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Home My WebLink About2010-00271 - fuel removal � . CITY OF ORONO PERMIT NO.: 2oiaoo2�i 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISsuED: 04/27/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1620 SHADYWOOD RD PIN : 17-117-23-21-0012 LEGAL DESC : SHADY-WOOD : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FUEL REMOVAL VALUATION : $ 3,000.00 NOTE: ABANDON WITH FOAM -UNDERGROUND 2,000 GALLON HEATING OIL TANK SCHEDULED FOR FOAMING 4/30/2010 CALL FIRE MARSHALL-JAMES VAN EYLL AT 952-473-9701 FOR INSPECTION APPLICANT MECHANICAL 50.00 DETERMAN BROWNIE INC. STATE SURCHARGE MECH(VALUATION) 1.50 1241 72ND AVENUE NE FRIDLEY,MN 55432- MAIL-IN FEE 2.00 (763)571-8110 TOTAL 53.50 PAID WITH CC# 6563 OWNER ERICSON,JOHN 1620 SHADYWOOD RD WAYZATA,MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permiu. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. , , , �� v Applicant Permitee Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , Rpr 22 2010 12: 29PM HP LRSERJET, FRX , } p. l - , ,- �� . �- � �� ; , , i � � t 1 . ' DETE N B��T1�TIE INC. 24 2n`� Ave. N,�. 1 1 � Minnea oli�s, lVlir.��c�ta 5 543 2 p FAX 'TI�ANSMITTA�L TO: City of Orono ATTN: Lyle FAX:952 2494616 : ' . rTUMBER OF PAGES: 4 � � Please apply charges to our credit card number:4246 3151 6563 0003. expires 5-12. , � � , i , FROM: BOB CHENEY ° PHONE #: 763-502-96 ,48 , ' , , FAX#: 763-502-9862 ' � ANY QUESTIaNS PLEA'SE CALL ��s BOB � � ;� . , � � 4' .. . � . . � . , Apr 2z 2010 12: 29PM HP LRSERJET FRX p. Z � �p �,�'.,P,�/�?.,� �(�-, 2, � 'F i�E'.. e�i��`,��[,._ � �r� ' ' ,� �,,fH�. �� ?� `�� , G� rJ ,�0 �� ,-�.�� "�' �s'F.,�.j "� � �� ;�� ` 11¢ `' `�'� -' ,� c�p �`I•�-"jE7�*" '��f,+e f M•. � ►� ty ��,�_ ; ; _ Ci of OrOuo ' 3 ; P«rm,t�' � ' ' i' ,� 5 ,:�er�I"'_,,� ��' � P.O.Box 66 � �..la� ��c*d �,.. , } , ` 2750 Kelley Parlcway ['� `� � +��-`` ' s = s� `=: 3 Crystal Bay,�IIV 55323 �'�� (�r ��:d �.APPrr��ed t#} `"!� ' r�uicuni,� „�„�_ � 7�� (952)249-4600 � (f�; �t - _ {4� CTi'Y OF ORONO—MECHA:�iICAL PERMIT (All Commccial permits must bc appcoved by the Building Official or Inspxror and�oi Pire MarshaU) ' : ' -�,.�r_-u. ..=.=i�� .,s�i:' ,y��'- °.`+�`i.....�':� I� J��. � -�rF�p 5 � -�'^f �""'. '' -- ' - 1_ You may apply for mechanic3l petmits by mail or in person at the Ciry offices. Applications will � t� `� � be reviewed and a pennit will be issucd within two working da.ys, ; ,�� 2. Permit cards vvi71 be sent by return mail after a review is completed. PERMITS ARE NOT c. ,; VALID UNTIL Y�U RECENE A PERNIIT. WORK ST NOT BEGIlV LTNTIL T�E r�' PERIIIIT A.RD iS POSTED ON THE JOB ST�'E. G�'�''� 3. lyjech�n�caa Designs—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehwnidification,and air conditioning installation including heat loss(heat gain calculation,design temperatures,equipment rahngs and identification as to type,manufacturer and model. Data sha11 be presented on form provided. 4. Whon any new constcuction or remodeling is involved,a separate building petmit must be obtained. S. All work must be done in accoa'dance with the Uniform Mechanical Code/Staie Building Code requirorrtents. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (ZA-48 hour n�fice required) 7. House Headng Test Record must be submitted before final. . r ' I'�'P� (��;',`��7�%��T � ` ,�� "` _ �, � _ R ��x .z...�.. , ; : � � ; � '. _ � � �� E � .={Gl�eak AII�h�t��1��. � ��'', ,�.��,..' �.°��' . �Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑ Repairs ❑Replace �� VR�'d��;'�Sl .qffd_..�''�r k�� ,`tl1i k��;..,- ,'. Site Address: �� .!�i� �� Owncr:�'d�� C �d'��b� Mailing Address: �� • �� v � � �� City: w��1a��r"" �� Zip: , Home Phone:�Z ��! �-� � Altemate Phone: � ' �._ ` °5�� '�y ,a.'<. .'..� ; ..v,�..,.. ..�� 1 �M1(� ;-�''�� - ..�'.Y .. ..>... ' . Contractor: �!R D UJ�C�t �' �'� C. Contact Person: �� ` � �� C� Address: �,7�� "` �+��""��,. State Bond#: City: �( � Zip:��'�Expiration Date: Phone: �.