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Home My WebLink About1992-004704 - mechanical PERMIT 4- CITY OF ORONO PERMIT TYPE: MECHANIC:AL 1335 Brownd. South • P.O. Box 66 Permit Number: 004704 Crystal Bay, Minnesota 55323 Date Issued: 10/16/92 2 (612) 473-7357 SITE ADDRESS: 565 OLD CRYSTAL BAY RD '_ .TB P. I .N. : 04-117-23-31-0011 DESCRIPTION: 1 HEATING, SYSTEMS FLUE SIZE 3" FUEL NATURAL GAS MAKE TEMP'.TAR MODEL NUGKO7S OUTPUT 69,000 INPUT 75,000 1 GAS L I NE INSPECT CITY OF ORONO FINE OFFICE • 1313300000 01 GEN 30.00 1222200000 135170,01._0000N .50 01 GEN 1.50 REMARKS: FEE SUMMARY: Base Fee $30. 00 MAIL IN Surcharge 1-5Q Total Fee $32. 00 Subtotal. $30.50 pNTR R - App I i cant. - OWNER: C ER IC:k:;u 1 PLBG' HIG C OOL I Nva :34'7'28655 FARMER JONATHAN 440 PIERCE ST 535 OLD CRYSTAL BAY RD ANOKA MN 5530:3 LONG LAKE MN 55:355 ( 612) 422-8658 449-8628 ce�_a 7'71' r4V \rw" 4k; \..nab_ - ,°. �'.. � ,', 3, na�'7, a kt,. d\ k a" k1.\a, w gyp,€ , ,� \'fir , �' P1-4* /� I ► ,euJ dee__ t. APPLICIANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT ;ORAL INFORMATION • You may apply for mechanical permits by mail or in person at the City offices. Mailed-in permits are subject to the postage and handling fees shown below. Permit cards will be sent by return mail the same da QQTiela;pitiication is received. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. ▪ When any new construction or remodeling is involved, a separate building permit must be obtained. • All work must be done in accordance with State Building Code requirements. • All work must be inspected (rough-in and final). Call 473-7357. 24-hour notice required. • House Heating Test Record must be submitted before final. NSTRUCTIONS Complete all items on this application. Compute the permit fee: ign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. f you have questions, call 473-7357. ALK-IN PERMITS apply at City Offices, 1335 South Brown Road (Cty. Rd 146) -+. AIL-IN PERMITS enclose fee - Mail to: P.O. Box 66 , Crystal Bay, MN 55323 ******************************************************************************* lease check one: New Addition Repair Replace DB SITE: } J/1 'r 4 f4. S, Zip: X7'7!73 ,aner ' s Name: 1�:)/7o�7-1'jGJr7 l✓ctr l' Telephone Number: v-/q-$le+%?g ailing Address : �(.i}'C 10rvi City: Or-0 0 Zip: 5 35 cntractor ' s Name: !y L �.r1wl-7b,'7 Aktt i.-fl Otvti; gielephone Number: /yv?-16,_5 ailing Address 4'/o Crc Sz City: Zip: .-55303 ******************************************************************************* INIMUM FEE ( $30 . 00 per project) ******************************************************************************* YSTEM DESCRIPTION: $15 . 00 each unit eating Systems : uantity: I ake: %�MI�S77�2-- . . :. .. _. cdel: K=vi 5 .. . lue Size : nput BTUs : . 1 utput BTUs : .Age 7M: ******************************************************************************* coling Systems : aantity: ake: Dns: Power: -****************************************************************************** , -33Vil . • *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 cfm 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 ******************************************************************************** 3AS LINE INSPECTION High/Low Pressure $15 . 00 ******************************************************************************** PERMIT FEE CALCULATION 7 •�s-,�,� 1 . Total of above Installations or Minimum Fee ($30.00) $ ,P)01 'V 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 f . TOTAL PERMIT FEE add lines 1-3 above $ h ?he 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 :he regulations of the Minnesota State Building Code, and certifies that all statements made on this application are complete, true and correct. licant' s Signature: CCC C, / IC � 1AiDate: J J ✓ q� ;Fp V / centerpoint — House heatin test record Energy Owner Lemke_ Controls Conversion -_-_ ---- -------------- Address,Sr3 6 i el C..eThermostat :4-1,� Heat pw_------- -- 1en�Size Ci — — Valve H,,,j Kind of liner/size 7 r pt1L Heat loss Date htg.inst Limit ri Xej. Draft hood j.414. Regulator / Sold by CenterPoint Energy Limit setting 16D Filters:Size /,x 25-Ki Number / Installed by CenterPoint Energy Fan setting -7141,1 rh fj Chimney locations: side 0 Outside Electrical work by CenterPoint Energy Pilot type 5jAri Chimney construction Heat type.g)/FA 0 Space heater Pilot make Wiring / Test tag Gas line by C Pilot model / Lighting Inst Date tested -Z1-fZ Unit heater Other Pilot timing Company testing CenterPoint Energy Pressure:ER/fire/Lo fire 3.( W L Tester's names 1�,,, Gas design Make112 em Model�G . ina[s Percent CO2 va, 3 Serial no. ' 5b7h2FAIteZZ3.7 Input CFH6DIppo Percent 02 $. 3 Stack temp /0 2' Percent CO 11040,1 Input 60i Co p CNP 235(11-2008)