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1992-004518 - htg system
t �`' PERMIT CITY OF ORONO PERMIT TYPE: 1335 Brown Rd. South • P.O. Box 66 t�Et-HAN I t�:AL Permit Number. t it:7��1;� Crystal Bay, Minnesota.�.5323 Dateissued: i3?l:�71'ti (612) 473-7357 SITE ADDRESS: :�t y�ii y td++fiTH '=�H+�Ftt DF� C:H F'. I .N. ; Ca���1 � !�i,._i_ :i'�'���,}����, DESCRIPTION: HTG =:��_:�Ehf 1 HEAT I PJG '�Y:�TEM`; Ft�EL t�lATt a�t�L �:�r�:�� #�Ak::E LENN�JX �!f}C?EL �;�1'�;�:�:—��� 1 A I�i C:t�Na I T I i�►iV I iV� �1Hr�:E LENiV��?� �•1�►�EL H:=�:�':''�'11 4�,�b -,� �e � ;�F :� m��' ° �iv. x ,_ . n; �n��`,�f�� � �" �.,�� rr .,�� : t'�r,''�r .°�+��, � . �7��� ���p M��� � a y� ���u.+�3���� ���i��y .��`iyy'��s''�� � ��ry r ��r.� b`n fiN ��i,A T ..Yf "�� ��'���n�.� t] � �������� �'���'� }�rA� !a �r � _ . � n � i ���� �� �' ` i � � � r�� � � � t� "�� � '��' y�, l� n nr yEv,�. y c tl B � F ��- a��� � � : �a � _ ��� � ��� �4 � �y ���� �r��w,� " �� � � � ���` � ✓9 yi / �_�nf "�9 �"^� �g # � �- '��El� � _ ��.�n .+�'� .,������s �n��� REMARKS: FEE SUMMARY: ;';;'Y C�F O�t?h'0 E��s� F�� �:=;t_�,i yi.y �IA I L I t�[ -------� ;r ' ,�f t�f�ICf j _ • — '����char�� �y��� T��t-�1 Fc� �:' , � GLN ,,�}.!?� � ---------- ,'.�, , r � f r.:�::.....;�t =t.,i��.i�t.ct�. �+_�(),!_iC) icac:t�Iv�� � it� ��X .�4 I�J1lVlYVVV � v1 bE�'� .�.�0 �:�';�L��' TL 3�,t}4 i�i�Fi�3�F��i�i }r� ,�t'�U�SG' �t�;:I ��41 TG�:i! if��t�i��a CONTRACTOR: - ap��l i c�nt. - OWNER: Vi�GT FFiED � G�_� :j'��'�F,7F,7 F�tIC:k; �;��i c�: _;t�.i t G��+F�H�tM AVE ��� :w:i}��i.r Ni�1�iTH '��H�=��iE L}�; �:T L�]t1I'=� PA�tk': MiV ��4'.��: i i�i_��i�1 h1N 4�:�:�-� , (6 i�::� '��'�=�—F,7F.? l"�E UNC�E:�;'��I���E�� HE�;E:�:� �:�i��l1���,���: F�E�i�I'=::,:����t� T+t� P'(�F::E TNE �EHL I4��F'�+��t�'El"iE�41-'�: °=;�_��t:I F I�C� 4tvD �ir��.��'�: i��$ Gi� aL! +:�+E���; I!+! '�;3F;a�:�T �:��t�#='I._I Ai��i�=E W I T� �LL G I TY s�i= �:t#�ti�F�i�� f�i�;G I t'4s�i�lt��:_� r'€`�C:� '���!"F�►TE�� �:�� #'�4 T 1`�ih,iF�;i.f_rj=s E,t;I L.C��F���; �:�_:CjE fi�.t;�t t I�i��fE#'d�''=� . �--,�,n�c�-���� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE , _. ... � . . ` '��/� s` t , �:�.: . �' ' CITY OF ORONO '� APPLICATION FOR MECHANICAL PERMIT `<`_ `;;. GENERAL INFORMATION '�� � 1. You may apply for mechanical permits by maiz 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 sent by return mail the same day the application is :;z:; received. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT °k 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. AI1 work must be done in accordance with State Building Code requirements. ��, 5. All work must be inspected (rough-in and final). Call 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 APP?�ICATIOP:S 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 *�t�k******�k�r******************�k*�t�F*****ir******yt*****�F�k�ir*�t************************ � Please check one: New Addition Repair �_Replace ;; JOB SITE: �� � � , Zip: d� Owner' s Name: � - Telephone Number: ` s Mailing Address ��;- ��,�,�.�;�� ���,� City: Zip: Iy Contractor` s Name: ������ TeZephone Number: Mailing Address 3260GORHAMAVE. City: Zip: ********************* ************************************************** '�: MINIMUM FEE ( $30. 00 perE�project) � ******************************************************************************** SYSTEM .DESCRIPTION: $15. 00 each unit Heating Systems: Quantity: f Make. � `'`� Model: � �_ �F� Fuel: � Flue Size: '�� — Input BTUs : �j ��^n �' � Output BTUs: CFM: ******************************************************************************** �ooling Systems: �uantity: 1 �' u; Kake: Kodel: - Tons: Y�� ,;;. Ei.Power: ****************************************************�*************************** Jt���. � 3 1.��;^' , : ,,. ; ..a `• /S ��. a ,' ' . . ' '.. .. , �� ,, "r g .[j� ,F :. . . . , ... .,`�.H . , � _�:�" . '�. ' .. ��i � Y �yi� �`�� .,,. ., _ � � .. . . �. .. �... . . . _ . . .. , .. . � . . _N ,r.. . ., -. ... -.... , 2 .. ,,�:'� � .t o . .,. -•*tfi:... „ . ;; .. . ..,,. . .. - .. . ._. r,. ,. . . .,�.. r ' ' yr, . - . _. t 8 , . .. � � . � '. . . r ';.: � , � rn ,'1 - . . � s,�:^. a^ }"'�' . . . � ' :� .