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HomeMy WebLinkAbout2015-00311 - fuel storage tank ,� CITY OF ORONO * 2 0 1 5 - 0 0 3 1 1 * 2750 KELLEY PARKWAY DATE ISSUED: 03/17/2015 ORONO, MN 55356- (952) 249-4600 FAX: 952 249-4616 ADDRESS : 480 STUBBS BAY RD N PIN : 32-118-23-13-0003 LEGAL DESC : LTNPLATTED 32 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FUEL STORAGE TANK VALUATION : $ 1,600.00 NOTE: REMOVE UNDERGROUND FUEL OIL STORAGE TANK -300 GALLON APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.80 CDR EXCAVATING INC. TOTAL 50.80 10559 CO. RD 16 Payment(s) DELANO,MN 55328- CHECK 7206 50.80 (952)955-3673 OWNER GAUSE, TODD& DONNA 480 STUBBS BAY RD N LONG LAKE, MN 55356- 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 separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is no[ 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 inspec[ions are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ���G�.� l LC J7 � /� �/.S Applicant Permitee Signature Date Issue y Signature Date fi FO C USE ONLY �' City of Orono '7� �-O�O P.O.Box 66 Date Receive�� Permit# , I 5" �//� 2750 Kelley Pazkway � Crystal Bay,MN 55323 Approved By: Amount$: � Phone(952)249-4600 Fax(952)249-4616 � 2 �`�j.�,�E a���'� CITY OF ORONO—MECHANICAL PERMIT C� S H (All Commerc�a]permits must be approved by the Building Offic�al or Inspector and/or Fue Mazshall) GENER.AL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two 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 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 fmal). 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 t�Residential ❑ Commercial (Approval Required) ❑ New ❑Additional �Repairs ❑ Replace Job Site/ Owner Information: Site Address: �"� � �� ��1�L��l_,h; ��,�. �C/� Owner:1(,��G�� ,���� �„�,�,��_ Mailing Address: City: � � �>�'�v Zip: Home Phone: �.�l Z -��S -�� � 1 Alternate Phone: Contractor Information: 1, Contractor: ��� ��'�`�✓�'�Y--v Contact Person: (,�� � Address: �L'�5"( Cu� ����� State Bond#: �ZC, �l�I (c��� City: �L�c-r��, Zip: YY�v� Expiration Date: Phone: ��� -`�)�-3�%�1� Alternate Phone: ❑ Insurance— Current: CP � z� -�i 1 � - l�-�o� MECHANICAL SYSTEMS BEING INSTALLED �' ' � Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑ No 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 Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recuculating cfrn ❑ No. Bath Exhaust(must have duct outside) �� ❑ No. Other Fans: Locations �� FUEL STORAGE (Must be approved by Fire Marshal!if proposing to abandon tank in place.) ❑ Installation �� Removal Fuel Oil: C'�� gallons ��. Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 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: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludinQ 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 Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 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$50.00) � lc'�'�> x .0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ v_ � � ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted wark 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 rnust be added to the estimated cost ar contract price for permit 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. MECHANICAL PERMIT APPLICATION AGREEMENT 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 State of Minnesota, and certifies that all statements made on this application are complete, true and correct. , � � � - �� Applicant s Signature: L Date: � 3 div: : � ".?ly' - ^"' ' ,tr�iir aY+w�'�� ��°`'",. �,'+�C�, -�t� a .�,�. +:�,x a'. ' � � �� 'i �6.4 ,�•.�4�i #' �+v�9.�6 �'�� '',� �� �„�.�' ., "a,,t �w r "`�r • ��h �*''*�A'`�.`+c�., . 7 4��.,- ".a �° JF '4.'r x �ya.'�b�".'�'':. �. � r. � . a, t• y. �r, P _a �� �,�,T ��. .� �,;� y^�+ ,�� �t„ . � `�, �" �+�_sgz�,;iV�a�`�� " � i�„g "�,`� a` � �p ?y� �,� � .. �' ..� � �"'�4 ,e�-rs�� �'�..4#�h,,r��a���I�4 4 `R�"h''�?- "� r. 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GI�F—� �� DATE TIM� t7�VRONO CALLEDIN ^�_ �� I,F��/''ECTION OTICE SCHEDULED � /�J -/S /d.' d PERMIT N S � � COMPLETED ADDRESS TUU �-�/� /�-� OWNER TE PHONE N � � y CONTRACTOR(---� L'�l-l/�� �; DESCRIPTION ��` /l / ����� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS:� '� .Se r � �r� ��� d � U�l c��v �ai �: a I S S'�_�(J d� �'/�'��'7 . /11U �2-P/ S.��J � o � �"��� A���r� � ���' �.-�d ti'� ���,� S�- � � 0 � W � Q � 2 W � W � j W WORKSATISFACTORY:PROCEED - ROJECT COMPLEfE � �CORRECT WORK&PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. 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