HomeMy WebLinkAbout2013-01316 - fuel storage tank removal , CITY OF ORONO * Z p� 1 3 — fd 1 3 1 6 *
. 2750 KELLEY PARKWAY DATE ISSUED: 12/27/2013
ORONO, MN 55356-
, 952) 249-4600 FAX: (952 249-4616
ADDRESS : 80 SMITH AVE
PIN : 02-117-23-21-0004
LEGAL DESC : ORONO ORCHARDS
: LOT 042 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FUEL STORAGE TANK REMOVAL
VALUATION : $ 2,025.00
NOTE: INSPECTIONS ARE DONE BY FIRE MARSHALL,JAMES VAN EYLL.
PLEASE CALL JAMES VAN EYLL DIRECTLY AT:(952)473-9701 TO SET UP AN INSPECTION.
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.01
DEAN'S TANK INC. TOTAL 51.01
P.O. BOX 22515
ROBBINSDALE, MN 55422 Payment(s)
(763)535-0194 CREDIT CARD 8979 51.01
Minnesota State License#: BUIL-475
OWNER
MCMILLAN,TAMMIS
80 SMITH AVE
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 pertnit 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 aze
requested in conformance with the State Building Code.This permit may be
re ed at any time for d
�z Z 7 / � �
Ap 'can ermitee Signature Date Issued By gnature Date
, FOR C3TY USE ONLY
�O�O City of Orono
� P.O.Box 66 Datc Received: Peffiit#
2750 Kelley Pazkway
Crystal Bay,MN 55323 A�rmed By: Amount$:
Phone(952)249-4600 Fax(952)249-4616
s �
� �
t�kESH04�G CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pertni[s mus[be approved by the Building Official or Inspector and%or Fire:1-farshall)
GENERAL INFORMATION
i. You may apply for inechanical pernuts by mail or in person at the City offices. Applications will
be reviewed and a permit wiil be issued within two working days.
2. Permit cards will be sent by retum mail after a review is completed. PERNIITS ARE NOT
VALID UNTIL YOU RECEIVE A PERNIIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each
heating,ventilation,humidification dehumidification,and air conditioning installation including
heat lossJheat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work tuust be inspected(rough-ui and tuial). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That A 1 }
[�Residentiai ❑Conunercial(Approval Required)
❑New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: O � S��� '*"�V-�c�
Owner: ►0►X�c�e�1�S 1,'�-��„� Mailing Address: � S m'�^ �
c���: far-vrn�o z�p: SS39 t
Home Phone: �¢�' /�O�' �31""I Alternate Phone: �.a0� — �o�Z� ��" �y91
Contractor Information:
Contractor: �S�wrJ�., (r� Contact Person: ���
Address: ��o�L Z�7.Sl� State Bond#: ��7�
Ciiy: �c�o�+��a.v� Zip:$��ZZ Expiration Date: � �.�
Phone: 76.3'S�'f��� Alternate Phone:
[✓r Insurance—Current:
1
- ,a:
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS TAIS GEOTAERMAL? ❑Yes dNo
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity_
Make:
Modei:
"Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with F1ue l Masonry
VENTILATION
❑ No. Kitchen Eaihaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
F'[TEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation [� Removal
Fuel Oil: �� gallons �Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Urill ❑ Other/List What&Where:
2
s
❑ Yes,this section applies
1'he replacement of a Residential fixture or appliance that meets all tl�ree of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;exciudins the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Pertuit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
If above does not apply;follow guidelines below:
1. CONTRACT PRICE "is 1.25%of contract price with a{Minimum Fee of 550.(10)
�2 O G.S�� X.�125$
(contractprice) (minimum$SO.i)0)
2. STAT'E SURCHARGE ��ZS p�
x.0005 $
(contract price)
3. PUSTAGE&HANDLING{Only on Mail-In Applications) $ 2.00
4. TOTAL PERMTT FEE(Add Lines 1-3 Above) $
■ '` CON"TRACT PI2ICE or JOB C05T means the actual or estunated dollar amount charged for the
peimitted work including materials,labor,pro�t,and other fixed eosts. It is the amount to be charged
to the customer for the work done. If any material,equipment,labor or installations are futnished 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 petmit 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 undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do ail
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signa e: Date: 1 z /9 �3
3
�, ✓
DATE �G TIME
CITY OF ORONO CALLED IN
INSPECTION E SCHEDULED
PERMIT NO. � � D�3i b COMPLETED c �.=3�`-1 j '�
ADDRESS b Siti� ��
OWNER TELlE�PHONE NO.
CONTRACTOR ��_���i"
� DESCRIPTION �.iTP� V-��� �✓�"`i ```''��
� ❑ FOOTING O PLUMBING FINAL p EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
ZO INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v O PLUMBING RI , ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
ac
W
C
�
J
�O
�
O
W
�
Q
�
�
W
�
�
J
d
W� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK�LL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 2a hours in advance. (952) 249-4600
OwnerlContractor �./
Inspe�tor: -,-,� �i, '",."._
White Copyflnspector's File Canary CopylSite Notiee