HomeMy WebLinkAbout1992-004313 - mechanical r`"i
� � PERMIT
CITY OF ORONO PERMIT TYPE: A IC:AL
1335 Brown Rd. South • P.O. Box 66 Permit Number: t��j�.�1�
Crystal Bay, Minnesota 55323 Date issued: t��ji�7/�i
,_ _,
(612) 473-7357
SITE ADDRESS:
7i_yi� NiJRTH ARM DR
CH
F. I . M. : i��;-1 f 7—�:�—�.:;—c�t�i�:;
DESCRIPTION:
HTG L:Y=,TE�i
3 HEAT I NG '�+Y'�TEM:� Ft 1�� IVAT!J�'iAL CiA:: MAk::E FiHEEM
M�����EL �i J��,i�r�—�. I 1VF'l�T f t�C?,C�C�Ct
1 aIR CuNDITI+JiVINC; �1Ak;F FN��C�1 M�+L�EL C:E�'�-1E
� � � � � � �
i
. 5 y:t�t� h'Y ��. �",�i
r 1�`7�1`1'�,ky k "1 ��»����i'�S T�e) � s�" +.t .
r � °��r��+�� x� ��' r '�``
_. � �����,�e !�a r �a"'�k��a�� �"% ��r• �� '
�� ���"��� �"��� r ���d���"��#ti �^»;
�n` ,"i � ' ����ti�,p� M1 d t"� �` � � _
��t���+"�i�"�'� "4� �,�N�nM�A�,k�r�°,�'"��Fq �����k�� �
�.,�"�r ���, � �r �. ni �lu�'+ti'�,"✓t 'vt �.+ir'"�,� �
�a+,������� � a�', l, '�i 9'�i ,�' .���w
�rM �� �����1�1b���Ny�ti���r �a ��� ��
.F,.' �" �h �i �a; � . P *i"
�� a�.w �� �' AN w/dw w 4 . �
+�.���� ��� /� a�� �_
���il�,u���^� � ,r N7/r��,�yw� ��
,•.
w��,�l��; o1F°�� y�Ni� �� �� �.. ��
•[ �q�� v 1
w r w NvrY�y � ��/ • ' a"N�' W^y. �a.�l'�+'rx 4",. ��- :
REMARKS:
t z�'u e �l�:�;�';�
FEE SUMMARY: r}��h'��i '�L T=~�
e tetnl��,.i 'v� � a�.rt �
VAL��AT I i 2N �� �-�;t ir��,«{}�
.L L'1 Ji1�:L V1fV fi
i.%i v�ii ���a vV
Bas� Fe� .ci {'){_) htA I L I N --------����;��'V'J �
�_ �.
'�urch�r�3� ---____ _�s�� T�,t•al Fe� �::��.� ;��,� .�L'
'•��I�+�•��'�d 1 �:1t),ri(_} ;':t;=•ti{liirl�'! �
i alJ.l!VVVVY
V i V�I.Y �s Jif
L1i%L�l�i� TL JC.�US/
;c'4u�t;:r_�'uAA;4� ��U
�t+�t�=�v �;�t?� h�� T;t�:3�
V �'y j�r
.JljSi!%FL
— AFF�l ic�n#• —
C T,RA OWNER:
-� 'INC: :�445���5 HA�T�' G�tEG
i�:1 z E '��HAK;C�F'EE AVE 7i��:y N�t�,TH AF�hI DR
'3HAk;�:1�'EE N�N ��:�7'� y�k�ahii+ MN �5:,54
l�•�t� ��ri—;,�ti�'i%i�, ��t`�L.�L�1
.. _.._.__.__._.__..—..—._______ _____._ __._..__ ._____ ._.___ _.__._ . _____.. ..._..�.._ ___._.._____'.._ _......________ . . ....._._. .
. . . . .. . . . . .. .____._. _..._.._ ....
�.
7HE �1l���ER'=,I f�NF_D HE�:EE�'Y F�E�;3t 1�=�;T��; r='E�'�t I'�'=;I t ihi T�� MA��::E i'HE REAL I t•1�'R�=�VEhiEi�IT'=�
�_ '=�i�'EC:I�I EC} Al4lD AC�REE'�. Tf�� Gi:} GLL Wir+���: I t�! :��TR I��T G�:1t'!F'L I A�l�:E W I�H HLL C:I TY E iF
� f i�i���_� �i��I N(�PaC:E'=; AND '�TA�T� �=€#� t1 I h1tJ�';3=iTA E�!�i L�I NG i.:���E �'Ei.��?I REt1�i�l7''�� .
