HomeMy WebLinkAbout1999-011359 (mech) PERMIT
, C;TY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 - ::-:��;,; -��_
Crystal Bay, Minnesota 55323 Permit Number: �-���V�-E��t.�:!_.
Date Issued: '�� �; -`''���
(612) 473-7357 ;,;�;�-::-; -
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT PE tTEE SIGNATURE ISSUED BY:SIGNATURE '
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CTTY 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 DesiQns - 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 pernut 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 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 pemut 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 Replace
Residential Commercial
JOB SITE• � :.�� IZD . 6�� • ,-, Zip: ..S.S��
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Owner's Name• �E� P Telephone Number:
Mailing Address• 3S� 8 �c �� . City: p�^p���. '�'`�Zip: SS3..�
Contractor's Name: �ah' T��,C CD• Telephone Number:Gi Z - 53s--a igy
Mailing Address: P-o, R�X 22515 City: �oBB��sf�'/(�,Zip:�s'� Z �
/'h�1.
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel: f
Flue Size: ;
Input BTUs:
Output BTUs:
CFM: ;
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
.
WOOD BURNING EOUIPMENT
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 , reaz , min. flue dia. �
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
F'LTEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation � Removal
Fuel oil: gallons � underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee 35.00 �
� l SU � �%'� x .0125 $
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
or $.50, whichever is greater (contract price) �
3. Posta�e and Handling (Only mail-in applicafions) $ 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 conect.
Applicant's Signature: �'��2 �/`� ��--- Date: �" '� � 7 ' �j
Approved By: Date: � -Z�? - S
Minnesota Pollution Control Agency
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December 23, 1998 - � �7 °"-
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Mr. Jeff Bartlett (�Uv� o,,,� ?
3568 Bayside Road o` ��� �`��•
Orono, Minnesota 55356
RE: Petroleum Starage Tank Release Investigation and Corrective Action
Site: Bartlett Residence, 3568 Bayside Road,Orono
Site ID#: LEAK00012132
Dear Mr. Bartlett:
Notice of Release
The Minnesota Pollution Control Agency(MPCA)has been informed that a release of petroleum has occurred from
storage tank facilities which you own and/or operate. We appreciate your timely notification so this site can be handled
in an efficient manner.
Legal Obligations
Federal and state laws require that persons legally responsible for storage tank releases notify the MPCA of the release,
investigate the release and, if necessary, clean up the release. A person is considered legally responsible for a tank
release if the person owned or operated the tank either during or after the release, unless specifically exempted under the
law. If you believe that you are not legally responsible for this storage tank release, please contact the project manager
listed below.
If you are not legally responsible for the release, but hold legal or equitable title to the property where the release
occurred,you may volunteer to take corrective action. Responsible persons and volunteers who take corrective action
may be eligible for reimbursement for a major portion of the costs of corrective action. The legislature has established
the Petroleum Tank Release Cleanup Account to reimburse responsible persons and volunteers. The account is
administered by the Petro Board which is part of the Minnesota Department of Commerce. Final decisions regarding the
amount of reimbursement are made by the Petro Board. All questions about eligibility and reimbursement should be
directed to the Petrofund staff at(651)297-] 119 or(651)297-4203.
Request to Take Corrective Action
The MPCA staff requests that you take steps to investigate and, if necessary, clean up the release in accordance with the
enclosed MPCA fact sheets. The site investigation must fully define the extent and magnitude of the soil and/or ground
water contamination caused by the release. A report(excavation report and/or remedial investigation/corrective action
design (RI/CAD))which details the results of the investigation or concludes that excavation was sufficient to clean up the
release must be submitted to this office within 10 months of the date of this letter. Please refer to MPCA fact sheets for
information pertaining to the amount of work needed at the petroleum release site(s).
Mr. Jeff Bartlett
520 Lafayette Rd. N.; St. Paul, MN 55155-4194; (612)296-6300(Voice); (612)282-5332(TTY)
Regional Offices: Duluth•Brainerd•Detroit Lakes•Marshall•Rochester
Equal Opportunity Employer•Printed on recycled paper containing at least 20%fibers from paper recycled by consumers.
Page Two
Sites with free product(free-floating petroleum), drinking water supply impacts, surface water impacts, indoor vapor
impacts, fire or explosion hazards, or ground water impacts which pose a significant threat to public health or the
environment, are considered high priority for staff review. If one or more of these situations apply to your site, an
RI/CAD report must be submitted within 90 days. In addition, if you know or discover that there is free-product from a
well, excavation, or borehole, you must notify the MPCA within 24 hours and IMMEDIATELY begin interim free
product recovery.
If you have not already done so,the MPCA recommends that you hire a qualified consulting firm registered with the
Petrofund staff that has experience in conducting petroleum release site investigations and in proposing and
implementing appropriate corrective actions. A list of registered contractors and consultants is available from the
Petrofund staf£ The MPCA reserves the right to reject proposed corrective actions if the requirements of the site
investigation have not been fulfilled. Please note that, under Minn. R. 2890 (Supp. 1997), you must solicit a minimum of
two competitive proposals on a form prescribed by the Petro Board to ensure that the consulting costs are reasonable.
Questions about bidding requirements should be directed to Petrofund staff.
Required Response
MPCA staff requests a response to this letter within 30 days. Please tell us whether you intend to proceed with the requested
work. If you do not respond within this time frame,the MPCA staff will assume that you do not intend to comply, in which
case the MPCA Commissioner may order you to take corrective action. Failure to cooperate with the MPCA in a timely
manner may result in reduced reimbursement from the Petro Board. See Minn. R. 2890(Supp. 1997). The enclosed fact
sheets will provide you with the information necessary to complete a successful investigation and cleanup. If you have any
questions concerning this letter or need additional information, please contact me at(651)297-8318. Please reference the
above LEAK# in all correspondence. If you are calling long distance, you may reach the MPCA St. Paul office by calling
(1-800)657-3864.
Sincerely,
�
Jim McCann
�-�( Project Manager
� Metro Site Remediation Section
JM:lek
Enclosures
cc: Dorothy Hallin, City Clerk, Orono
Greg Lie, Hennepin County Solid Waste Officer
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 4 0�-7 �
PERMIT NO. ��3S� COMP ETED
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ADDRESS .-
OWNER CONTR. �E'�y'�'� It�'�'�
TELEPHONE N0.
� DESCRIPTION
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
O 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 O6 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 REMOVA�
J 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� WORKSATISFACTORY:PROCEED fJ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED l-! ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR r' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance.473-7357
OwnedContraftqr o site:
Inspector. � � �
White Copyllnspector s File Canary CopylSite Notice