HomeMy WebLinkAbout1994-006131 - gas line inspect PERMIT
� '+CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 ���� `-���'��?l.:F24.
Permit Number: _:_.f :�Y,
Orono, Minnesota 55356-0815 `-'�-'�=�*��=�l
(612) 473-7357 Date Issued: _
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APPLICANUPERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO ���IC�A�I(���OR MECHANICAL PERIVIIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 CITY O'r OR�ONO
GENERAL Il`'FORM.A'I'ION
i, You may apply for mechanica; permits by mail or in person at ti�e City offices. Applications will be
reviewed and a permit will be issued within 2 working days.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Designs - Complete calculations, details and specifications are required for each hea[ing,
ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat gain
calculation, design temperatures, equipment ratings and identification as to rype, manufacturer and model.
Data shall be presented on form provided. Identification of and specifications for water heating equipment
i shall also be provided.
�. w;;.i, a;,•,.� n��.� cL�str�_tio� or r����e?:ns is involved, � separate building permit must be obtained.
5. All work must be done in accordance� with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected (rough-in and fina]). Call 473-7357. 24-hour notice required.
7. House Heating Test Record must be submitted before fmal.
Instructions Complete all 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.
Please check one: New Addition Repair Replace
� Residential Commercial
JOB �][�'E: `��,C�n 1����.-+t-� Sr.��� � � h1 �,, z ��,� ZiP� �C� 3 b </
Owner's Name: -�'� �A �r , �� TelephoneNumber: � �7� _�y����
MailingAddress: �} 3c�c� cvo�-+rr���.,.-� D2. Cit3�: 1'�1�,. �,�G ZiP� �'� `�� �t
Contractor'sName: �� ,QF;R S,�S.� �l F; �t; CF C�,�.TelephoneNumber: 1� �-�_�r,�,_ X � S�k�
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MailingAddress:�,n n, F��A�2�>;k� ��e- City: ����� \1� ZiP� 5�/� �
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SYSTEM DESCRIPTION '
HEATING SYSTEMS �.�- �-� r �� • � �
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Quantity: _ ,��-�� �'L —
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
� ModeL•
Tons:
H. Pawer
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WOOD BtiR.�v'IlVG EQUIP���'T'
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonr}�
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
Total
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. ' Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Location.� _ __�_____ _ cfm
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FUEL STORAGE (MUST BE APPROVED BY FIRE MAK��-�AL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE C_4LCULATION
1. 1.25 0 of Contract Price* or Minimum Fee ($35.00) � �'
f� 7 C,� C�, e-� x .o�2s � ; 7. ���t�
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Postaae and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERNIIT FEE (Add Iines 1-3 above) $ �,�-�.� ; �^S-
* C'O��'7'RAC'T PRICE or JOB COST me�s the act.,a] or estimated dollar amount charged far the permitted
work includin� materials, labor, profit, and otner fixed costs. It is the amount tu be chareed tu �e
customer for the work done. If any material, equipment, labor, or installation are fumished by the owner,
tenant or any other party the reasonable market value of such items must be added to the estimated cost
or contract price for permit fee purposes. In tbe event that there is a dispute on the amount of the job ccst,
the Ciry may request the submission of a signed copy of the actual contract.
** The STATE SURCHARGE is .0005 of the contract price under $1,000,�00 or �.50 - whichever is
greater. For valuations over �1,000,000 call the Department of Inspectional Services for the pnce.
The undersi�ned hereby applies to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accordance with the ordinances of the Cit�� and the regulations of the Minnesota
State BuildinQ Code, and certifies that all statements made on this application are complete, true
and correct.
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Applicant's Signature: , ,���;,, .�� �Date: -�
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Approved By: Date:
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PATENTS PENDING
Modei DVT-II�SEF�T
installation andOpera� on
. In tructior�s� �
WARNOCK HERSEY LIS � D
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T�IIS MANUAL MUST BE USED FOR INSTALLATION AND RETAINED BY THE H(�MEO��'NER FOR
OPERATION AND MAINTENANCE. .