�YYz����—��=,,
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ���
����
' ��f ��
� °'
� 3 ��� �"
. � '..N.Fy:�.
:�.. �
CITY OF ORONO `�<
;}�:
APPLICATION FOR MECHANICAL P$RMIT �,�
,,;,a
;'�4::.
�ENERAL INFORMATION ��
_. 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 below. �
?. Permit cards will be sent 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. �
� . All work must be done in accordance with State Building Code requirements. �
" . All work must be inspected (rough-in and final). Call 473-7357. 24-hour ��;;
�.
notice required. �="'
. House Heating Test Record must be submitted before final. �
;.,
-NSTRIICTI�I�I� Compl�tp all items on this application. Compute the permit fee. ;�i�-
`ign and date the certirication. INCOMPLETE APPLICATIONS WILL NOT BE PFc�CESSEL. ��
_f you have questions, call 473-7357. Y#
,�
'ALK-IN PERMITS apply at City Offices, 1335 South Brown Road (Cty. Rd 146) ��:
AIL-IN PERMITS enclose fee - Mail to: P.O. Box 66, Crystal Bay, MN 55323 ;'4
*****�k�kic****�lc*****�k�k***ir***********�k*********�k******�k***********�k********�k**�F** +'���'
,..t,
lease check one: New Addition Repair Replace
OB SITE: 7(`1c'1 ��2TJf �[yi �Q/ UE� Zip: _�
wner' s Name: (.�,�y�T �/.�,� Telephone Number: - !�, a
ailing Address: �U ifi0� i� �2G� City: l��U�t,'/? Zip: SS5 ���
ontractor' s Name: 1 � -� /�� Telephone Number: �5��'�' �
ailing Address / " S /L��!'� ?S City: �/.����/'f� Zip: Ss� "''
*************************************************************************** *** ,x��
:INIMUM FEE ( $30. 00 per project)
*******************************************************************************
YSTEM DESCRIPTION: $15. 00 each unit `-�`�
i:''.
eating Systems : �:
uantity: _ `„
ake: ��/�'' �� ;:�
odel: � ,N -G�t� - � _
uel: �,C3. � ,~
lue Size:
nput BTUs. %DL'; o v�'
utput BTUs: ��
,�.
FM: �;
*******************************************************************************
,�!
ooling Systems: ``
aantity: � �
.�y
ake: `N t r /�
�del. L t �,�i ls;� �;
�ns. � TL�,Z �<,
.Power.
*******************************************************************************
�A� 6 �.���
A h^�
i
, _ : . . , . ,, . . , , , s
. . .. .. . . . . . .. .. . . . . ._... i .�._ � . _:.. � . :..,:: . .. ,. ... ���w.
� #sF ae�m V�.a f "� '� "}' , r �Y`:'"' _ . �.. �' . .
�, . � _ < �- . - . � . .. � �
� +� ; �'�3����r�`�}�, ���'� ��� � • ys
r - '
J � ` , �
�
i, q:
:b
*WOOD BIIRNING EQIIIPMSNT $15.00 each unit
Wood stove with flue `
Wood combination or add-on unit ��
Factory fireplace with flue
Factor Fireplace (s) freestanding Masonry. - �
Wood Stove (s ) franklin, other ;�
BrandName Model No. �
Mfgr' s Min. , Clearances, side , rear , min. flue dia. ;
Total E;�
********************************************************************************
VENTI7�ATION $15.00 each project '�'�
,�
No. Ritchen Exhaust ducted recirculating cfm ��`�
;
No. Bath Exhaust (must be ducted outside) cfm ` �
No. Other Fans : Locati�r_s cf,+,1
Total
*�k**�r�lr�r***�c***,t****�c*,tir***�k******tk*,t****�c�c**ic*�c*,t*atr**ic****�r****yc***�kir�Fic*�t�F*****�t ;:�
T�IIEL STORAGE (must be approved by fire marshal) ''-�
" $30. 00 Permanent/Temporary ..;�„
Fuel oil, gallons underground inside outside '`�
LP Gas, gallons �
Other Gas opening �
******************************************************************************** �
iAS LINE INSPECTION �"��
3igh/Low Pressure $15. 00 �
���*x�***,�f**����*�st�tst**�*******,t*********************************************** '�
PSRMIT FEE CALCIILATION w�
1 . Total of above Installations or Minimum Fee ($30.00) $ ,�Ll� O D �
;�
2 . State SurcharQe. Add the State Building Code Division �
Surcharge to each permit $ . 50 - �
� . PostaQe and Handling on all mailed-in applications, S 1. 50
1 . TOTAL PERMIT FEE add lines 1-3 above $ .3�•v�-'
:'he undersigned hereby applies to the City of issuance of a Mechanical Permit, ,�
�grees to do all work in strict accordance with the ordinances of the City and �;
�he regulations of the Minnesota State Building Code, and certifies that all ;;�
�tatements made on this app lication are complete, true ana correct. `.;
;,
�pplicant' s Signature: Date: � �
r
.�:.,
_ � �
>�; ,� � � �; *.
