HomeMy WebLinkAbout2009-00827 - mechanical ` "' � CITY OF ORONO PERMIT NO.: 20o9-oos2�
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 1U23/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 3360 SHORELINE DR
PIN : 17-117-23-44-0101
LEGAL DESC : TOWNSITE OF LANGDON PARK
: LOT 005 BLOCK 003
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : FUEL STORAGE
VALUATION : $ 10,998.67
NOTE: REMOVE UNDERGROUND WASTE OIL STORAGE TANK
APPLICANT
MECHANICAL 137.47
ROLLIES SALES& SERVICE STATE SURCHARGE MECH(VALUATION) 5.50
HWY 27 WEST TOTAL 142.97
OSAKIS,MN 56360
(320)859-4811
OWNER
KOEHNEN,LEROY
3360 SHORELINE
NAVARRE,MN 55392
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 dces
not grant permission for additional or related work which requires separate
permits. 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.
1'he applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for d e cause.
�,[11;1;l� //l 7j�l � 9' / l ,3/6
Apphcant Permitee Signature Date Is ed By ignature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Oct-t3-2QQ9 Ot:54pm From-GITY OF OROAO �r +9522494816 T-851 P.00i/003 F-11�
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F " (9S'-)249-46a0
GITY' t�F ORdI�lJ—MECT�AI'�IICAL P�1tMYT
{Ai3 Co:nrnercial permita mus�be a�ved by[he Buifding QfGaial ar Inspccux and/ar Fire M arshall)
�J��.�..��s�'b�:1��'�Q�� . , . :� .
1. Yau rnay app)y for mechanical permi�s by mail ar in person at the Ciry offices Applicat�ans will
bc re�zrwed and a perznit will be issued witl�in twp workin�days.
2, Fernut cards will be scnt by rea�a mail af�er a z�view is completed. PflRMI'1''�AR�:�OT
VALiT�UNTIL YOU RECEIVE A��R.'1�TI'. Wf?RTC MCJST NOT BEGIN t3NTTT.TH�
��TtMIT CA,�ti?T�POSTED QN T�IE dUB STTIs,.
3. Mec�anical Desi�ns-�oinglctz calculadons,details aad specificauons are reyuired for each
hcaung,venrilation,humic�fication-drhurnidificatian,and air condiuonin�in.szaliarion incluriing
heat loss/hcat�ain calculati.on,desi�u xezzaper$tures,equipment z'atings and idc:n�ificarion.as t4
cype,manufacturcr anci mc�del. Data s1�a1i be presented om form provided.
4. W�en any nzw consuuction or remodeling is invalved,a separate building permit must be
o�rained.
5. All worlc must b��one in accorc[Rn.ce avitYc rhe Unifo�m Mechanical Code/Stai4 Builclin�Code
ret�uiremants.
6. AII wark must�c inspect�d(rough in and final). �Call(952)249�640.
(�4-48 hour notiee r�quir�dj
7. House Hearing Test Record must be suhmined before#'tnaI.
, �� � _ ,
� , . '�. ��:QF PERMI�T' _ �.
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� `,, ,.,�. �Ch�ck A1X�:'�'hat„App�y} � � .� ,
[�Rrsidenrial �]Commzrcial(Approvat Required) ��j��C %/✓/�CL�/�'��i�.QL"`!/NrD�
❑New [�Add�tianal ❑Rep�irs ❑Repl�ce
�Qb �ite�I C3i�vner Trif'ornia�ian: /�AYL�OLZ� ��/�'�//�c
site.P.d�ress: �r��b �NO�I✓NC ,L.�l1�G _
C�v�mer:L�Rb Y �d.El1� F/l� Mailin�Address: ��m�
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City: �ROND --- ZiP= �,��39 �—
�yt'� �ae Phc►ne:����r'"�a� �lternate�'h4ne; .--
Coritractor�ifor�xza�.o�:: � - � -
Contractor: ���A�3f'���V �ont�.ct P�rson: �/!s� �/Vf��
�4ddre�s: �'� ��� State�o�ad#: _Q���
City: d✓��'� 2ip,�R�3 Expiration laat�: ��'�/" /t�
Pi�one: ������"-/d�� Alternate Phon�: ���-„Z����
� In�urance—Ctirrent: _ __
1
Oct-13-2��9 �1:54pm From-CITY OF ORONO +�522494616 T-85i P.002/008 F-112
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Note; All Greothezmai Systems w�ill�ow require a Site Fl,�,n_&P�eview by our Ruilding Q�cial.
I�'I'HIS GEUTwFu�tAt�_? [�Yes �No
H�ATTNG SYSTEMS
QuantitY' _. - ----
Makc: .
Model;
Fuel:
�'lue Sizc:
rnput BTUs: — --
Oucpus BTLrs: _ -_—
C�M:
�Qo�.Irr�s��srEn�s
(�uantitiY': --- -
1Vlake:
Model: _ — - , . --
Tar�.s:
�,Fawer
FYRLI'Y�AC�S
� Gas�`actory FireplAce Brand l�ame: ,____ _
❑ Waod Burning�ireplAce
� Woad Stove Mode]No.: _._
� `�vYOQC�STAVB�li�l�ILtC
�c�;�vrlr.ATivN
❑ Na, Kitchan E�c3�,ausr duct recir�c�.l;scing �cfm
❑ Na. � �ath�xhaust(rxu�st ha�ve duei ou�side) -- cfcr,
[} No. �rchcr Pans: T.oca.*ac�zts_ cfm
FUEL ST()RAC=� (Must he annrnv�i by Fire Marshatl ifpropasing to abandon tuak in plaGe.)
❑ Tnstallatiran �. Removal
Fuel Qil: gallons (�Underground ❑ �nside []Outside
LP�as: gallons
a��r� ���4
GAS LIN�C]IVT.'Y'
� Chitdoor Grill ❑ Orl�cr!List'W'lzat&Where� ,
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O�t-13-2Q09 01:55�n From-CITY OF QRONQ +9522494616 T-851 P.003/003 F-112
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.�'k_�i��t� •� i�q�'a r�;' 1G�+�.17��1i�« `� p�(j�st'����y-�y��ta�M �'�j.L�, ',`IIf`��i ��4 E,k�;'�5��`i:.f lr���� `°s�; �N �K ti� j;.
� .I, r 'Mi*�,�d���,� �r��h'`1!r��4 t,N,r u-�t�1.p �� 11 r,<.,.4 ;4*Z"i-�tir � �� y�G� -b,4�l,f"t(, ,�i;'�'y��f1�IGN�1,r y� {�' � t b?�"tii��U�,II f p°j
��;:��"�I��'.�yY' � �''1 �", t �f� �h;� {� W� � �i�r' �1'!�`� ' � 1 �d' ��
�s� �r�+�i r,t ,n fi C' 1 r t�t'��Y� rrn (����J{ , "j�� ti� , ��p i rr�, J H 'i��t. � � �t1��, !i
'��l�d i i,�#�f�raplt��1 Jt`d��'4�lt���J i�f���;�7��m7����'ti'���1J� �'�'-Fy`�x,��;+"3�����ti��;.',1�`�.N•'nq .�� .... .r'A .�:i. i w:�.:� .i ! �.�
Li.^.:'
[� 'Yes,rhis section applies
The xeplacement of A}?esidenriai fixmre c�r a�liAnce that meexs ali three of the fallawi���;r�quiremcnts:
1. oes t require ma8ification w eleccrical or gas scrvice.
2. Has�to 1 c st of�500.00 or less;exci ' che cost af the fi�turc or agpliazu:e:and
3. �s ixnpr�ved,inst�lled ar rcplaced by�hvmcowner or liccnsed conu�c>r
Slap x�cx�secrian,if t�is appiies; Cast af Permit � 1$.�
St$i�S11TChda'ge $�5Q
Mflil-In Fee(If Applicable j $ 2.Oa
Total Permit�ce $ _
����'�� � � _ .,. ` n; F. ��i� �' s�:,'N '�
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lf abave does nut apply;follow guidelines k��lo�w:
1_ CQNTR.ACT PRICE *is 1.�5%af contract price with a(Minimum Fee of$50.00)
� . ����,GT X.o1�5� ._.C37A � _
{rnntraci price) �rriin::num�50.(}0)
2, TA'TE SUR �RGE "`*Add the Sca�e I�tdg Code Div.S�charge(Minimum Fee of S,Sa}
/.�y 91��O7 X.oaos � ..._ ���`'�
(conuaci price) �tinirr9mum Y .50)
3. PO�TAGB c�H.r�I+�T�LING(t)aly an Ntail-Yn Appticarians) $--- �.40
4. TO'�'AI,PE�1V,�T'I'F'�E(�dd Lines]-3 Above) �._.._� y� .r
• * CpN'TR,ACT' pRIC� or J�T3 CO5T means tha aerual or essimered dollar a��x,unt eharged fc�r che
permitted work incltidin�ma�eriais, labor,gm�ic,and ather fixed costs. Ic is the aroount to be c,�argad
ta thc eustomer for the work done. I�any ina.�erial, equipment,labar or installa�iong�re furn�$hed by
the owner, tenaent oz any or�er party, the reasonable market value of such ie�ms inust be added ta the
estimated cosx or eontract priee for permit fee gurgoses. In the Gvcnt �ac chers; is a dispuie on thz
arnaunt of the jab c�sc, the Ciry may request the s�bmissian of a signed copy ��f the acu�al cautrac�
+ *"`The S 1'ATE SURC�IAR.GE.is.00QS of the�3uildang Dep�ment at(952)249-4640 for the prz�e.
�wU � ,� } ' ��f .l�;r [� uE�i�ur,���
Th� cmdersi�n�r�hereby applies to tho Ciry far issuance of a Mcchanicst Fermit, agrees to do a11
work in strict aecordance v�nth �tie ardinances of the Ciry and the re�ulatic�ns of thE State of
Minnesvta, and cestifies that all sTatemen#� made on tlus applicatian aKe complete, uue and
corre�t.
Applicant's Si�atut ' ��: -,-1� I � �
3
Monica Fadness
From: James Van Eyll [JVaneyll@ci.long-lake.mn.us]
Sent: Friday, November 20, 2009 8:44 AM
To: Monica Fadness
Subject: RE: Question From Orono Website:
Hi Monica,
I have not done a business before just residential, so we might want to wait for Lyle to review the permit. I believe
everything looks good and they would need an inspection upon removal of the tank.
James Van Eyll
Chief, Long Lake Fire
450 Virginia Avenue
PO Box 606
Long Lake, MN 55356
952-473-9701 office
952-367-6447 cell
Please consider the environment before printing this email
�m� � , v,�_� _ .�. e _ �.�n��...,.�...,�
From: Monica Fadness [mailto:MFadness@ci.orono.mn.us]
Sent: Tuesday, November 17, 2009 9:57 AM
To: jvaneyll@ci.long-lake.mn.us
Subject: Question From Orono Website:
Hi James,
I received a permit application for removal of a fuel storage tank at 3360 Shoreline Drive. Lyle has been out of
the office so I am forwarded this on to you for approval.
Please let me know when it is approved, so I can go ahead and issue.
Thank you!
�►�lonica,�adness
City of Orono
2750 Kelley Parkway
Orono, MN 55356
mfadnessCa�ci.orono.mn.us
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