �P'�,, p� . ""s� i µ� ��;i"�n» i a €�a I F, V JI `� k �n M�`�— I N�� M � � /i'�.u�'{�R }q r r�/7�, ,r ��, ���,1� �� �;� W '` � w' ��'� -�''� Or,A �v�� �. 4 �, � ,. 'j. '^•�"'. .�' �. ., , � REMARKS: FEE SUMMARY: E�a�� F�� ��:�C�. Cf�,� `�.ut��i-,a����� ----------�-��� �{'s{�-�xl F�� �:=t:i , r;ii CI T� uF' uf�L'1dL' I�17�77IY4L V��l�L '����.���1 ,� 1� ,S A � J�►�j�i��j►ju��tT �'�V.vi/ LiL.i�i.�%VifK%V � 41 vE1'� .�4 f;Hf��� TL 3�1,��' 1��'4�I�T-�HAi�'�'t' YUtI �«?,�3l1 �;1�� T�u� Tj�.�� CONTRACTOR: -- ►�����lic�►f�t. -- OWNER: , ':' r; �:�I1��i�TE Etu�;I�IEE�;It��i.i :1'�?�1��,� �'i'�'t�iV `•=�UE �.=::::F. �: '��F�riC)i' 11r�i�; �i� t'_:r.t:, L.�_�I`d�'r�I c W 4.•I Ft i��l`�����t�l�'���:.� �'�� ;�,_��.:j i��ti_I(°�i_i t�� ��::�,F; t;�;�1 s'.) '�1:=��',—i r,�,�, �.��i�'.j���,—�.t;:�:�. ----__. _ _ ___ _ t �-- � � � -.F�..�i cr-e':r-:-�:t '' t.ii `' ` "=7:" �` - _ -' - � r,''•L:r r: r:r::; 4 ,t:-:•;,�'=_.i± �'��j 1 � ,.� •-. _( _ - � � �-•._'. •- . . . . -r� �.ai Z ' � 7 �'if_i''•.�:;C�i i . '�> �� { -W� i"!...i.i°!�.;�._� t iiy`•l j S i i �i�i;••.t�_ �1"'i;... f'•.=.�ii... . 1 �F•-} _ ,�4=�`<<'�I�{��_� �1�'S.__ V.�.._f:��,.•_FE t_=1.. ._ . .: �.n _ _... _ . _ _ "� :�•r'� :•--'�-��-�. .,�. � • : � .� � t : � .. �.. .�.� �,, . _ . . . -.-, -. . , . . . s. :- � -�• T,.� -•�•' " . ' -•�r�;��.i. F r•;3 �'i.t r F c: . -. �i;i.. i ��ii i �=:i'��t i p-i t i i � i_� r � _. #` __...,. rf� !'41...(.1.'-- ... _ e.i�-� !-_-!_ r!�..��C';t-•. !!"� •_. 1. . . L.�... F'L S..' .•C'. '. _ t-iL__ t•_ '! .tr,:�"i'•_ l...�; t..• . _•.'_'_ (-.:.� � r f-��i-� - .. ''}1E ij`.{;:i:`t'�.._�_ t=1:°�i�J r�i i c= . ;`�li'�t;`�._..e�{_'•�f �s'•_ �'l__�j litid'.� F._.i S:ji_ j•ir!.:!_+.Li',s�.i i�:�;�:t �� d�i:�.'_il=•;'=._[ f_i;+,, i-:-, _i 1_{t.- ^;y 1 ��:.�. APPLICANT/PERMITEE ATURE ISSUEDBY:SIGNATURE rO�L,J � • _ ' � .�i � a #4. �� / �''� �`'� CITY OF ORONO ,.*��,�`� ���'`� APPLICATION FOR MECHANICAL PSRMIT '� `� , ., GENERAL INFORMATION '- �;: 1. You may apply for mechanical permits by mail or in person at the City rti offices. 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 'F" 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). Cal 1 473-7357. 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 date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSE�. '';� If you have questions, call 473-7357. `i 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: �3�v `on/�,t/��,� �i�c��E Zip: Owner' s Name: Su� `�C Y�� Telephone Number: ��� 1s:3� Mailing Address: Z�Sv Lo•�l�i/;.�:.� C�:Tc , City: �Z�N�� Zip: Contractor' s Name•��;N�,.}-TF �.✓�i,�/��.z�.�.i� �'ra Telephone Number: 9,�s�Ss�- Mailing Address �3�3�3 Si-���Y o�K � � City:�fl�,r;,�c Zip:,,��3�� � ******************************************************************************** :� MINIMUM FEE ( $30. 