Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
1991-003513 - mechanical
PERMIT CIT� QF ORONO PERMIT TYPE: 1335 Brow'�r Rd. South • P.O. Box 66 Permit Number: �'f�t:�iFif�i I C:flL Cry�tal Bay, Minnesota 55323 Date Issued: zaij:;;51:3 (612) 473-7357 t�1 r`1 lxi_=�f SITE ADDRESS: :_:i,�i_� ��TH PrUE Iti L::;U { F� i �t_ i5—ili��it��l�l�`..���1 DESCRIPTION: L: HEr'�T I I�ICi c;Y:=:T�(�I:� �'L�1E :_�i�E �." �t 1i�t_ NA!�1RAL C�i��� MAt=:E ��i+�t�#��:� ' �:: A I F; C:+t►�IG I T I���iP�I iVC; P1�k::� t_E P�l����+� ;�►:�i.���L H'��1'�—�11 Ti itd'=� :; ��� �� ��, � � �� � � �� ��� ��x�� ��� � � � �� � � � � a ,��,�.� r'<�: �� ..� �,,�^��,� �r� �.. ,. ` � � ��s �"�'�1 ra�.�'��-�C ,�4 �� i y �. nz �� �a3 '� p� �� n ���� ��" [ �� �s'' ; � � � ��� ��"����i��p,r �P���` � �.� ���r,;• �' ' � �' �'�j�l�hry%�G���� + e r'" � � r / � n� � �y��,� �r y _ . �y �' /`''k �� f� ^✓ _ 4 � t • ��/f ' � . u ,�µ1b ' � �1"��'� ' s ° d�Ml� r , ; e v.� w �� �° y� '< = r �„. „,� q�u� °�"s��,� .. .v .a �. .,� , - t•r 7�i,: .—t�' r r� 41! f �!t t.7f� REMARKS. �—^f�r�T!�L `'' ' 1``` 1 J 1.J�.!1.�(:1VMV ry Vt.1. f.'LIT !f t'�S'� �?r%;�;(tr's�rJ.�j.n! � 1GLti 1.�L�MY FEE SUMMARY: Y� L�� •� ���r'i::�:� � � j ,`��' �%.i v�.r .�.• 1�. r [' �'i'�{_) , (,l(i �f���._ �� _.____�__���;,k��,7'�:)�•,+�,•�ii:' VRit w C�G��t'' ��C i t�..L.� 1 f1�1—�tlt iUY :lurci-�dr�� __��.�� T��t�l F�� ' : :; _. `�.�.`:4:F,-.. r�rf= . r t. -----� c rs�.._��.••v �•vvy �1�i i i���.4i ��U�1'f,���.�d� �`:�l_} .�.3�� vt.�/.pi i.��i i CONTRACTOR: OWNER: — �1F���3. i c a��t. -- `=EDGW I Gk:: H7� ti �'iC C:�� :��:;�:1�i si�i� GAYT���1 D��t JG��1:� L.��;� w�ra����►���� av� �: =,���� �,�r� ��� ra M I�1i�7#��+f=���I`_; M1V ���i.'�i;—t.�;1�l �:1�i��[�1i� irihi ti�;_�i ' �.i=='�;---�m �=:�>E�= � -•,-r. t- t� ,-;, ,:�-- -�- G' • r:�� t' � ; T r` k r: crr,�- [ i.�i ii:'.- I�r fl!°I i:; "°.t3.�_�I`+� E �� �'�f-ET••.C. i i"�� rlr t-!L �� rl'��'!�_�Y��_�i�'.i�� :- !�"i�"_ �_iii;E i�n'.����l��L? �'"f�i`�G���l� �SC. _: -' E '- °� r -•r :�'s�'C�-'1���{J {'ii�J� H':�i�t�_�`•= 4�_E �1+.� ' }i_i;,'�: F i�� =_�x:�C�:� �:i�if`�;'`�.i!-'t!°�L�c �.�'i�ii F���_ C,��`'t� �i� , � i-i i_.� �. ' i. " . --�`. � �.�-�-� ;,� ._; ;:-���_ ;���� t�I�:�i��:'=:t=�":�f:►� E=�.�ILGIi�i� �:%i,3� �;E+�?i1I�t�iai:.i�? 4ti�. i_I��.i�+�t_� f_#C'�)�����..r-_:-� E-ai:ii) -� t-F! _ � � � APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ���.�) ��f � � � ��. - � � � �--���;�ti� � :x� _ � k� � C � � � l , {� �' �' �,��", �; ' CITY OF ORONO J �� APPLICATION FOR MECHANICAL PERMIT '�� � �F: GF.NF.R AT. INFORMATI ON 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 I ow. ;�=� 2. Permit cards will be sent by return mail the same day the application is r' 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 r.