�� U Alternat� Phone: �� ' °:� �..� � ❑ Insurance—Current: �_e��G�-G�✓ . � x�,vr��ra�A �- s p�cf�.�.fi% •��dU�S I . Rp� ,22 2010 12: 29PM HP LRSERJET FRiS' p. 3 , , j Note:All Geothernoal Systema will now requirc a Site P1an&$,�Yi�g by our 8uilding OfficiaL IS Tffi5 GEOTAERMAL? ❑Yes' �No' °: , � � . HF�AITNG SY5TEMS � I � � � ' Q��h'� � � : Matce. ; Model: ' ; _ Fuel: Flue Size: ' Input 67'[Js: . , Output HTUs- , � GAM: ' COOLING SYSTEM5 � Quantity. � Make: Model: ' Tons: ' H.Power � �'m� o Oas Factory Fireplace Brand Nama 0 Wood Burning Faeplace ❑ Wood Stove Model No.: Q w�s��w�r�,u � v�vr�aaTTox 0 No. Kitche�Exhauat duct recirculating c� ❑ No. Beth Exhaust(muet hav cte ud outside) cfm Q No. Odier Fans: Locations cfm FT2F�T4�G$ R�ust be a�proved by Ptre MarsHaJl�jproposl�g tn abandon mNt in plaeG) Q Installation a Removal �� •J�� el Oil: galloms; ' �Underground �Ineida Outside LP Gas:; galloms, om�: �t°��'1 �) � o� �' �i�/� GA5 LIN6 ONLY "�G/'��`� ❑ Oatdoa Grill 0 Other/Liet What&Where: s��??�� 2 �'a� �oI4�� - � �3c� � D . Rp� 22 2010 12: 30PM HP �RSERJ:ET F�K p. 4 . � ,d; 3 i . � � ' . ; C. �, ' � ' '�j ,�` t '� 0 Yes,this section applies - �; � , • � �. Tbe replace�ncnt of a�,?�fip��i�ct�*e or afmlienoe rthat meets all three of t�e fiollowing requir�meata: 1. �1 requse modi�icaticam to electrical or gas servica ' . 2. I�as a�of SSOQ.UQ or less:QXGhI$1T�fhe�et of the fixt�m or applisnae:and 3. Ia gaproved,inatalled or replaced by the l�omeowner or licensed ooatractor. Sicip aext sectiQn,if this applies; Cost of P�'mit 5 15_00 Stato 3urcharBc �, .50 , Mail-In gcc(if AppGcable) S 2.� Total Permit Fee S ;i ; i , i. If above doea not apply;follow guideluies;'belpw: ' '; � � . • y• r .. - . . � 1. �ONTSAGT PRICE .'is 1.259/0:0�contract!p�ice with a(Miaimam Fee of 550.00) s �� . 4�' ; �t.0125 S C��i�`� ✓�•(y d t. ,°(cooa�ct p¢ioe) (rnioimom SSU.00) . ° �� .' 2. "`"pdd the State Bldg Ccde Div. Surcharge(Nnalmum Fee of 5.50) � . 3�a v0. DC� x.00�s � l�� ' � . ' (wntrect pric�) ' . (minimum$ -50) 3. P03TAQE&HANL?L'ING(Only on Mat1-In Applicatians) $ 2.� 4. TOTAL PER11dIT F�E(Add.Lines 1-3 Above) � ✓ l ��d . ■ • CONTRACT PRICE oz rOB�CC1.ST meane,the actual or estimaked doUar atnount charged foa�the permitted w�ork incluciing materials,labor,�xoSt,alnd other fixed coats, It is the amount to be charged to the customer for thc'wark dona If any material, equipQnen�lebqr or installetions are fiuttis6ed by the owner.t�ant or any o'thes party,the reagoaable marlr.�value Of such items anist be addod to the estimated cost vr contract price fo��p�annit fte �wpo�e�s.' 'I[�the �vart;fihat dicre is a dispube on thc amo�mt of the job cost,the City may request thb submission of a signod copy of the actual contract. ■ **The STATB SURCHARGB is.00bS�of th�$uilding,Depa�mient at(952)249�600 for thc price. ; � - �� . �' - ,. .' T6e undersigned hereby applies to the City.for iasuance of a Mechsuical Permit, agrees to do all work in strict accordance with the ordir�cea of the City and the regulations of the State of Minnesota, and cartifieg that all statements made on � application are complete, true and correct. Applicant's Signatura: Data: C r �� 3' � , , . � 'w ' &� .; . ' ; � ; ; � , .. � � , . , r � �, � DATE TIME " CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED Y-2� - �a � PERMITNO.c"t01D-��7 J COMPLETED �� N ADDRESS /6 2 v ,S'i�fi90 yLVd UD OWNER -Soh� Crl.�c.so�+ TELEPHONE NO. `1� �' `36 S v CONTRACTOR �e'T'"+�✓'-�'^/�''� ^ ?�3 -S o Z-g �`t � � DESCRIPTION �`'�� ^'�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIL�ING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: W d�� t 7�y4�►'k G�r �(.9 C-C� a o (.�/�ly�a-.� �✓�-�►'� a � 0 � W � Q � 2 � � W � � a W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Caii forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor Inspector. White Copyllnspector's File Canary CopylSite Notice