� GA!�TECHNOL4GIES,INC.
--�, 6865 W.H.+y 13 Sav�ge�,MN a�lT� (819�0-8367
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DVK-TVC-4•4 '
CAP
V � 10 FT MINZM�7M ". IR
30 FT M�I� EXHAUST ''�; plpE
PIPE
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VENT PIP .�.
Fl�u�a — �
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WA R r<I NG: The exha��t PiPe MUST I��E CLADlp
ONLY be connected o the �, ��
�ENTER startinq collar
of the unit and the CENTER
collar of the DVK-TVC-44 cap. STARTIN3 .
COLLAR
The inlet air pipe tYtUST ��
ONLY be connected to the OUTER
collars of the unit and cap.
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3TAI�6DARD FEATU' :S Da�`�s ����a.•
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• 28�500/18�000 BTU Input/hr. NG and LP • 64°io AFUE at 28�500 BTU Input- NG
• Hi�h Ef�dency ��2°/a+on High Level with • �6'�P/o AFUE at 28�500/18�000 BTU Inps.,� ��
Natur�etl Qes
• High Ettidency ;'2% LP on Average Leval • Manual Variable Valve'
76R/o LP on High End
• Jn/Off Rockar Switch for Easy Start
• Sealed Combustion Chamber(Air Tigr� �ystem)
• Variable Flame Height& BTU Output
• Buming Embers and Yellow Flames
• New Pan/Ember Bume�for Enhanced �
• Ceremlc Glass Appearance
• Four Realistic Looking Cer�3^�ic Fiber Logs • C �an Burning Inside and �ut
• Large Viewing Area 13 x 24 • I� alled Junction Box for Fan and
G .ional Remote
� • 1 ,0 CFM Fan
MODEL
APPROVAL:�
Model Product Suggested Retall
DVT-INSERT Air Tight Masonry Insert $1299 • �� ock Hersey Approved
Available October t, 1993
VENT
OPTIONS `
�
• Dual Vent (4" Flex) �
Model Product Sup�este�i Retall , 4�� Intake/4" Exhaust � � �4
RCH-09A Remot j Cornrol $145
FILTERS-2 Air-SuK reme FiRer for GFK-160A(2) 35 . I, st�rt Approved for a 30' Risa
RC-MLT Mufti-F��nctfon Remote Control 249
�vK-TVC-4a 7op vent Cap- DVT Inse • ' ar cal Termination ApprovEd for DireP:�
en
All prices ere In U.S.dc�llars. �
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HEAT-N-GLO Fireplace Praducts, Inc. 6665 W. HWY. 13, Savage, MN 55378 (612)890-8367 e�
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DAT TIME
CITY OF ORONO CALLED IN � �``��� �
INSPECTION NOTIC� SCHEDULED '%�� jC� ' - ��
PERMIT NO.�,''l"� OMPLETED i( _�
ADDRESS � � � ���`"Z ' 't '
OWNER'//��� CONTR. - �_- �
TELEPHONE NO. ��� ' � ��� ���
� DESCRIPTION �� � . �%� -�.i " �' � � � .e1
ly 01 FOOTING 11 MECHANICA � I 1 WEL ESTPUMP
� 02 FRAMING 11 MECHANICAL FINAL/___`a 18 EXCAVIGRADINGIFILLING
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03 INSULATION 24125 WOOD BURNER�IREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP L� _ 34 TREE REMOVAL
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Q 05 FINAL 13 METER SET(TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
`� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
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� �CORRECT WORK 8�PROCEED �❑ ISSUE CERTIFICATE OF OCCUPANCY
W
OO ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r-, pHOTO TAKEN
�NSPECTOR WILL RETURN
❑STOP OFDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspeFction 24 hours in advance.473-73�J7
OwnerlContractor ofSy�r't�e-._ 1
Inspector. �
White Copy/inspector's File Canary CopylSite Notice