HomeMy WebLinkAbout1994-006699 - mechanical PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- PO. Box 66 ME CHANI CAL
Permit Number: 00563 cl
Crystal Bay, Minnesota 55323
Date Issued: 1*3./08/94
(612)473-7357
SITE ADDRESS:
825 OLD CRYSTAL BAY RD S
JE
PI N 09-117-23-21-0001
DESCRIPTION:
8 HE r. -1 I NG S T E MS CENI NATURAL AS
MAKE ENNOX MODEL G . . .i
8 A (:OND I TTIN IJ LENNOX r 482S-'76
Tow.-3 2
12 VE NT I LAT I ON MAKE 1-KITCH/P.-BATH MODEL 1-4)1-1/2-r)RYER!E:.:
I UNi-iEF NID A F M I C
CI Y OF ORONO
F.TigNEF ,!:11•7? CE
I 313300000
77
01 CAI 812.50
1 2 2220 0 t)00 44
a".
GEN 32.50
1351 700 000
tl• rni
.1
C11ECKSi
50
iiECELf:T- 14AVA. Y0i)
REMARKS:
FEE SUMMARY:
VALUATION $6E., 000
Basc, $812 . 50 MAIL IN ti
urcharq $22 . 5C-; Total Fta.,7, $246 .50
Subttal '1;846 . 00
CONTRACTOR: — Applicant — OWNER:
VOGT FRED ;;:g. 39296767 DAY JUDSON
2,260 0E -- ' AVE S S25 OLD CRYSTAL RAY RD S
sr LOUIS PARK NIN 5 4 2 fr:: OR 0 N MN 553?1.
7
- , THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
URUNU URDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
L_
'41Latita'
APPLICANT,PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO APPLICATION FPRVIECITANICAL PERMIT
Box 66 (2750 Kelley Parkway) 0C
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical permi s by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued *'ithin 2 working days.
2. Permit cards will be sent by return 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 heating,
ventilation,humidification-dehumidification, and air conditioning installation including heat loss/heat gain
calculation, design temperatures, equipment ratings and identification as to type, manufacturer and model.
Data shall be presented on form provided. Identification of and specifications for water heating equipment
shall also be provided.
4. When any new construction or remodeling is involved, a 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 fmal). Call 473-7357. 24-hour notice required.
7. 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.
Please check one: ?(-
New Addition Repair Replace
Residential Commercial
JOB SITE: n/(.1 .I ( \/<vi I �, /'O(2 Zip:
Owner's Name: )0,y VY, ) l � Teleihone Number:
Mailing Address: ��L , c�, Lr Y�c,�� City: Zip:
Contractor's Name: V O G T HEATING & A/C TelephoneNumber: 929-6767
MailingAddress: 3 2 6 0 G O R H AM AVE City: ST LOUIS pZip: 5 5 4 2 6
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: 9
Make: L a a T -
Model: ,\ ^ " - k 2,1°5- a
Fuel: Ace " ,'U• u '
Flue Size:
Input BTUs: (CO C(\ 1C-Cf`r)
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make: \__evwx)V c= r-Nrc�
Model: 1-k5�5- 3Cs;\ 1-k-`->4.5 ' (c. I
Tons: 5 Y
H. Power
krA4 6)A -50 Ry°wapp
1 a 5 x / G� Epc-cs 4-c 12,oPid;)
WOOD BURNING EO MENT c-(4;'
: 4 I t� `(S��I S
Wood stove with flue q �P
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
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. X Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
I ) WU\-e r )N2cA Total
FUEL STORAGE P(MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
CSO x 1.25 $ 5�
OO
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. p f0 • — x .0005 $ �j J� c7
(contract price)
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor,or installation are furnished 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 the event that there is a dispute on the amount of the job cost,
the City may request the submission of a signed copy of the actual contract.
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for 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 statements made on this application are complete, true
and correct.
l�
Applicant s Signature: 164 /y/ ct Date: /d4?r/97/
Approved By: % Date:
HEAT LOSS CALCULATIONS
A.S.H.V.E. Construction No. Insulation
Weatherstrips GuideHow Applied
Windows Doors Reference Out.Wall Int.Wall Ceiling Roof Floor Kind
r Yes-No I -Ts7:4;173- 19— Width �(Z Height
7 FI.IAlt 14-66tY4 oom I Length Width 7_r Height h--, ( Fl.ktt.S u r l7 Room I Length 7 Z
Windows and Doors-Crackage and rea f'7 'i Windows and Doors-Crackage and Area I5�
,t, Width Height No.of Lineal ft. Area
Widthof Height No.of of Lineal Area , N. of pane of pane lights of creek eq.ft.