�ew construction or remodeling is involved, a separate building �°�� permit must be obtained. � 4. AI1 work must be done in accordance with State Building Code reguirements. ,� 5. AlI work must be inspected (rough-in and final). Call 473-7357. 24-hour notice rec�uired. �y 6. House Heating Test Record must be submitted before final. "" INSTRIICTIONS Complete aIl items on this application. Compute the permit fee. Sign and date t:he certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have que�stions, 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 on.e: New Addition Repair E� Replace � .F JOB SITE: -�GG � Zip: �j Owner ' s Name: a� ' Telephone Number: ` y�di ,� CitV. -G� � ZiP: -�S �r� Mailing Address: � . . ' C � � ,�. -� Contractor' s Name: T�ne Number: Mailing Address City: Zip: '. �t*�t�Y�t�r�t*�Ir�kic�k�k**�kyk**�t�t ��k�tit�t**�F�t�t�k*ir�t�t�t�tit***�t�k*�t�t�k�t�lr�t�t*�F*�t�Y�tit*�t�F�t�F�t�t ; MINIMUM FEE ( $3 0. 0 0 per 1�1pqnE7��b,tf�1 55420 ',; ******�t***�k**�r***�k*�k�k**�F*�F�F���t**�F�k�Y�t*ir*�t**�F*******�F*�k�F***�F*******�kir******�t*�k*�F ,; €° SYSTEM DESCRIPTION: $15. 00 each unit Heating Systems : r Quantity: -� � �? Make: -�,�yyrz2��1-� � .��C - � Mode1: ���i �'�, -1,.S'f-/.�5� � " E- %�'�� s Fuel. �i�� � i •, Flue Size: G:'' � G �' ;� Input BTUs: /��}���.�� .� � ir`,r^ G�l�l•' ,, Output BTUs ' � CFM: `' ******************************************************************************** �, Cooling Systems: r--,r._.__,_ � Quantity: � � Make: " -tiz.,�� � a� Model. ,/�5�_.�// �� Tons. `� H.Power: � ******************************************************************************** 4; JA N :� � 1991 �` � � � �� - �� �� �, � , :� . r. ...3� �: , �; r , � ;. : - a , .._. . .. . .�._ t.a �::._ ; r.._x�.._.�.��..��,..�. v.__�z_ ���_��_..�,�: �r 'y� { ' u . . � 'a�' "g �� fT'':;� 'P' � # b r � � �#���"Y� kµ: r � } Y���. ^�� ;� �� � � F �tµ� 4 { "k; y '1 � � � y- ,., . ' r ���'� �� � t: + � ~.. F i'�9x-. � ,� '.:7 S1 4s . � �';�r �i �s � � � � � � '"rsg. ••+. . . _ .. ., ... . . � I . . . � .,l � �I��' �'. f ��y `eF=,. .. . . � �i�1. *WOOD BIIRNING EQIIIPMENT $15. 00 each unit "� , �� Wood stove with flue � Wood combination or add-on unit � R�; Factory fireplace with flue ��;: `� Factor Fireplace (s) freestanding Masonry � �,` Wood Stove (s ) franklin, other * � �"� Brand Name Mode 1 No. ��� �� � �� r �= { . Mfgr's Min. , Clearances, side , rear , min. flue dia. �, �� Tota1 �`� ��' ******************************************************************************** � �l VENTILATION $15.00 each project ;� ,�;. ... +� �; No. Kitchen Exhaust ducted recirculating cfm ; �:, �`; No. Bath Exhaust (must be ducted outside) cfm s`����f�'� No. Other Fans: Locations cfm ��'; �k`' �yt �r; Total �: ******************************************************************************** FIIEL STORAGE (must be approved by fire marshal) � ' $30 . 