00 per project) i� �. ******************************************************************************** ;,� SYSTEM _DESCRIPTION: � ,/�. $15 . 00 each unit � C�//liu'h � C`��-e-rc-� �. ':4« Heating Systems: ��✓r� ��� `"`� Quantity: �� _� Make. �2c'ol-�-��2 E _ � Model. �r/,41���¢v� " � Fuel. N.��- � s Flue Size. �r`� Input BTUs. /2-�10� �� � Output BTUs ��� �e-v v �� , ,;� CFM: ******************************************************************************** ; Cooling Systems: "� �; Quantity: Make: � Mode1: '"� •�; Tons: ": r H.Power: ******************************************************************************** .; a^� � ,�b . � ; . : � - �, , $ _ E� . . . . . . . . . . �.. � . � T,f'. .. . � � . � . . � . - . . . . . . a"�t t . . . . . . .. � . . . .. . . � . . � � r . , . . � . . . . .. . . . i., i . �; �. .. .. . . � . . . . . . . . . . '...� . .. . . , . . . ' , .S- . . .,.�� _:,.. �:..r�i �-�,�,�. ;z.� �-, �.,.,r..}a . - , .. a! ., � , �� ;�-_:;,`. ",� *WOOD BIIRNING EQIIIPMENT $15.00 each unit - Wood stove with flue Wood combination or add-on unit Factory fireFlace with flue F;�:� ��� Factor Fireplace (s) freestanding Masonry - Wood Stove (s ) franklin, other +;�` BrandName Model No. �' Mfgr' s Min. , Clearances, side , rear , min. flue dia. � : Total �;_,. ******************************************************************************� �'`�` $15. 00 each project �_; VENTILATION ;1�. ��� No. Kitchen Exhaust ducted recirculating cfm �°� cfm �->�:. No. Bath Exhaust (must be ducted outside ) ���=, No. Other Fans: Locations cfm ��ew Total �,�.. �r ******************************************************************************� ��, � 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 �j' High/Low Pressure $15. 00 ��` ******************************************************************************� PERMIT FEE CALCIILATION '�s r.:� 1 . Total of above Installations or Minimum Fee ($30.00) $ �i' 2. State Surcharge. Add the State Building Code Division °' Surcharge to each permit $ .50 „ � �� 3. Postage and Handling on all mailed-in applications, $ 1.50 �' 4 . TOTAL PERMIT FEE add lines 1-3 above $ �`�'' �-� �; The undersigned hereby applies to the City of issuance of a Mechanical Permit �F„ agrees to do all work in strict accordance with the ordinances of the City ar. �f} the regulations of the Minnesota State Building Code, and certifies that al ��:��� statements made on this apglication are complete, true and correct. r,,'Y' ' A licant' s Si nature: �y�%� ���G� ' Date: `� 3° g� *.- FP g �;u:' � �. �:�< bd. . . . . . . . .. . . � � _ A + .. ' . . �� ' �!• -� � { � � - � ' � ' �S � Y�'. S .. . � . . . . . . . . ��t . #* . . ' .�� . .. � . . ' .. .. i . .. . . _ r � . #1 � . ,.. " e � t. { . � � . . . . . �, . r- ^ ,y ,�. . . ;.' ,�. r5 . ' ;. ,. ';. . .:-' � , . . . . . - . . . .;: : .. ' � . . . .. . �..