N. of Dane Dane rights of crack q�ft. r..-^-' 1 8 ��
/ 2 Z c� L( 8 1 (6 Z ) 2,-( t 130 •
�1 i 2 tX rn s 6 t,n t7 Ilei rs i�
) 213 6 'b ,o ra 10 S336 �t5 ; , ?8 Zt Zen X501 ►8D
t
Coef. Btu ., 3 . d �6 6 1 IIs'il SN Iyr Hi Coef. Btu
Infiltration /8( /.S P-7(' Infiltration /s• 5-3-,To372
Glass 4(9 lig; tit/e___ Glass 3511 N.r?__/6,91z
Exp.wall ( °u ./ Exp.wall -._-/1{
Net exp.wall S
SG ti 2 ON 1 f Net exp.wall /aTs L( 1(Z`7' -
1etrwaif. pat) /Cr U ..hg-.11-'_F,//t'' /Ocp
Ceiling 562-S /•C 8G Ceding /OM 3/3
Floor Floor - )oVI( .3 313 z....-
Total
Total Btu. 111,s($7 Total Btu. 3N.108 ,
Required sq.ft.E.D.R.or sq.ins.W.A.Leader area _Required sq.ft.E.D.R.or sq.ins.W.A.Leader area
�� FI.I�!^16- i1 pit ,�
oom I Length( Width f� Height I FI.I l rler,„.4 Room l Length Z.c"Width (q Height '-/
Windows and Doors-Crackage and Area Windows and Doors-Crackage and Area
Width Helghl A.et Lineal ft. Area Widih Height No.of Lineal ft. Area
No. of pane of pane lights of creek eq.ft. No. of pane of pane lights of track so.ft.
/S 30 '('4 ) .2t8 r88_ "7 36 22.. I /2G /24
Coef. Btu Lod. Btu
Infiltration fit$ /'y 32_I0 Infiltration /I 6 /S /1?0
18P9 gD2N Glass /1-G3 6
11Orla'
Glass -- ,ZExp.wall VL'V
Exp.wall �q 34fNet exp:wall g Li 3 71 L Net exp.wall I
Int.wall r� I Int.wall _
Ceiling F)(.:' 3 ( /t 1 V Ceiling ion 3 act!)
Floor Floor
Total Btu. /7,8Z6 Total Btu. 663,-1
Required sq.ft.E.D.R.or sq.ins.W.A.Leader area Required s .d ft.E.D.R.or sq.ins.W.A.Leader area
2 A. sit UC`/ Room I Length f 1Widthh I Height X I ( FIT t,i t.1 s(,./ Room I Length 2 2Width / E Height �J.'Windows and Doors-Crackage and Area Windows and Doors-Crackage and Area .
Width Height No.of Lineal ft. Area Wldln Height No.of Llnaal ft. Area
No. of pane of pane lights of creek sq.ft. No. of p ie i pone rl ghts or creek X
2t( l( fs' ( 1o8 ( r1. t 2'� 38
�; 2-
^aj 2 a Co o 1 lig .32
( q (';0 I 2-6 Yo
Coef. Btu • S 3G C.�Cs - 8 7(
� �qg Coef. Btu
2,0 Infiltration /s. 2.9 f(C'
Infiltration (O . 98 S IC r3 f 3G /&C lit 6E30
Glass � Glass
Exp.wall 11 I la , y Exp.wall L(ryo�/
Net exp.wall 3.3 r•I 9 1 3 Net exp.wall _ ?of 1 /00
-loss-walk / �4E-P 4 ce- NOn!
Int.wall p
Ceiling , 8-13 //S?.. Ceiling g,--, 3 0::,
Floor Floor
Total Btu.
