HomeMy WebLinkAbout1997-009052 - remove oil tank PERMIT
CITY OF ORONO PERMIT TYPE: ;�::-__::-�:-:: - �.:
2750:t�lle P'arkwa P.O. Box 66 '=-' �' °""'=�-` `-''�'=�-
y y Permit Number: `���"_`���_t.�:,:�'
Crystal Bay, Minnesota 55323 � � - - -
(612)473-7357 Date Issued: .. : . _ - . .- .
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMTT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a pernut will be issued within 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 final). 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: NAVA 2R� ,�rno c� Zip: 5��9Z
Owner's Name: L�',QdT�o���y�/y Telephone Number: ���. �7j-��
Mailing Address: �( o �,,�� ,e. City: �/�t � Zip: .riS.�SL
Contractor's Name: �zL,�S �',Q« v��� Telephone Number: 3,�o.85s•5�i�
Mailing Address: ,�/y�S �� City;(S?5�S/Y�N Zip: S���.
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power �
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WOOD BURNING EQUIPMENT
Wood stove with flue
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.
�,� '�
VENTILATION
� Y� No. Kitchen Exhaust ducted recirculating cfm
�.. � '. ;
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
_� Installation �C Removal - m?-io,00�, /- 80do - G'AS 'N�S • ��e
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other �j�/S;R�� ,NC�.J a id ooe Gas opening
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� ' PERMIT FEE CALCULATION
;�_,, "
}� ' 1. 1.25% of Contract Price" or Minimum Fee ($35.00)
�� ' � �(QQ,00'o �� x .0125 $
� { (contract price)
r 2. State Surcharge. *" Add the State Building Code Division
� �.
;e<. = Surcharge to each permit. x .0005 $
or $.50, whichever is greater (contract price)
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. : 3. Postage and Handlin� (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 pernut 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 $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accordance with the ordinances of the City and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct.
Applicant's Signatur • Date: .0��-��
Approved By: `�� �"�-�- Date: � -S "��
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MV S1 H I t �1Kt M(-�KSW-1L. F a�. .�-�15-(�25 Jun 4 '97 15�14 P.O1
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To � Frvm
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Stf��'R DII�W Dh'lrlao � GoJDePt Co.
��i�iC.41[��11���� PAonC p PhO�t Y
S�Piol, II� S�1Y1�2156
��� hx s Fuµ
LTNDERGr�tOUI�1�r1�mm�ble snd Combl�stible X.iq�RfdS .
�Ln a �vr Ctid -iin�
PLEASE RF.�AD THE POI.LO'WTNG II�IFORMAT�ON BEFORE BEGYNNING:
� Fi�i ia t�c iafv�ation bl�coruplwly.
► W�c�c aot applic�b1q,mark NA
• Stibmit�ll ao�r�rial ia�c�04;iacl�dc aos auide]io�e sbieet ior�pl�a to bs reviewod.
' �dud�P�lot Plaa of propaty s�O�wiaji la�cation of ac(jacxat s�eets.6i�h�asY4 ba+ldin�s.wt'1�c�
�+aosrr,aad other imnaedisle stut�a�s.
> Ia�oompieo��will�:+atult in tbe plans beit�netu�ned.
Datt: �"2 7-9 7 Date of Iascallatiau: 6-9-9 7
�Y� vavarre Amo�o '
A� 3360 Shoreline Dr- _,
�,�5��• l�avsrre. Minnesora 55392
Coatac� � �Rx�y Koehnen � Phone: (612r471�flnR9
xollies Salts 6 5trvice InC �
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Citp�$tjpe�Zip; Osakis, Minnesota S636b ,�
Cootsc� Phone:c�s 9-4 a 11 ���
NlPCA Coaoca�ctor Certifi�catioa Numbec- 2
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�� i� ioaoo � 2. l0000 2-co=3, 6000 _ a,
�• t. Nolead �,Mid Grade/DiegB� Prem 4.
