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HomeMy WebLinkAbout1996-008196 - tank removals 1" PERMIT E CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 1.►pC:HgE I C:AL Crystal Bay, Minnesota 55323 Permit Number: lCy,� (612)473-7357 Date Issued: 07/24/96 SITE ADDRESS: 645 TONKAWA RD CIS P. I . N . . 05-117-23-33-0019 DESCRIPTION: TANK REMOVALS REMOVE OIL TANK REMARKS: i FEE SUMMARY: VALUATION $1 , 000 Ease Fee $35.00 MAIL IN Surcharge ----------I-5Q Total Fee $37.00 Subtotal $3S .50 i CONTRACTOR: - Applicant — OWNER: GRIFFIN SVC: STA EQUIP :37806:3:32 CAMP SYNAGOGUE 883-4 XYL I TE ST NE E-45 TONKAWA RD BLAINE MN 55445 ORONO MN 55:355 (612:9 780-6332 a t THE UNDERSIGNED- HEREBY' , REQUESTS ESTS KI MIS ON TO, AI E3 "SNE R ,. � � S I~ IRFIE© Aim FREES TLS" £? l ALL. WOO ; C e CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT 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 permit 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: CAMP �n�NPt SOL?UE Zip: Owner's Name: Telephone Number: Mailing Address: TO ALhWA FT. _ City:wAb LAKE 'Lip: 553r7(o Contractor'sName: &r -J T-lrA 1 v\X. STA' (0&eQU1f 1 elephoneNumber: (612) I50-6332 Mailing Address: 1&t3l4 ,0(UTt 5T. I`ll City: �L�)h1� Zip: 551-+9 SYSTEM DESCRIPTION CHEATING SYSTEMS rudl Make: Model• Fuel: Flue Size: _ Input BTUs: _ Output BTUs: CFM: COOLING SYSTEMS v A 0mutity: Make: Model: - Tons: H. Power `'--- N Ori 5° Zvi Rtn��nt> L *core: = bA LIP-560 A5,W, WOOD BURNING EQUIPMENT hA Wood stove with flue combination or add-on Factory fire 'th flue Factory Fireplace (s) standing Masonry Wood Stove O Franklin,-ether Brand Name Model No. Mfgr's Min., Clearances, side rear min. flue dia. VENTILATION N A Nb----____KitchenExhaust ducted recirculating cfm No. Batha ducted outside) cfm No. OtherFans: Locations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation X Removal Fuel oil: 2-151,0 gallons underground inside X outside LP Gas: gallons Other Gas opening PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) 1, r/00 x .0125 $ 3 Cj —T(contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each per mit. 1, 06O x .0005 $ ' 50� or $.50, whichever is greater (contract price) 3. Postage and Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 37,00 * 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 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. ** 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 Signature: \llp Mod-Ii CJS Date: 7 ZZ19& lq�Approved By: Date: �L j TANK REMOVAL INFORMATION NAME: synagogue Camp ADDRESS: 645 Tonkewa Road CITY : Long Lake , Mn. ZIP CODE: PHONE: JURISDICTION CITY: Orono , Mn . Lyle Ohman , phone -473-7357 PERMIT REQUIRED: Yes � PERMIT FEE: INSPECTION DURING REMOVAL: Yes (See permit application) Soil TEST REQUIRED: If contaminated soil is found CERTIFIED ENGINEERING NEEDED: yes ' if contaminated No PRODUCT STORED IN TANK: SIZE OF TANK: AMOUNT OF PRODUCT IN TANK: 265 265 LENGTH ON FILL ABOVE GRADE: 3" 30" DEPTH OF BURY: 24" 24" REMOTE FILL: 30" 30" TYPE OF OVERBURDEN: No No Weeds Weeds OVER HEAD POWER LINES: OVER HEAD PHONE LINES: None None OVER HEAD CABLE LINES: None None OVER HEAD TREES: None None Tree branches off to side Same OTHER OVERHEAD OBSTRUCTIONS: None None TYPE OF EXCAVATING EQUIPMENT.: Either Either ROOM FOR EXCAVATED MATERIALS: Yes Yes FULL BASEMENT N/A N/A DIRECTIONS: Take Highway #12 West thru Long Lake and thru Orono for approx . 1mile and turn Left (South) on Stubbs Bay Road for 2-3 a lake and stop sign. Turn right and Follow roadm orsauntil you hit to Tonkawa Road, turn left and follow for 1 mile to 645pprox TonkawamRoad. NOTES: