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HomeMy WebLinkAbout2010 - 00324 - fuel storage CITY OF ORONO PERMIT NO.: 2010-00324 f 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 05/11/2010 (952) 249-4600 FAX: (952)249-4616 ADDRESS : 1801 WEST FARM RD PIN : 27-118-23-44-0019 LEGAL DESC : N/A : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FUEL STORAGE VALUATION : $ 2,150.00 NOTE: ABANDON UNDERGROUND 1,000 GALLON FUEL STORAGE TANK APPLICANT MECHANICAL 50.00 DEAN'S TANK INC. STATE SURCHARGE MECH(VALUATION) 1.08 P.O.BOX 22515 ROBBINSDALE,MN 55422 MAIL-IN FEE 2.00 (763)535-0194 MISC FEE 0.00 Minnesota State License#: 475 TOTAL 53.08 PAID WITH CC# 8858 OWNER PIERPONT,JAMES&JUDITH 1801 WEST FARM RD 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 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �o o t,,e Applicant Permitee Signature Date Issued By Ognature L i ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . 05/07/2010 09:58 7635311801 DEANS TANK INC PAGE 02 , May-05-2010 12:52pm From-CITY OF ORONO 48622484816 T-233 P.001/003 F-022 .. YOU 7,..ONLY . City of Orono Aare Reaeivmd 4/ /� ' Permit p �/D'� �•? i�� O P.O,BOX 66 I/ ti.' ) 2750 Kelley Pnrin553 Approveb[iy:( k,1 AFnrnmt$: J n 3 , � Cyystal Bay,MN 55329Q "r Phone(952)249-4600 Fax(952)2494616 CITY OF ORONO–MECHANICAL PERMIT (Alt Commercial pennim mast be approved by the Elul/31'1g Official or Inspector and/or Fire Manhole • GENERAL INFORMATION 1. You may apply for mechanical permits by mai or in person at the City offices, Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORN MUST NOT BEGIN UNTIL TILE rELMESAMIS.MIrlapThiaiLsigjilin, 3. Mechantal L)esiens—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dchumidif.cation,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and idrntifcation as to type,mamifacturer and model. Data shall be 1 resented on form provided, 4. When any new construction or remodeling is iavolved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical.Code/Stale Building Code requirements. G. All work must be inspected(rough-in and fine l). Call(952)249-4600. (24-45 hour notice required) 7. House Seating Test Record must be sobmittecl before final, TYPE OF PERMIT' . (Check AU That Apply) ' Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs El Replace Job Site/OwT, Owner EnFortnation: ,� n Site Address: © I IAv L-et- 0 ,.e:,,-P1 Owner: P:s24-4P-tneti— :viailiug Address; City: ,Zip: 5 5 3 SC Home Phone: 7$a.3 3 c- 3°3 S Alternate Phone: Contractor Information: Contractor: (1) E 4,,./ r5 N X.-1-',C Contact Person: OR 9 4 I , /U F 77 i 4 G Address: 67015e1 2.2-SI S State Bond#; _,_, 4/7J City: eo 4 Zip: Expiration Date: Y2-5"/a o / I Phone: X2:.S 3-'- 0 1 Alternate Phone: '2 . 3 - 5.3S-0 /9'c Ar Insurance–Current: - i 65/07/2610 09: 58 7635311801 DEANS TANK INC PAGE 03 May-06-2014 12:52pm Fram-CITY OF ORONO +9522494610 T-233 P.002/003 F-022 „ I �i���l��r •I,y�, ,N.„u,gi I ••4�:Jllllt'�P` 1'+,•�,�viwi• „�I,';l. tsl11l1� �t I�1IIINW�lldltlLll�l! �yCi?t'(L;;�1���'y5P,'f'''�''IIII�'yI1' ill�li'YI'1ll��I�f Nfrinh��i�la�(;,�,�U.JEF ;��L;I' '`i��: l�2 (I�;�..f, .�1.dofo_lid,,.!0.�E.,�11�-:,�Ji�..J..�',ti� I 10'0 'I 11 r�,'145�1:7i1��1�iIIW�jI I I;`tlhV�lL"I�:I1.