00 Permanent/Temporary �t' - Fuel oil, gallons underground inside outside � rv � ' �,� LP Gas, gallons ;: �� Other Gas opening "•' ******************************************************************************** �; �; GAS LINE INSPECTION �; High/Low Pressure $15 . 00 ft+tt:�***±********************************************************************** ��., �` PERMIT FEE CALCIILATION ; �� 1. Total of above Installations or Minimum Fee ($30.00) $ GO. C�1 � � �t:4 ; 2. State Surcharge. Add the State Building Code Division ���'� #'' �_' Surcharge to each permit S • 50 �- '� � n �:,;; 3. Postaqe and Handling on all mailed-in applications, $ 1. 50 �a��� �� ��:� <ry ��`° 4. TOTAL PERMIT FEE add lines 1-3 above $ ��;?.f�l� � �'�'' The undersi ned hereb a Iies to the Cit of issuance of a Mechanical Permit, ' �;, 9 Y P P Y � ��; a rees 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. �� �� � � ' � � Date: !- 7=Gi/ �- Applicant s Signature: =/ �r1�� � '���r--+����L��� �r;� ��� Y . :: ; �x r Y-. . p .. '�ri t ��r� # �` �°'" "g�,� �v. A � � 7{ C�'� � � � 5 "tY, ?n F� R a,&r�Lz � . � i F ` i� J"1� r 5N• � � + � � ,� a ��4` � '6'.� " t 3 . �,�' .�i �"�- '� i t 5.c .3�� �.�.+i L [ • �.l �., w� J 'y`8i'i; �� ; .'�tl, ,. . . �a r f,��t : R� , � ! ;. y � � � . � �' .•t . �„F ��� � � '. ��� �� �� � . .. , *S� � f +�w � �{�' � t 5�.. . �. � . }t �! � ' .�` � �„� I ,- r��: ' � .. .:�. � . . . . i� - . S�t ,� �,�'' R*, ` � , k`',. . i M ; _ � , �.. �y` � :: . �: , a� �. °. , . � Y . . .. e� � y F� p� z � f�. ; � � � � S a:' � `: �, �L€����� �' + � ' � ; �� + �. 1 1 � � '� � a' y i �, . `i. +�'C$.�^ # � � r � *� ° - . . . � � ., �'-r ,.�'� t t x _ � ��� �k � k ? W �y�iy. 7 �t -�� � . . . - � ilf �a 3� . � � �s 1� 3 f, i ��" ? s ; G � � C P �� �� .� ' ��'F � � � � � � . � �_. '�' � Ir t i: . . I .�A ��'�'4 3 �' 3 _ � '-- ti � i , . � . �� � E �.�� �,'�,� t � , rz ' } � '""�"� �at.m;.,v.�...a�,..,v„u�.,,_>urr,fai�:�::,e�,.�._,, ��i..w.,��m.�•�r4-iw�.�� .., ,u.a��._.. :_,. . ... � � .., . _,. . .. _ . ,L�; s.- ..W.... ,.. ,._.� ,,��:�. � �3 5/3 SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO. �i t��' �=� y.. �>' 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (612) 881-9000 TEST RECORD ADDRESS J "'��-'' �.+��r / \ D. �p CITY � �'l �N� OCCUPANT D�U � � IQ�y �O N OWNER !� D U�i+ D�� �D/� SOLD BY S� � � w( C� \ � �14�� ��j-- INSTALLED BY )�`2��.-w►G/< J-��,�T� IVG- MAKE ^ C N N VX MODEL �^ ��/ � �l /�L_� ( �J�. � a SERIAL NO. ��/� V � �. � S ✓ INPUT I � ��'��,� IA A� � / , ,. .., �+ � 8 �9� THERMOSTAT 7T D N �yW ��`L- '�(� YV C� VENT SIZE � � VALVE fl��C R� S��W � OO �✓� � TYPE OF LINER�S� N G-�. � w�-i'^ L {^� (+� N LIMIT � C W � �� LINER SIZE a LIMIT SETTING I ��/ O FILTERS: SIZE��FCT �1�, G�E a B R� �` FAN SETTING � � � �a Q�'" WIRING �N �R TZ C L t G- � � PILOT TYPE � l""��" � TEST TAG � IGNITION MODEL R�a B t�t t- S h�i4w SP 7 ,,�_ LIGHTWG INST. "-'- PILOT TIMING /NST� �.�" DATE TESTED 1 // u/ �� PRESSURE ���`� � t PERCENT COZ y�p } /� INPUT CFH�a S^G�/� PERCENT Oz ���J� COMPANY TESTING e�,���I�� �L�7M"/I ��►"`- O -.- STACK TEMP. � �� PERCENT CO _� NAME OF TESTER .s� FORM 235(REV.11/89) � �N Tn �M �0��� V N � I �! FORM DI RIBUTION: WHITE COPY-JOB FILE VELLOW COPV- ITV a,. .- .� .+r. , • � � �. ..-wrx+'.r. � � ns •',�e�s�� 's-vsm-•.-°vv - �� SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB Na���E� � 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (612) 881-9000 TEST RECORD ADDRESS J�0 l.-C� � � (r� CITY _ l_,/ � (J � � OCCUPANT O V ��_��Q�/ rD �V OWNER (�U�j- V�YrD /— SOLD BY �/� 7J �'�'LV� C/� � � {��� YV�.r. INSTALLED BY S�dJ(T��CI\ ��� / � /v�"' MAKE � � NIV D K MODEL ��v Q�6 � �/OD � , SERIAL NO. v �/� f� I � D� U INPUT /�D. ��v THERMOSTAT l�0 N E t�w f=h� T��I � VENT SIZE �`/ VALVE � � �+ ��- �T S//' ��"� �I U(7 D�= R TYPE OF LINER S�N �� C�. W /`�I�L �� N!v� x n LIMIT o LINER SIZE C� G����e,T;/ LIMIT SETTING � �v FILTERS: SIZE ����� �� /� NUMBER FAN SETTING / I � C � V � WIRING PILOT TYPE ��' L C, r TEST TAG � IGNITION MODEL � ��y' " � 5���'`J S P� 3..�`I� LIGHTING INST. ✓ PILOT TIMING .Z' N S T,q. r� 1"' // / j� l�/ PRESSURE �� `� `/� � � p�� DATE TESTED � v / PERCENT COz / L L / > INPUT CFH O� C F/� pERCENT O2 y�T� COMPANY TESTING S�C �� wI C��. /T�/�/ '/jIG- � STACK TEMP. 3�� PERCENT CO '�'� -_�' NAME OF TESTER , � FORM�35(REV.11/89) �/('7�Tj"� F�rQ N�'G ^�` FORM DISTRIBUTION: WHITE COPY-JOB FILE YELLOW COP -CITV /v V s.� - � SEDGWICK HEATING & AIR CONDITIONI�. HEATING JOB NO. 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (612) 881-9000 TEST RECORD ADDRESS �0� G lJ � {.� lp CITY l/ f �L� � � OCCUPANT IJ V V � �y r'D N OWNER ��C>G � h+y T�� SOLD BY E b[�-w� c K � ��1 ��T INSTALLED BY S,�dG-w i �.K /T � {�'r/ /" � MAKE � E N N o Y MODEL LT �O Q 7 / �� � I� S�I SERIAL NO. s��� � , � A � INPUT_�a J� DO � THERMOSTAT N � W G F�` � ��N` J � (/ VENT SIZE VALVE '�D �E f�� �/1' � W /IOO (,J�� TYPE OF LINER ���/U G� � � � �^�" � EN l'V t,7� � ri LIMIT LINER SIZE LIMIT SETTING ! �� O FILTERS: SIZ��E�T �� rt ����MBE`R s FAN SETTING �I � tj/ V � WIRING " � �(e.r z,,,� PILOT TYPE _F ��� 1" TEST TAG�/ IGNITION MODEL �D V�� 1 �}�l4�1 SP 73 SL. LIGHTING INST. PILOT TIMWG �N�T/�Iti' � ��� DATE TESTED ��'J�� �J l� / PRESSURE J/S w C�PERCENT COz � �+ /� ' INPUT CFH�,�r F}� PERCENT OZ �U/� COMPANY TESTING v,F(fJ�� � �� �L�l�-�I N CT ' .i �J O �v� v � STACK TEMP_7�D PERCENT CO }� NAME OF TESTER �� G%'y � FORM 235(REV.11/89)G��r�� - NoR7/`+ / �I�/✓�� FORM DISTRIBUTION: WHITE COPY-JOB FILE YELLOW OPY-CI