� r . . � . .. _ � . . _ . . �: �. , . , . . .. ' _ • , ". ^' . ` -' � , .. . . , i : . � .�.;_. . � � �� " .. .� , . �� " t . � ' . ' ., . � � �., , . . , . . .. �� . � � � t . .. �� � .. � � .. .. . . . .... � . . � . . . . . .. . ' . � . . E s '� ..� �. . . , .' , ,.. �'" � $ '� ' � .� . . . � . �m� c ti.. . �' - � . . .. , . . . _ . '�.•�I�t z 7 . . � . .. . . . ' . , � � . . , *, . , � , _ � � � ._ u' . :-. ', ; - l . � � . , . # �tl : .� :. .� : > � .t ��. . .. � . � . - . . , r yk .�. -.� ..:: . ,. . �,:.., -�.. . �.. ..., �.--. . ..... .,.. �...,. _ �....�._�..., ...:us..�..s'�:•u_ , " _ __,_ . . . , t�. ..w.t.., ,.. a _. ._.r.,..,.M..9.��zt1y.�, . �.,�. . . / .�. � �D �o Sv . HOUSE HEATING TEST RECORD • � . T ADDRESS ���� G�^-J� ��� �� lZGC�APT. FLOOR CITY � , ��SUBURB OCCUPANT OWNER HEAT LOSS DATE HTG. INST. GAS C0. METER B E � SOLD BY INSTALLED BY � - ' ' Elsctrical Work By � � Gas Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER � GAS DESIGN CONVERSION � � MAKE � � �Z MAKE OF BURNER Modsl ��iq U � Model ' $xiol -_ �/7��/`)OL� - Max. BTU Rating INPUT�LG• �c MAKE OF FURNACE Modei ,i' CONTROLS (/ �J THERMOSTAT ���� Heaf plug % O Vent Size U Valve � �T� � ��-� KIND OF LINER SIZE NONE Limit uJ ��� Draft Hood /'�✓U/✓C RegulaTor Limit Setting �/���� Filters Size/��C �Z � Nuynber Fon Setting `�U —�3 � Chimney Location Inside `� Outside Pilot Type �D'i S UiZt-AC-� Chimney Construction � i/tn�i� Pilor Make Pilot Model Smoke Bo�b Wiring ��� Pilot Timing �S�C-t��%�5 'L �E'i�JEs Draft �'"��-�.�r� Test Tag v L.W. Cut Off Door Pressure Lighting Inst. Pressuro � s �� Percent C0� � 7' Date Tested ��� 7� Input CFH v Percent 0 ��� � Company Testing � � � Stack Temp. 0� Percent CO2 ���� Name of Testsr Form 235 7 7 / �" HOUSE HEATING TEST RECORD ADDRESS �-��� G�/��V/EuJ �/7ZG'L-�� APT. FLOOR CITY!'��� SUBURB , OCCUPANT OWNER HEAT LOSS DATE HTG. INST. GAS C0. METER BA # SOLD BY INSTALLED BY -- Electrical Work By Gos Line By TYPE OF HEAT GA FA_�HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE • <��j��= MAKE OF BURNER Model �U/9' f��U %��/� Model Sxial ��/���vU 25 Mox. BTU Rating INPUT f�• �U MAKE OF FURNACE . _ Model � CONTROLS �„ THERMOSTAT /a ,� Heat Plug Vent Size Valve / C � ��"-S KIND OF LIN SIZE NONE � Limit /��' Draft Hood ��� Regularor Limit Sstting l�yL� Filters $ize f 6/� � Numcer Fan Setting �� ��3V Chimney Location �Inside � Outside Pilot Type � S'���r�� Chimney Construction .✓-� �E�� Pilot Make Pilot Model � Smoke Bomb Wiring S�`� Pilot Timing � S��'`��5 Z����E� Draft �v���� Test Tag� � L.W. Cut Off Door Pressure Lightin9 Inst. s � Prossuro ��S��✓ Percent COZ � Date Tested � J � Input CFH ��yf�Jj�L Percent 0� '�� Gompany Testing . $tack Tem�- ,'T TT� Percent CO d�� �` Name of Tester