HomeMy WebLinkAbout1992-004642 - mechanical . PERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66Permit Number: MER HAN I C.•t-,L
Crystal Bay, Minnesota 55323
(612) 473-7357 Date Issued:
SITE ADDRESS:
tiLD C R`Y''_TA?_ E_,A`,' RD Ir!
JB
DESCRIPTION:
i i _V L TEM"`- F t J r 1 NAT!� I.i S-{ )-:- _
ti! _).t; _ �.f _ 4. i AL t t E' } .c �it
11 C DEL
t f.R t:i�ii':ii}i ', 1_C,N}Nt? 1,It ,I. i,_F f ih�l I z ►�—I[``f � � --— j 1
TONS
ty _i f S,I AT TON r-,�:,r i —I; I lr:l ?i:w—�` i I t�}� i — ..4;
i ::1A'3 LINE I NS1 I='EC:T
1 11T171TL•L VI ! l4L
t E life}}f fi l
1JA JJVVVVV F1
A
V1 01-ty WVVV
liiC'i iK•VV1J
(V�1V,E�LI� .5
A 111 i VV1%Vi!% n
REMARKS: — -- j1am�_ F-A &E _ _i!((�/
L11Lf1/ Ti Le- VV
Vi11i
1C1_Isf_i 1 1/1i1Tlt r��
r� •'rifts l.rti fO�,9
Tli_Ji�'7>_•V 11VV1 AV1 I VL"JS
f'1L•?1 T f(��'
FEE SUMMARY:
` C) r %s i. I N, ---------
S t F r C r t i i,=a l_ $ i s i f=1 Z•ti l 1-1_12,
Sul_f T.l_i!.._k G-) .5t
CONTRACTOR: — AF= = ri} �. — OWNER: 1
VF_lGT FRED v Ci—j �:L°�+;,?G,7 ALDR I�_H TI–I1:1,•A'S
ti_,F_t��(-l71.10 _ .i�'.�.L i�l� L} f_•R,�S i t'.t L_ L•1-•i•i• } (t}
21 L
t,_1�t 1 I'3 I=ARIk" �N SS42�• LONG LAKE MN LS:=�=s=•
TI•fE ,-iNDERS'I GNE D HEREBY R`EQ1._JE:_;T'-. PERtl T T CiN TC MAKE THE' REAL 3 M)=:`R11 JF Fj--j
'=PEs.I E I ED AND At.REE` Tf� D1 i ALL 1.0–DRl•�:: I!# �;T; I C:T y:t IMPL I AN E 1:1 I TH ALL C I T'Y' O
CRONC ORDINANCES }hI} :-'- -T' lir I Ia �iF:_,F:fT ; :w;t I LDI i?t� :1�1DE Ii!✓Ei I F�Et�(�tT' .
APPLICANT/PERMITEE SIGNATURE ISSUED BY SIGNATURE
CITY OF ORONO
APPLICATION FOR MECHANICAL PERMIT
GENERAL INFORMATION
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 below.
2. 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.
4 . All 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.
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.
4ALK-IN PERMITS apply at City Offices, 1335 South Brown Road (Cty. Rd 146)
4AIL-IN PERMITS enclose fee - Mail to: P.O. Box 66 , Crystal Bay, MN 55323
?lease check one: k New Addition Repair Replace
JOB SITE: D-14 .0 , P-e� Aj . Zip:
)wner' s Name: Telephone Number:
Mailing Address : City: Zip:
,ontractor ' s Name: VOGIHEWN AAMCI NDMONIN9 Telephone Number:
Mailing Address $MOGORKWAVE City: Zip:
t******************* CAI ES #********************************************
MINIMUM FEE ( $30 . 00 per-'" project)
SYSTEM DESCRIPTION: $15. 00 each unit
seating Systems:
)uantity:
lake:
?odel : & L-1 L 09D835
'uel: /V.
