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HomeMy WebLinkAbout2007-P10838 - remove oil/fuel tank PERMIT CIT.Y OF ORONO �2750 Kelley Parkway- PO Box 66 Permit Number: p10838 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pemuts (952) 249-4600 Date Issued: 3/21/2007 SITE ADDRESS: 765 Spring Hill Rd Unit# Wayzata,MN 55391 PID: 36-118-23-22-0002 DESCRIPTION: Proposed Use: Residenrial Permit Class: General Permit Type: Mechanical Permits Pernut Sub-type(s): Remove OiUFuel Tank DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 1,350.00 State Surcharge Fee: $ 0.68 TOTAL FEE: $ 35.68 APPLICANT: Mayer Dist OWNER: Frederick Winston P.O.Box 358 765 Spring Hill Rd Long Lake,MN 55356 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � �• �n� ��.�/ APPLIC ERMITEE SIGNATURE ISSUED BYrSIGNATURE � Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 I � � ; C'OR CITY USC ONLY � �� � City of Orono ' >" '� P.O.Box 66 Date Received: Pennit# �" �` 2750 Kelley Parkway �a�t���:,� � ��j�'?Rr'� � Crystal[iay,MN 55323 Approved By: Amount$; �?t����h'y�.$o (952)249-4600 �'Ai^eso� CITY OF ORONO-MECHANICAL PERMIT (All Commercial pern�its must be approved by the Building Official or Inspector and/or Fire Marshall) 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 two working days. 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PGRMIT 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 loss/heat 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 must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Clleck All That Ap ly) (�Residential ❑Commercial(Approval Required) ❑ New ❑ Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: ���� V1I� N S��G t�/ � S C'i�`'C`' �� �I �� �'�-1 . Owner: �--c� W i �S�� Mailing Address: 7�� S �'�' ��� I �� City: d rU t�� /\fR: �� Zip: J-��f � �--!3� Home Phone: �S� �� � 3- 7 Z.1 � Alternate Phone: Contractor Information: Contractor: �� C-F' Ui��9v Contact Person: ��r' �''�'`�� Address: 21� �J�+"'��� S�• State Bond#: City: �-. ��'g�c Zip:S�S'�35��oExpiration Date: Phone: ��Z `�� 13 ��f�� Alternate Phone: C�/Z-��� ���'� ❑ Insurance-Current: 1 � � � � , ,� MECHANICAL SYSTEMS BEING INSTALLED ` �• HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace . ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation [� Removal Fuel Oil: gallons [�Underground ❑ Inside ❑Outside LP Gas: gallons _,�1 Other: (��C��C�� �Ofl �Yl ��tt d G� GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 / � � . I PERMIT FEE CALCULATION(S) ` BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: l. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,ifthis applies; Cost of Pennit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ PERMIT FEE CALCULATION(S)-JOBS OVER$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) f�� f x.0125$ (conh�act price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) x .0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(On1.y o:� Mail-I�l Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PR10E or JOB COST means the actual or estimated dollar amount charged for the pennitted 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 installations are furnished by the owner, tenant or any other party, the reasonable market value of such items must be added to the esti�nated cost or contract price for permit fee purposes. In tlie 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 ofthe Building Department at(952)249-4600 for the price. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in stri�t accordance with the ord;nances af the City ar�d the regulations cf the State cf Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signahire: m�/ �"-Z� Date: '3 �'"Z� U 3 _ r�,.,,�_ � � . �, _� � ,�e. _� -,� �='� � ,�.� � <�_ � �.;; - _ _ � x_ - s „ ; � _,,; _ 4 - � _ �,� � ,.— = -, : — ' - �.' � _ :, �~_ � � � � � � � � �� � ��t� , � � , _ � • ' Crv;"�. . a . ;. . . r.. ,�, . < _ . � .�a.. y�..�; . �� k r'ea <,�-.»e�'. . ' ..,, 0'1�# '� � d d ' q� p � �- � ����j� �� g � � ����_� ���� ,, pPFa,�1tV d' y�{n T�. t,��� _ . 'Pi �' . � . �J' �i # �' '� . . � j ; ��•� ��'�`� . `j 4 � ^ �' ��� � 5�,�,��.�`. . �S i �K' ,'yy e ". ',�'et. 'ce� � .5`�.' 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'` � }"�+ � '�+ ��,�f � ;i,; #' x�'�. a - -•—.-.� ����'�`a�«�-�•�.-r:e�'�;►"��!'+s�" �. : ,.. +��, � � .�,�����q . d���'' ���A � � w�icn �v�� i c ri ��� DISTRIBUTING ����� MA h? ` � � i �. PO BOX 358 �IT 3 ?_OO�ATE: � , � � �� � LONG LAKE, MN 55356 1'p� p���� ! 952-473-5488 800-622-7807 E�IERGENCY RESPONSE # EPA # MN 0000569095 l-888-923-2778 GENERATOR NAME: %��I�.�- ��IIV���I� .-. , ADDRESS: - f', +} f����� !'�I.L �..�� I , f -t,-,�_;�(; CITY/STATE/ZIP: � :�t�,,''y �,� ��� � � �,� � ,� �f )� i CONTACT: PHONE(S): �� ;'�.., ' ', ;`_;� . � 1,, � c�� �� *Filters must be drained for at least 24 hours and or crushed. SHIPPING DESCRIPTION/S CONTAINER BULK # OF QUANTITY/SIZE GALLONS �1.����OIL� LUBRICATING OIL �-:: � ' r. Y. 1 ` �t',. .� �1, �.��� ;_....� ,� USED OIL FILTERS AUTOMOTIVE (CRUSHED) AUTOMOTIVE (UNCRUSHED) Contained free flow or trash/water/parts, etc. Biil customer. Unable to pick up contaminated product. • Generator Certification: This is to certify that the above nained materials are properly classified, described, packaged, marked and labeled, and are in pr�per condition for transportation according to the applicable regulations of the Department of Transportation. Name (PRINT): i ' ,--� Signature: Date: � { � � j Trans orter"Driver"Name PRINT : � ��' ' � ' ;%� ��� i�-�u��f� P ( ) � v. ✓` ** Mayer Distributing certifies that all oil filters will be recycled. ✓ D� Z�TE � TIME CITY OF ORONO CALLED IN � � INSPECTION NOTICE SCHEDULED 3- Z/ PERMIT NO.�I D 8 3 � COMPLETED « ADDRESS 7�� .����t, �*� /� OWNER GU�G��"� CONTR.��� TELEPHONE NO�-�'��3� S��S � DESCRIPTION ��� � 01 FOOTING ME 18 EXCAV/GRADING/FILLING ,Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � � � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W ❑CORRECT WORK 8�PROCEED 6�ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContra or on 'te: Inspector. �• � White Copyllnspector's File Canary CopylSite Notice