.f0 II/1 Total Btu. I'7t 1 g 0
Required sq.ft.E.D.R.or sq.ins.W.A.Leader area Required sq.ft.E.D.R.or sq.ins.WA.Leader area _
2 FI.I�t�, 1rS-TitfiRoom ILengtli'jC.O Width!e7 Height e I r F1.1 t I Vlf/( " Room I Length 3 Width ?,' Height///y
Windows and Doors-Crackage and Area Windows and Doors-Crackage and Area
Width HOW lig.is Lineal Area
Width Height No.of Lineal ft. Area
No. of Pane of panss lights of crack
eq.ft. No. of pane of pane lights of crack p.ft.
( ,Z5' , C (,� re t Z...L.tl I R z.t 18 t I f 0 LS & 7
S' Zl.t LI h I 68 S2- I t `t•Ott l' ,R I k IV. 10 7 ZS
30 S-'-l ' -t g 7 0 L (8 '7 $ ‘ 3 2 7 o
Coef. Btu t'- I t t 7 ' t . 6 r N U Cod. Btu
Ifilt /6 S I c 2,(7 Infiltration - /SO /S 12-il,
Glass sation /90 U �7 72v I
t( Glass 10 t(9. f(QI{f(
G
Exp.wall Sc Z c_/ Exp.wall 8
Net exp.wall 41 2- `'I /G r(.$ Net exp.wall 1'59 S tf t Y 6''
1,6-At, 1 t act) J t..wdl 12ei) 4( N von
CeilingingllJ a2) 3 1SCpO Ceiling 7(8 �' z1sij
,S''Floor
Floor / 3Z i?
Total Btu. /. ,a1r03 Total Btu. f
Required sq.ft.E.D.R.or sq.ins.W.A.Leader area
Required sq.ft.E.D.R.or sq.ins.WA.Leader area
i
HEAT LOSS CALCULATIONS 4i-r��
Weatherstrips A.S.H.V.E. Construction No. Insulation
Guide
WindowsDoors Reference Out.Wall 'Int.Wall Ceiling Roof Floor Kind How Applied
Yes—No I Yes—No l9-
1E Fl.I ' C Room I Length Z.2.-Width t-1 Z.....Height q A.Fl.I67!-14114.B40toom I Length 7e, Width ZA Height
Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area 1
Width Height No.of Lineai ft. Area Width Height No.of Lineal ft. Area
No, of pane of pane light• of crack sq.ft. No. of pane of panelight. of crack q.ft.
( 5•o 2s.o 3 22 2K
Z 30 36 ' 2s" Iq
Coef. Btu Coef. Btu
Infiltration Infiltration LI 7 Is ?of
Glass Glass '16 2 tG.t1
Exp.wall '123 9 1691_ Exp.wall
Net exp.wall Net exp.wall 1 SS if 6 to
Int.wall In(.faU-- FAH /MO
Ceiling Ce.,ing
FIiot 1070 L 2,040 Floor E Z 7.5 GSD
Total Btu. 183 V Total Btu. 403g
Required sq.ft.E.D.R.or sq.ins.W.A.Lpider area Required sq.ft.E.D.R.or sq.ins.W.A.Leader area
3 Fl•I S'te2 n`'Q Room I Length 3 5.Width Z-7 Height q Fl.l _,0 Room I Length /5- Width /(., 'Height C,
Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area
Width Height No.of Lineal ft. Area Width Height No.of Lineal ft. Area
No. of pane of pane lights of crack q.fl. No. of pane of pane lights of crack q ft.
‘ 30 3 a ( 13 /o •
Cod. Btu Coef. Btu
Infiltration Infiltration I 7 (s MI--
Glass
4.5"Glass Glass to ilei yea
Exp.wall 63? 11 ?t , Exp.wall 180
Net exp.wall Net exp.wall 1 70 if 641
Int.wall Int.wall
Ceiling Ceiling
Floor 5% Z. / 072- Floor lo 7-•( /SOO
Total Btu. 36 Lg Total Btu. ?_&s
Required sq.ft.E.D.R.or sq.ins.W.A.Leader area Required sq.ft.E.D.R.or sq.ins.W.A.Leader area
(3 F1.1 °t`�ri Room lLength tic Width Ste( Height 1 1 (}-1.1S7mt DOG Room 1 Length f& Width J Height 9
Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area
Width Height No.of Lineal ft. Area Width Height No.of Lineal ft. Area
No. of pan• of pane light• of crack eq.ft. No. of pane of pane Ilghte of crack eq.ft.