�I��IJi�.,...c. �5�J�. 1L� I,.��L.��Lww� Note:All Geothermal Systems will now rcquire a a,it 11ag&Review by our Building Of cial. IS THOS GEOTHERMAL': [I Yes ❑No BEA,TTNG SYSTEMS Quantity: Make: - Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model; Tons: It Power ) 2,EPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace 3 Wood Stove Model No.: Wood Stove With Flue VENUL T1ON ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Mast be approved by Fire Marshall if propoxing so abandon rank in place.) ❑ Installation 0 RemovalX .�� Fuel Oil: I D 0 o gallons Underground ❑Inside Outside LP Gas: gallons Other: GAS LIFE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 1. • 05/07/2010 09:58 7635311801 DEANS TANK INC PAGE 04 May-06-201'D 12:52pm From-CITY OF ORONO +0622404816 T-233 P.003/003 F-022 i � 1 q 1N I, ' Ihigri;90� � I i.,I ,1 1 '` I 1 II I ,u.I 1 1.7i1'l:IJ�i i'11 �14' I ;U La ,tl1y1 i` I IL 1 'N.,91 1111.11 li I 1 i,1 I1 i I , a 11' ( I I ll.11ll'1;Iiill'IlliI III p, I'I' 'Y�� Pk II iI`✓I .:,I u �u;I�l :r{�IP Jr,.G. �h ,�n,.. !„llfl !��I�l.� u,�11�, � , .GI�:�:,u111,,61, �?J.�17 rl J,4 I.I ..,..1.1wal li,;°,,.�.:k�.,... /...Lo..,�IW,...,gr r. ...u�a..' (] Yes,this section applies . The replacement of a$eBiriOntiall fixture or appliance that meets all three of the following requirements: 1. goes not require modification to electrical or gas service. 2. Inas a total cast of 5500.00 or less;exaltgtlpg the cost of the fixture or appliance;and 3. Is improved,installed or replaced by the ttlnaoeowner or licensed contractr,r. Sidp next section,if this applies; Gist of Permit S 15_00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.Q4 Total Permit Fee S `pp` 1p,11 a... I, � ijMwr S. �la�. .�f.. :�.:I",I ..r,,...,..,.r F'Wl1tl(T � I Ipl 7.r '. II ` '41 11'• I.r➢IIIT1 p I r �I I• II -,.../0..,..1...'` I�I 1 ''''7, F (.�;i Irl 1'! I 1 10:I,': 1 1' G F� I 1 .. r,►s l Iw I� I it JI I�'f J I"II L'` I jl l I. N ,u . K ' ., 'i Rht,..iLL1,.6,lb. .1 : I1at , IJIYMiUYIIJMIlI1�+I�Ii�I”1..,:',1,:i..61:.:1:,IL�.. ';,,:r;.‘•:... rLL•I.r.r.,�JWII�MrM��Y 1 If above does not apply;follow guidelines below: • 1, VOOO4NTRACT PRICE, *is 1.25%of contract price with a(Minimum Fee of$50.00) ',.2I-SO. (7----t x.0125$_ (comvct pncc) I minimum$50.00) 2. STATE SURCIfA$GR "'Add the State Bldg Code Div.Surcharge(Minimum Fee of 5.50) x.0005 $ (con'raet price) 'minimum S .50) 3. POSTAGE&HANDLING(Only on Mail-Liu Applications) $_. 2,00 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 installations 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 contact 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 ■ r' The STATE SURCHARGE is.0005 of the Building Department at(952)249.4600 for the price_ y rr 'I .N ^` 'Vlu I� 1. 1 ...u�y M •�r 'T 4r1 II °}�.�'j 1 i I' J'I 1 I. r G..uu�ry..r�t 1 f IIIIj i' I d�1 ' I "Irfl,:i ll .Iirtil 111 l ] �l if;-!ii �I:11111' IM I I �,a ✓ IM I�r uI 1 _ '' •' .,,4,.o.J_m ..�:'.I�A I r. L d�,J.6�Y,�., .rrdfC:du,u..ral;.;vl,.il:r�l.Ir,�, .t. ,fr'r r;(Lsr�r�..aIUi11.�L,io..l.1,...�,r.r.,. �J1,.IM�.��.ill��?f�� r''�` 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: _ /e/ _ Date: /71,-,-t, G :3