HomeMy WebLinkAbout2007-P11139 - remove oil/fuel tank PERMIT
CITY t�F ORONO
2750'Kelley Parkway- PO Box 66 Permit Number: p11139
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued:
6/19/2007
SITE ADDRESS: 350 Brown Rd S Unit#
Long Lake,MN 55356
PID: 03-117-23-13-0001
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Pernuts Permit Sub-type(s): Remove Oil/Fuel Tank
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Call Fire Marshall Bill Meyer for Final Inspection 612-490-2307
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,850.00
State Surcharge Fee: $ 0.93
TOTAL FEE: $ 35.93
APPLICANT: Dean's Tank Inc. OWNER: Richard Chalfen
P.O.Box 22515 350 Brown Rd S
Robbinsdale,MN 55422 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
APPLICANT PERMITEE SIGNATURE IS UED BY SIGNATURE
Copies: 1-File(Signatures Required), I-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CITY'USE ONLY
� City of Orono q
04��0 P.O.Box 66 Date Received: � 9 ��'ermit# A�� �`3 1
�,,�;.,r, 2750 Kelley Parkway
a '��j`��;:. � Crystal Bay,MN�5323 Approved C3y: Amo�mt$:
�a�l�c,.�''�,�.o` (95�)249-4600
��Ko$�'
CITY OF ORONO - MECHANICAL PERMIT
(All Commercial perniits must be approved by dte Building Ofticial or[nspector andlor Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical pennits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Pernut 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 5ITE.
3. Mechanical Desi�ns—Coinplete calculations, details and specifications are required for each
heating,vei7tilation,humidification-dehunudification, and air conditioning installation including
heat loss/heat gain calculation, design temperattires, equipment ratings and identification as to
type,manufachu-er and model. Data shali be presented on form provided.
4. When any new consh-uction or reinodelin�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(952) 249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be subnutted before final.
TYPE OF PERMIT
(Check All That Apply) �
�Residential ❑ Commercial(Approval Requited)
❑ New ❑ Additional ❑ Repairs ❑ Reptace
Job Site/ Owner Information:
Site Address: 3 J � �7 � � �'U �'V �0 �� �° `� T�
Owner: � �t��/�R(� ��'�A 1- �E �l/� Mailing Address: s���tV
� ..,- ,-
City: � �� 'ti`'�7 Zip: � -� ��' �
Home Phone: C/> z � 4�G -o r 6 q Alternate Phone:
Contractor Information:
Contractor: Q�� �'�'S �rf.✓/i ��Y G Contact Person: �� A� �� %��%��
Address: P� �a'� a���j State Bond #:
City: ��� ��%✓S�G�A�� Zip��`��� Erpiration Date:
Phone: ��� �'-� �� -"a � �l� Alternate Phone:
❑ Insurance- Current:
1
MECHANICAL SYSTEMS BEING 1NSTALLED �
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs
CFM:
COOLING SYSTENIS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burnin�Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION ••
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation � Removal
Fuel Oil: ��(� �allons � Undergrotmd ❑ Inside �Outside
LP Gas Qallons �
Other: �!-�'G-Pf� �/o' �� � �
�GAS LINE ONLY
❑ Outdoor Gril1 ❑ Other/List What&Whei�e:
2
�
, �" PERMIT FEE CALCULATIOI�T(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fi�ture or appliance that meets all tlu�ee 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 Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Pernut 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$35.00)
f ci °
1 (� 5 rU� � x .0125 $
—' (contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge (i�tinimum Fee of$.50)
x .0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) � 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �
■ * CONTRACT PRICE or JOB COST means the actual or estimated doliar amount charaed for the
perrnitted 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 inaterial, equipment, labor or installations are fiirnished by
the owner, tenant or any other party, the reasonable market value of such items must be added to the
estimated cost or conhact price for permit fee puiposes. In the event that there is a dispute on the
amount Of 2i1C jOtJ COSi, t::� C;ty 1T.a� I�C1L:�St t�le SLI�J;TI:SS1011 Cf� S1�T1eC1 CO�Jy of±he 3Ch13� C01??T3Ct.
■ ** Tl�e STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersib ed hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance �vith the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are cornplete, true and
correct.
Applicant's Signature: Date: � � � ��
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