Coef. Btu •
Coef. Btu
Infiltration Infiltration
Glass Glass
Exp.wall 2-70 il /G$O Exp.wall 576 1 2 3 01
Net exp.wall Net exp.wall
Int.wall Int.wall
Ceiling Ceiling
Floor (O 2i /0 80 Floor 26 9, (300 .
Total Btu. 2-1 Co O Total Btu. 36420(
Required sq.ft.E.D.R.or sq.ins.W.A.Leader area Required sq.ft.E.D.R.or sq.ins_WA.Leader area _
1 Fl.IM/WP'i•' Room ILength 'Lo Width 1 17 Height 9 I Fl.1 Room ILength Width Height
Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area
Width H.Ight No.of Lineal ft. Area Width Height No.of Lineal ft. Area
No. of pane of pane lights of crack sq.ft. No. of pane of pane lights of crack eq.ft.
Z ''0 3G I Zs 1q ,
Coef. Btu Coef. Btu
Infiltration 2 V. IS- 3 7( Infiltration
Glass I°I 4[ f t Z Glass
Exp.wall 282 / Exp.wall
Net exp.wall 2.41 tf 107G Net exp.wall
Int.wall Int.wall
Ceiling Ceiling
Floor (0 ,jam coo Floor
Total Btu. Z$ez.3 Total Btu.
Required sq.ft.E.D.R.or sq.ins.W.A.Leader area _ Required sq.ft.E.D.R.or sq.ins.WA.Leader area
•
HEAT LOSS CALCULATIONS .D( ( 0
r Weatherstrips A•S.H.V.E. Construction No. Insulation
Guide j-
WindowsDoors Reference Out.Wall Int.Wall Ceiling Roof Floor Kind How Applied
Yes—No I Yes—No 19_ _
J FI.I D IN t1.)(.y Room I Length 7 t::, Width Z,)Height (0 ' Fl.I k'-1,rn JRoom I Length 3<(Width Z 8' Height 7
Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area
•
Width Height No.of Lineal ft. Area Width Height No.of Lineal ft. Area
No. of pane of pane light• of crack se.ft. No. of pane of pane lights of crack •e.ft.
G 3C0 8'o 10 HK HI( 2 3o 3a 1 22- /H
. ZL( (8 1 Std 82
Coef. Btu Coef. Btu
Infiltration ii11 /S• 660 Infiltration 7 6 /`S /No
( kGq/2 -
Glass / 8 Glass % T9 LIC 0F
Exp.wall 270 /. Exp.wall 1(?
Net exp.wall /26 t( Soil Net exp.wall 33 t1 131.01
Int.wall I fat'a$--' q .1 /Oot]
Ceiling L150 (3 Ceding _ /00 3 3�
Floor . Floor
Total Btu. "/ll Z( Total Btu. _
Required sq.ft.E.D.R.or sq.ins.W.A.Leader area Required sq.ft.E.D.R.or sq.ins.W.A.Leader area
I Fla.'s uers-f' Room 1 Length ..3 Width 13 Height e" I FI.I S/fi'ht(-Room I Length I44 Width /y Height t.11'
Windows and Doors—Crackage and Area Windows and Doors--Crackage and Area
Width Height No.of Lineal ft. Area -------'-Width Height No.of Lineal ft. Area
No. of pane of pane light• of crack p fl. N. of pane of pan• lights of crack so ft.
I 2'8 6' @ 6 t I$ I 36 t(2 I it l-
3 r cs, t g 1 L J 1 l-( 21-t S q( ( S$ HG
I 30 Fe% 1 17 Ir
I t(B 60 t 2,g, 2.Li Cod. Btu Coef. Btu
Infiltration -79 1 /tg s" Infiltration 73 Iso
Glass 68 1'18 C.t1 Glass S tie Z432.