. , °� f�
� _
� ` . • ��
..
. .
. . . .
, , .
�:. , � .,.. .
,
Y
R .'f� ' �L, . J_ �
yS �"
,
1 � � �. � � . - �
�.' y. . . . , �!� . �,;�
ty . . i k� . .:�
� .�. . .. , . . . . ... .. . �
�� � � 5`^ ..��7 � "
� �!: . .. . . �- . . � . . .
�a, � t k ' - . . ' . � _
� . f�� . . � . . , ?
�T� y�'� t � l. ' t �'$
i
n � ." �� . �.� .: " ' 4
�
Y��3�_ �":�t:'�4.,.91'�n2�:...a _ ._..-��',.,....d.. _..ri1'.:. � x �.:.�.iw...�...Jt f.:�. . .,. ' ..... �v v..��...,. . . - . . . "� ... ... � ... �'!' ..e,e�- . .._a i .a�
ATE TIME
CITY OF ORONO �ALLED IN �9�
INSPECTION NOTICE ,_ ✓ sCHEDULED 5'� /%3 D
PERMIT NO. � ��� coMPy�TE� �_ �—
ADDRESS �
OWNER a , CONTR. ' I
TELEPHONE NO. '��7�� '4�Co Co �
.
� DESCRIPTION � �0 �� .��! � - ,�-/l��J
W 01 FOOTING 11 MECH ' CAL RI 16 WELLTEST PUMP
� 02 FRAMING ECHANICAL FIN L 18 EXCAVIGRADINGIFILLING
�
O 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTI/C FINAL , iy, �
� OWNEHICONTRACTOR TO MEET YOU:_JCYES_NO �I���� t�+
� COMMENTS: `��~�,,�JdL`��
W
�
�
J
O
� �X, S�— '�tr- =� 3�!1 � re���
0
�
Q �Ytie,P CSr� Cfl�w 5
� �
z
W
�
W
�
�
GW �WORKSATISFACTORY:PROCEED G PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � PHOTOTAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor n site:
Inspector.
White Copyllnspect 's File Canary CopylSite Notice
�3�3 ✓
HOUSE HEATING TEST RECORD �� '
ADDRESS ��� ����� "�""`- ��" APT. F OR CITY �" 'aSUBURB
OCCUPANT t� OWNER ���.�—��i � �
HEAT LOSS DATE HTG. INST. b `L
SOLD BY �S� =S INSTALLED BY
Electrical Work By %���/ LEC�/7�'LL'� Gas Line By
TYPE OF HEAT GA FA '�1 ._HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVER51 N
MAKE ��7�-UL —MAKE OF BURNER AY ���?
Mod�l .���1�0 — � Model E EIVED
Serial ��� �2 �'y7o Max. BTU Ratiny p v Q n
INPUT ��`���� MAKE OF FURNACE E�i�.i � ,7 �J�2
Model
_��� ,s�NTROLS ;, Q �1I0lJN� PtAN1�1NG Sc INSP.
THERMOSTAT Heat Pluy V�nt Size � r ' J ��
Valve f KIND QF LINER $IZE NONE
Limit � � �,.��J Draft Hood RegulaTor
Limit S�Niny G � �� f� Filt�rs $ize Number
Fan Setting `C ` �� Chimney Location I�side Outside
Pilot Typs Chimney Construction
Pilot Make
Pilot Model $moks Bomb Wiring
Pilot Timing Draft Test Tay
L.W. Cut Off Door Pressure Lightiny Inst.
Pressure P�rcent CO� � � Date Tested � � ��
Input CFH Perc�nt 0 - � Company Testing ON' / . /N�-
2
Stack Temp. � 2� Perc�nt CO � Name oi Tester
Form 235