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HomeMy WebLinkAbout1999- 011388 - tank removal/install PERMIT CITY OF ORONO PERMIT TYPE: 276o Kelley Parkway- P.O. Box 66 MECHANICAL Permit Number: Crystal Bay, Minnesota 55323 011388 Date Issued: (612) 473-7357 07/ 9 SITE ADDRESS: 2160 WAYZATA MJ 34-118-2S-21-0002 DESCRIPTION: T REMOVA/ N.STALL 3 REMOVE Oii TANK 3 FUEL !STORr:1GE REMARKS: FEE SUMMARY: VALUATION $190, 033 Base Fee $2, 375 . 67 Surcharqe sclf; Total Fee $2, 470 . 70 CONTRACTOR: - Applicant - OWNER: GRIFFIN SVC STA EQUIP 37806332 wEAR WILLIAm 8834 XYLITE ST NE . WAY7AA BLVD kLAINE MN SS449 ORONO MN SS3S6 (612) 780-6332 • THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE F:EL IMPROVEMENTS SPECIFIED AND AGREFS 10 DO ALL WORK IN SfRICT COMPLIANCE wIrH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING (:A-fDE REQUIREMENTii S . -•••• • -LICANT RMITEE SIGNATURE ISSUED BY:SIGNATURE PSc 41o. 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 249-4600. 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 249-4600. Please check one: New Addition Repair ! i Replace Residential Commercial JOB SITE: v2(3r O S \ s ;✓Ae v . Zip: 5 5 Owner's Name:\ s ova W Q c - Telephone Number: U\ _ `\1 , ._ 1 a y 1 Mailing Address: -hili W c.,- Z,&A ,1\o City:I_c Vekkz Zip: 6 5 CQ Contractor's Name:z' © ?t.ca\g\w: Svc Telephone Number:L. ? _ VS - 6.3 3 Mailing Address: >y \ Ice 5T,'NC City: 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 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 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)J'r4 t I / - g o+-) o `� Installation / Removal �- �, 1( Fuel oil: ' 4. gallons underground inside outside— LP Gas: gallons Other ���.,,.,.3 ii C 2, t C•1 d ov C'')- la., d 6 Gas opening PERMIT FEE CALCULATION 10)033'77 1. 1.25% of Contract Price*,9r Minimum Fee ($35.00) b 1g6l,37c .0125 $ (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ 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) $ * 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: © _ Date: ,. Approved By: - �--- Date: -u --c,9 Pct.,. e.r• 'bc- < y 0 -- 5 3 / )— RIFFIN SERVICE STATION EQUIPMENT, INC . . Date Number of Pages wlcov To , From: r` / ick d lv c Y\ JOHN S. ZADURSKI Company Griffin Service Station Equipment, Inc. 8834 Xylite St NE Blaine MN 55449 . Pnone Number. Phone Number (612) 760-6332 Fax NvmGer Fax Number (612) 780-5927 2111 — 4/ 6. 14.. ! REGARDING: 1 c. c' \1 a \(N \ «vim c rv.,, v �. \ U v.S. ,� -\,c),_ _ �� ,,,-,, -"--\' S \„ \ YN S - 0v ��.l .v. 1.� ate- ,- 20.-L'I II - II TO ' d LZ69-08L-ZT9 a73!- A-AeS Ull I °.an.ad ULJ.JL,.AJ dSO = ZO 66-LZ--AaV