Exp.wall .S(Z/ Exp.wall 2 ,
Net exp.wall I(t(t( tf I 77 Net exp.wall /t(I LI 5116
JlLWa l— /000 Int.wall
Ceiling 2 est) �. Ceiling 336 3 /OCR
Floor Floor
Total Btu. 7 '7 S Total Btu. S33)
Required sq.ft.E.D.R.or sq.ins.W.A.Leader area Required sq.ft.E.D.R.or sq.ins.W.A.Leader area
I
Fl•l.2.1 Room TLength �b Width 3s- Height 9 T,lr.t'( Room I Length 1 9 Width f Height e
Windows and Doors—Crackage and Area 1 Windows and Doors—Crackage and Area
Width Height No.of Lineal ft. Area Width Height No.of Lineal ft. Area
No. of pane of pane lights of crack se.ft. No, of pane of pane light• of crack p.tt.
l 3'c„ 'o hJ 23 24 Lt To a OD /Go z5c
2 '3c. Sr,��^ \ 35 36 ''I 36 "72 l 6 G6
2 ? II t(( t el L.) 3L IA '3 o (...,/, ► 6G GI
Coef. Btu • Cod. Btu
Infiltration 93 is- 1 t(79 Infiltration _ 29 LI /c yy/o
Glass 9(, 're L-16,pzc' Glass 377 l(/ /P,6,16
Exp.wall ?t-'1 , Exp.wall 631
9 ! Net ex wall ' 6
Net exp.wall /( 1 (/►( ( P• Z`Z /D (t,
Int.wall ,.jnt.wall ,//'c• ./.4ce- t((Yo
Ceiling Ito 3 (2c 6 Ceiling t(3( 3 /7 i7
Floor Floor
Total Btu. 7"722 Total Btu. Zig',21/7
Required sq.ft.E.D.R.or sq.ins.W.A.Leader area Required sq.ft.E.D.R.or sq.ins.WA.Leader area
I Fl.�lrt��j-B4 7 Room!Length 2L1 Width 12- Height B I IvMtrll.g0!' Room I Length /C,Width c Height T
Windows and Doors—Crackage and Area Windows and Doors—Crackage and Areaf'fG•S „
Width Height No.of Lineal ft. Area Width Haight No.of Lineal ft. Area
No. of pane of pane lights of crack se.ft. No. of pane et pane lights of track se.ft.
I 7.','cm c-,. 8 i),>> • 2 Le
I 2-Li ) t l I 0 301171
I 3t) 4 I is. I3
_ Coef. Btu' Coef. Btu
Infiltration 5 's k\-c- Infiltration
Glass .,c et ,03 2,8 3 L Glass
Exp.wall 2.8 / Exp.wall 6'Se5 f 3 if z O
Net exp.wall Sr!Z 14 9/6 Net exp.wall
„(et..walt-` rAti /REQ Int.wall
Ceiling lI •$ 7Z0 Ceiling
Floor ZS8 3 1?G_ Floor l/1 ci 2/' /XtO
Total Btu. 7 f Total Btu. 'Zqb
•' d sq.ft.E.D.R.or sq.ins.W.A.Leader area _ Required sq.ft.E.D.R.or sq.ins.WA.Leader area
r.
%clr«rt,-41 06-9
HOUSE HEATING TEST RECORD ,� 572?7
ADDRESS `". ' . L l.11 37, L -c.-_ l OA APT. FLOOR CITY SUBURB
OCCUPANT . . ' .1-k-- 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. OTHER
Lefva>0 �GA$�DEESIGN CONVERSION
MAKE / MAKE OF BURNER
6-2/ �� —/
ModelQ 3 – 66 Model
Serial c 41YE 36y/ 0 Max. BTU Rating 96
v
INPUT 9o� 1 MAKE OF FURNACE 'i
Model G\I
CONTROLS
THERMOSTAT '''''''•` ''• Heat Plug Vent Size
Valve "_ KIND OF LINER SIZE NONE
Limit Draft Hood Regulator
Limit Setting Filters Size _Number
Fan Setting Chimney Location Inside Outside
Pilot Type Chimney Construction
Pilot Make ../
Pilot Model Smoke Bomb Wiring
Pilot Timing '''-''' Draft Test Tog
L.W. Cut Off Door Pressure Lighting Inst. •
Pressure Percent CO2 41:7, Date Tested l�' ` '
t
Input CFH -7 Percent 02 oCon,pony Testing .� ,t, \ tom' 'r ` \
Stock Temp. ;2- Percent CO I/ PPfri Name of Tester
CC
llocief.19-
,re HOUSE HEATING TEST RECORD 1 .S 3 97
ADDRESS 7`-•' ,. - (- . '(\ ( ' \..\.( .\\( 11.' `. ,)( APT. FLOOR CITY SUBURB
OCCUPANT 'i1 ,��' ` 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. OTHER
ig,A DESIGN CONVERSION
MAK E6/.. VIS{- MAKE OF BURNER
Model c) 3 c` 0 Model
Serial c rC -34 OS Max. BTU Rating
INPUT 46:42/ MAKE OF FURNACE
Model
• CONTROLS
THERMOSTATR,.'.'- . "'1/4:".j Heat Plug Vent Six.
Valve '' - KIND OF LINER SIZE NONE
Limit W', - ' k< Draft Hood Regulator
Limit Setting r (° . ' Filters Six. -Number
Fan Setting �� Chimney Location Inside Outside
Pilot Type
.1-- Chimney Construction
Pilot Make .�+
Pilot Model - 434 Smoke Bomb Wiring
Pilot Timing Draft Test Tag
L.W. Cut Off Door Pressure Lighting Inst.
Pressure '3••5 Percent CO2 ' Date Tested 1< `I r1, i k`--
Input
icInput CFH Percent 02 0.2 Company Testing _ k
Stock Temp. -24- Percent CO 1 o PP/h Nome of Tester �'v T.; i' , ' rr',
P� 4-�?? 3
HOUSE HEATING TEST RECORD s-g47
ADDRESS 8a O G 6i ?YN PPJI APT. FLOOR CITY SUBURB
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Electrical Work By Gas Lin. By
TYPE OF HEAT GA
GA FA X HW STEAM SPACE HTR. UNIT HTR. OTHER
MAKE LC/yb GAS DESIGN MAKE OF BURNER CONVERSION
Model 6r 2/ a3 — ^�0 f Mod.I
7
Serial $ 1/f 3 S-2 Max. BTU Rating
INPUT Dr MAKE OF FURNACE
Mod.I
NTROLS
THERMOST H.ot Plug Vent Si:.
Valve LOKIND OF LINER SIZE NONE
LimitTv— Y Draft Hood Regulator
Limit Setting Ifb00 Filters Si:._ Number
J
Fan Setting I b6 Chimney Location Inside Outside
Pilot Type _ Chimney Construction
Pilot Make 5 �'
Pilot Model Smoke Bomb Wiring
Pilot Timing Draft Test Tag
L.W. Cut Off Door Pressure Lighting Inst.
Pressure Percent fO CO2 S. r Dote Tested `er 1.1N*
Input CFH Percent 0 Company Testing _
Stack Temp. 5 Percent CO2 r Nam. of Tester
4ie_wr—r `4 CC?? S3 9
.A51 .--Y1
HOUSE HEATING TEST RECORD 7
ADDRESS 5 S's
x�0944 cUUUiol N � APT. FLOOR CITY SUBURB
OCCUPANT 6 i , '‘_ 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. OTHER
Le/vox Sig IGN CONVERSION
MAKE MAKE OF BURNER
Model OW 63 -60-i
/ �+� Modes
Serial 9y3 47S� l � Max. BTU Rating
INPUT d/000 MAKE OF FURNACE
Model
�
NT
THERMOS? Heatat Plug Vent Six.
Valve �1
KIND OF LINER SIZE NONE
Limit Q Draft Hood Regulator
Limit Setting IC, °� Filters Six. _Number
6
Fan Setting 100Chimney Location Inside Outside
Pilot Type ' r` Chimney Construction
Pilot Make r t J.
Pilot Model9rIsG�� Smoke Bomb Wiring
Pilot Timing Draft Test Tag
L.W. Cut Off �r Door Pressure Lighting Inst.
Pressure Percent CO 9,o Dat. Tested Lel\tc‘4,t42 lInput CFH Cd Percent 02 `r' Company Testing (�
Stock Temp. q-3 Percent CO Ib PP/✓I Nam. of Tester K
n',�
HOUSE HEATING TEST RECORD
40 s3 q7
�� p 'I
ADDRESS APT. FLOOR CITY SUBURB
OCCUPANT r. 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. OTHER
MAKE �
GAS�ESIGN CONVERSION
LC, 0 v MAKE OF BURNER
Model 6J'-2-fvrt C 310,1 Model
Serial g ` l t9 Max. BTU Rating
INPUT 60`067C7 MAKE OF FURNACE
Model
NTROLS
THERMOSTA Heat Plug Vent Size
Valve Uk KIND OF LINER SIZE NONE
Limit ll Draft Hood Regulator
Limit Setting I(O° Filters Size —Number
A
Fan Setting f 00 Chimney Location Inside Outside
Pilot Type Chimney Construction
Pilot Make
Pilot Model Smoke Bomb Wiring
Pilot Timing Draft Test Tag
L.W. Cut Off Door Pressure Lighting Inst.
Pressure 3-s Percent CO2 9',,51, Dote Tested (Cit'S
Input CFH 6o Percent O2 7' Company Testing
Q _ 80.04.401"`
Stack Temp. _r Percent CO Name of Tester r
fK f C6 --C
^� (�
HOUSE HEATING TEST RECORD k'5-3 g7
ADDRESS S r S Oco CJx� t�-aH1? ti APT._FLOOR CITY SUBURB
OCCUPANT �'i OWNER
HEAT LOSS ATE HTG. INST.
SOLD BY INSTALLED BY
Electrical Work By Gas Line By
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
AS DESIGN CONVERSION
MAKE Le/1/01C 1041,5MAKE OF BURNER
Model 6-2' tel 3 -60- Model
S«iel -S ! T i 3475 Max. BTU Rating
INPUT 4-t,ld�'" MAKE OF FURNACE
Model
NTROLS
TNERMOST T Heat Plug Vent Size
Valve Lt-) A KIND OF LINER SIZE NONE
Limit Draft Hood Regulator
Limit Setting 1 1e510a Filters Sire _Number
Fon Setting 1006
Chimney Location Inside Outside
Pilot Type Chimney Construction
Pilot Make •
Pilot Model Smoke Bomb Wiring
Pilot Timing ..*'' Draft Test Tag
L.W. Cut Off Door Pressure Lighting Inst.
Pressure 1• ("V
Percent CO / Wit-
CFH
— Date Tested i is
Input CFH COp Percent OZ Company Testing AU A
Stock Temp. O Percent CO 1 11 Name of Tester A^h K LA 1`301e\
Pe4rt- 4) 66gq 7
HOUSE HEATING TEST RECORD �' _S-3 47
ADDRESS v‘Ck1 (14-00-4 APT. FLOOR CITY SUBURB
OCCUPANT civOWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Electrical Work By Gas Lin. By
TYPE OF HEAT GA FA x HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE Le/V
oVIS MAKE OF BURNER
Model Cr-)1
Q 3 - ((ASC.,.
6- 1 Model
Serial 58`7 c/ f 36 ? Q Max. BTU Rating
INPUT 6 jd0 0 MAKE OF FURNACE
Model
` NTROLS
THERMOST TIQ4 Hear Plug Vent Siz•
Valve i4-)11 . KIND OF LINER SIZE NONE
Limit '0Draft Hood Regulator
Limit Setting (6-� Filters Siz. —Number
Fan Setting I ho Chimney Location Inside Outside
Pilot Type Chimney Construction
Pilot Mak. • _
Pilot Model y= Smoke Bomb Wiring
Pilot Timing °1 Draft Test Tag
L.W. Cut Off Door Pressure_ Lighting Inst.
Pressure �..5 Percent CO2 Zi° V Dot. Tested /V %' 1,_:31Input CFH Percent 02 i Company Testing L)
Stock Temp. 0 Percent CO 7 e,' ! Name of Tester 3rt k L.etkdo.r\.„
ur
P � HEATING TEST RECORD ,) F Ia., _,,-„/.
p
ADDRESS �� \A 1/4.1).1).., r:_c ;L`t• '� S3 (7
_A APT. FLOOR CITY SUBURB
OCCUPANT \_-:\i .. C. 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. OTHER
GAS DESIGN CONVERSION
MAKE Le/VOx MAKE OF BURNER
Model (2.*:' R ;.'. 1 I/ -j -�jI( ti -- I oModal
Serial '. r1 y L 1 P, Max. BTU Rating
INPUT i C{'i� C <; MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT¢4t'v.:. ).--k`Pleat Plug Vent Size
Valve -' 1 t KIND OF LINER SIZE NONE
Limit H''...-' `1C--I i. t Draft Hood Regulator
c
Limit Setting r C" C' Filters Size_ Number
Fan Setting «-'C! e" Chimney Location Inside Outside
Pilot Type .. Chimney Construction
Pilot Make 5csa.......