'lue Size:
Input BTUs :
)utput BTUs :
'FM:
'ooling Systems :
quantity:
lake:
[odel. Ps - 911 f�lf
'ons: ,3
[.Power:
Lid
*WOOD BURNING EQUIPMENT $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
********************************************************************************
VENTILATION $15 . 00 each project
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations 6 cfm
—U Total
********************************************************************************
FUEL 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
High/Low Pressure $15 . 00
PERMIT FEE CALCULATION
1 . Total of above Installations or Minimum Fee ($30.00 ) $ 0, on
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 $ 6_ , 00
The undersigned hereby applies to the City of issuance of a Mechanical Permit,
acrees 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.
Applicant' s Signature: `-R- L Date: 9
Ib �
l�
DATE TIME
CITY OF ORONO CALLED IN /yM
INSPECTION NOTICE SCHEDULED _ P/h
PERMIT NO. `fCo Ef QCOMPLETED _
ADDRESS
OWNERCONTR.
TELEPHONE NO. /ami l0 7,o
DESCRIPTION
tyt 01 FOOTING MECHANICAL RI 16 WELL TEST PUMP
LL 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
ff 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
QIZ
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
07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Q
i 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
OWNER/CONTRACTOR TO MEET YOU:_YES NO
R COMMENTS:
cc
W
CL
OK
J Vl l
O
a
cc
O
W
QC
Q
Z
W
z
W
d W
W ORK SATISFACTORY.PROCEED ❑ PROJECT COMPLETE
❑CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. F PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR F_ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Con n site:
Inspector.
White Copy/Inspect 's Fite Canary Copy/Site Notice
I /
DATE TIME V/
CITY OF ORONO CALLED IN �' y
INSPECTION NO I SCHEDULEDg�a,2L99
PERMIT NO. / COMPLETED
ADDRESS �✓
OWNER CONTR.
TELEPHONE NO. qz cl -loss:
DESCRIPTION '
OI FOOTING 11'MECHANICAL RI 16WELLTESTPUMP
W 02 FRAMING 11 MECHANICAL FINAL 18 EXCAWGRADING/FILLING
y
O
03 INSULATION 2425 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
07 DEMO—SITE. 14 EWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 EPTIC MAINT. 21 COMPLAINT
09 PLUMBING,RI 15 EPTIC INSTALL 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 EPTIC FINAL
OWNER/CONTRACTOR TO MEET YO :_YES_NO
y COMMENTS:
a
O l/
O
W
W
cc
Q
W _
W
W
W
d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
WCORRECT WORK&PROCEED 11 ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO AR I ACCESS.
Call for the ne inspec ion 24 hours in advance.473-7357
OwnedCont oro ite: 1
Inspector.
White CopyMspectoPs Lie i Canary Copy/Site Notice
f E%2V�tlT# `AGN 2 HOUSE HEATING TEST RECORD 4-Mo
ADDRESS �y � OC D c�y.s y Ael) APT. FLOOR CITY SUBURB
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY \k(
Electrical Work By Gas Line By
51. IL61-
TYPE OF HEAT GA FA HW STEAM—_SPACE HTR. UNIT HTR. OTHER , 111
GAS DESIGN CONVERSION LE.__.
MAKE LA,,,, MAKE OF BURNER
Model V Model
Serial Max. BTU Rating
INPUT MAKE OF FURNACE
Model '
CONTROL
THERMOSTAT t Plug --_ Vent Size
Valva U }seaKIND OF LINE SIZ NON
Limit )U Draft Hood _ Regulator .� �� 7--S,i n yj
Limit Setting U Filters Size Nu ber
Fan Setting o Chimney Location Inside Outside
Pilot Type Chimney Construction d u (] L
Pilot Make LA.V14 i
Pilot Model ���—�(�yy Smoke Bomb Wiring
Pilot Timing Draft Test Tag
L.W. Cut Off �— Door Pressure Lighting Inst. �-
Pressure Percent CO2 Date Tested
Input CFH C f^" Percent 02 71 Company Testing ulor-T A/
Stock Temp. a)4)J Percent CO Name of Tester
Form 235