� , . . ' �:+� y., �� . . - , .. . ,�� �. *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. , Clearances, side , rear , min. flue dia. �= Total ;� ' ******************************************************************************** "a VENTILATION $15. 00 each project ��; ��; �� No. Kitchen Exhaust ducted recirculating cfm r' No. Bath Exhaust (must be ducted outside) cfm ��, No. � Other Fans: Locatic�i�� �fm �� Total �{. ��-z ******************************************************************************** �:., �' FIIEL STORAGE (must be approved by fire marshal) �. ' $30. 00 Permanent/Temporary �'� " Fuel oil, gallons underground inside outside � � LP Gas, gallons .� �t Other Gas opening � �:. ic****�t*ati�k*�t�c�F****ic�k*******it**�t�tic�t�t*�F********�Y*�k******�tic�k********�t******�Y***ir***�t �^: �� ��` GAS LINE INSPECTION ,:'� High/Low Pressure $15 . 00 �� : �*********************k*****f****,t�************�c**�r**�t**;��t*;�r����xxx*x*�**�c*�c�t** ,. ':s �; PERMIT FEE CALCULATION ;� '"�'= 1. Total of above Installations or Minimum Fee ($30.00 ) $ �Q.b� � �?�:� ,�; 2 . State Surcharge. Add the State Building Code Division �^4°°. �' Surcharge to each �ermit $ . 50 �� '; 3 . Postage and Handling on all mailed-in applicatians, $ 1. 50 ��' t 4. TOTAL PERMIT FEE add lines 1-3 abcve $ �;-�,�'j �F; ,:;� . 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 ��� st=_+�:T+en�s *e��1P on this anplic�tion are complete, true and correct. � �, '��' , _�� ::' �: Applicant' s Signature: ci' C� Date: ����7. � sz r �� �_ • �� � � �; �'..: , , . . y Y. .:; � . � 7` ' � r' �* - . _ w; _ ,�. , � , ,�. . _, - . � �. � ; ,: u , . .: ,! ..� �'' `" Yy' . . . . . - ' . . '� .i . , . � , r � . r.�„ . � ':�� ,r., .:: . . . . . -.. ' . . .. .�'. r% +� ' _:. . -� . . :� .. :�., .. . .� . �' i � �� w ...�._ . .,.r ..,_ �. � . . . . . . . . . : �. . ' ..-, .: ti:.�. 'I . � F�C., . . .��. ..�'. . . . . . . ... �: . � ' . . �. � k � i ��. � ��k ^.`y T.; }. � i14 Th � a a 5 �y� ��� i T . . � .. . f A j � ' . f ,. .'�. :.. � . . ,.. . . ,. - �.,. ;.. �. . , .. -- • � i . . „ � i .,..�$k. . -...k . .... ..�, . .. ..:.. . . . a . .. . .. . . .. . .. . .. . . . . ... . ..f - . ..�.,v. .. .i� ✓ pATE TIME CITY OF ORONO CALLED IN '7/��i /'%-- INSPECTION NOTICE SCHEDULED � =j �-= ���� P�RMIT NO. ���� .� COMPLETED N �_ ADDRESS � j` �-' � • OWNER CONTR. � �' TELEPHONE NO. ��`) -�� ?�r--� '7 — � DESCRIPTION � W 01 FOOTING 11 MECHANICALRI � 16WELLTESTPUMP � 02 FRAMING 11 MECHANIC INAL 18 EXCAVIGRADINGIFILLING � O 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 IAKESHORE/WETLANDS Z 04 WALI BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPTIC FINAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS:� 2.�c_c�� �� �-- a��-��-� ►� a //� � ��Gc�-- ��L� • j ` L / O �. � O � W � Q � Z W � W � � GW ��VwORK SATISFACTORY:PROCEED L PROJECT COMPLETE W ��CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONOITIONWITHIN HOURS. — pHOTOTAKEN INSPECTOR WILL RETURN ' 1 CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContrac o ite: Inspector. - White Copyllnspector's ile Canary CopylSite Notice �'�.w�r-�- � W sr $ ���3� � HO SE HEATING TEST RECORD ADDRESS �Q�� �a��` � � ��f- ��APT. FLOOR CITY SUBURB �"-'—�'� OCCUPANT OWNER HEAT LOSS DATE HTG. INST. , /�, ' SOLD BY INSTALLED BY � — Electrical Work By Gas Line By � TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. O�MER r GAS DESIGN CONVERSIQN MAKE MAKE OF BURNER Model ' Modsl $srial �-' � Max. BTU Rating INPUT MAKE OF FURNACE Model CONTROLS C/ � THERMOSTAT Hea Plug Vent Size Valvs KIND OF LINER SIZE NONE Limit �"� Draft Hood — Regularor � Limit SeNing Filters Size Number Fan Setting �' Chimnsy Location Insids C( Outsids Pilot Type k� Chimney Construction � � �'< < �/^ Pilot Make / Pilot Model $moks Bomb M�irin9 �� Pilot Timing `cS � � Draft Test Tay L.W. Cut Off �^ Door Pressure Liyhtiny Inst. `j �' -�' C.,� Pressure � Percent C0� J Date Tested Input CFH Percent OZ Company Testing Stack Temp. � Percent CO Name of Tesfer Form 235