Pilot Model 'C'� ,i- Smoke Bomb Wiring
Pilot Timing C• , -> Draft Test Tag
L.W. Cut Off _ Door Pressure Lighting Inst.
Pressure -a•` Percent CO2 15'/.5 Date Tested (C'( (`11t(S
Input CFH I ('1 Percent 02 S'7 Company Testing _ t ‘�'<-�-t
Stock Temp.
q 3 D f P1
Percent CO Name of Tester LAWN �- LCkQSCCv\
eal•wrr 41‘" .
HOUSE HEATING' TEST RECORD L" ' J ) / " 4 5-7?
7
ADDRESS C' -1(-5 (:-.);44,), U-ij ` fi t-\ APT. FLOOR CITY SUBURB
OCCUPANT 01'-- �� f
OWNER
HEAT LOSS DA E HTG. INST.
SOLD BY INSTALLED BY
Electrical Work By Gas Line By
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. X OTHER
GAS DESIGN CONVERSION
MAKE � - MAKE OF BURNER
Model to '_Ii X- Model
Serial Max. BTU Rating
INPUT MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT 1.6'."2--"N`1:':
`Heat Plug Vent Si:•
Valve (, -', -:`="'-LL KIND OF LINER SIZE NONE
Limit V. l.-t\ +`‘...‘_ Draft Hood Regulator
Limit Setting I `jt( 1 Filters Sire_ Number
Fan Setting 1•`�"Q1: Chimney Location Inside Outside
Pilot Type Chimney Construction
Pilot Make l� X16,/,k.
Pilot Model �� ' Smoke Bomb Wiring
Pilot Timing Draft Test Tog
L.W. Cut Off Door Pressure Lighting Inst.
3,It
Pressure Percent CO2 �i Z Dote Tested +C 1.i 1' Y�
Input CFH Percent 02 --y
Company Testing �.` '' Alt-
-Stock Temp. 35-do Percent CO (31434741 Name of Tester 1ohN 1Z l.,''-‘1. A
DATE TIME
CITY OF ORONO CALLED IN //-14)
INSPECTION NOTICE p, SCHEDULED // — /4/ 9;3 v
PERMIT NO. (,p ? COMPLETED
ADDRESS $ -5 S L( L </£7 ,SCO
OWNER CONTR. ///1'I- /G
TELEPHONE NO. / ff l0 76
DESCRIPTION Cii (r4.1
01 FOOTING C1 MECHANICALS• 18IXCAV/GRADING/FIWNG
Q 02 FRAMING 13 MECF1ANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
I` 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
Lir 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
• OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
cc
Lu OKAfilJl�
t_Ue - ocu1/4( e�v
�'
W
cc
z
cc
O ORK SATISFACTORY:PROCEED PROJECT COMPLETE
W
C CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
O Li CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the in A ction 24 hours in advance.473-7357
Owner/Contract r site:
Inspector. 4
1 1Plii
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN /i �14!
INSPECTION NOTICE. ( SCHEDULED //` g // . "
PERMIT NO. 1'015-
COMPLETED ll -` Li
ADDRESS a3 67.E :eja; /Ay 4Y,r
OWNER Nein CONTR.
TELEPHONE NO. 67 -6. 7 7
DESCRIPTION (I tr
4. 01 FOOTING 11 MECHANI 1jl 18 EXCAV/GRADING/FILLJNG
y 02 FRAMING 1 FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
= 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
(9 COMMENTS:
cc
W
Q.
cc
0
cc
O
U-
W
CC
W
W
CC
d WORK SATISFACTORY:PROCEED
Ar - PROJECT COMPLETE
CC ❑CORRECT WORK&PROCEED 7 ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR - CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerIContract onI s)te:
Inspector. Vatr-c) •
White Copy/Inspector's File Canary Copy/Site Notice