��; 1. STIP3 2. STIP� 3. �Trv3__„i 4.
p�pjp�(ma�ereal): VcAt Lincs S t o e 1 Dy���I,� D c� A PT P o ly P i p e
.
T�+pe: FuII Scrvice �� Self-Servioa_ RX Stor��c �,,
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Conosioa Prouctioa? Yca_,j�X_ No �'I�� ��?'�!� '1�,.�iM1i'•
Type of aaodes iastalled: Tanka �ag Pipin� ��y ��� �
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R�-'F�i#�5�:€� ��i�• .z��"a�i� 4S NOTEQ'
� N07 �PPi�(�i�!:� _:::-;�:���.;Y & RESURMC�
�t�se c4r,�ments �r:.� sns y�!r ;r�trsr=;,;;tion. All vw�rk shalt b���
'� �� camptie�c:� w;fi s!� c��:�rlicr�li� G�idir� d� m�Nn���
�irarsenia incl�;n� items not spec.tifiealiy ncsted }te �f11�l+�
���� �rH�s p�� �� f�r� �r�.E Ax o►c� �,
MV STRTE FIRE MF�ZSHRL Fax�612-Z15-0525 Jun 4 '97 15�14 P.02 , �
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Y,p����; T�Blec �onitp�q,s $uo s� Alarm•
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BpiD p�o�ioa(canninm�at basia�: Ye� �.... No�
��� �,� Float VeIIt Ya2ve
De�pl�t4�+ownd watzr: Z�� 7ypt of b.c(c811: Pea Roek
Aoc�oria� R�luit�ed • Not roqwced gg '
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BEMAAKS: ,
NOTICE: 4NE COpY MUST BS PRE��IT AT SI1"E FOR RE'V�W
Offia TJs�Only �IR3PGAN
Rsvi�ew Sta�ap Ars� Sump�Ar�ea
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Pi�l4R TC FRO.ltC i 5�'A.4T. +.
• Aill�i�;� .� S�'ATE E� i��.�Sf-:�►&. ProcGss Compteted-dat,e mtiled out
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P.O. BOX E• HWY.27 WEST•OSAKIS, MINNESOTA 56360• PHONE 320-859-4811 or 1-800-247-0968
May 27 , 1997
State Fire Marshal
444 Cedar Street , Suite 10�-M
St . Paul , MInnesota 55101-2156
Dear Sir;
We are requesting your approval for tanks being installed as
shown.
Existing underground tanks will be rer�oved of and disposed.
Stip3 style tanks will be installed witn double-wall APT pipe
run to new islands with containments .
Sump sensors will be installed in the sumps for leaic detection.
All work will be done according to MFUC 1991 and API 1615 .
Because of the time period, please review as soon as posible .
Thank you.
��
J m Tenhoff .
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CITY OF ORONO CALLED IN DATF, ��TIME� m
- �' Ov
INSPECTION NOTIC �. SCHEDULED •
'ERMIT NO. COMPLETED 6 �� � ��3
ADDRESS 3��� �D�t_
OWNER (l�x �4�'o�r`ONTR.1�:.�c,co,0 ��l.Q¢o���srcce�
TELEPHONE NO. _ �S G - � �! I
� DESCRIPTION
� 01 FOOTINO 71 MECHANICAL RI 1B EXCAV/ORADINO/FIWNO
y 02 FRAMINO 13 MECHANICAL FINAL 79 LAI�SHOREIWETLANDS
Q 031NSULATION 24/25 WOOD BURNEFi�FIREPIACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= OS FlNAL 14 SEWER HOOK-UP 06 PROGRESS
~ 07 DEMO--.SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEMO—FINAL 75 SEPTiC INSTALL YL FOLLOW-UP
= 09 PLUMBINO RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PIUMBINO FlNAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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� �WORK SATISFACTORY:PROCEED = PROJECT COMPLETE
W ❑CORRECT WORK S PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
0 ❑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
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for nex inspection 24 hours in advance.473-7357
OwnerlContract "on e:
Inspector.
YVhite Copy/lnspector's Fil Canary Copy/Site Notice