HomeMy WebLinkAbout2016-000 - fuel tank removal • - CITY OF ORONO * Z 0 1 6 - 0 0 0 3 5 *
2750 KELLEY PARKWAY DATE ISSUED: OU2U2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 4165 BAYSIDE RD
PIN : 06-117-23-14-0019
LEGAL DESC : REG. LAND SURVEY NO.0748
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FUEL STORAGE TANK REMOVAL
VALUATION : $ 1,950.00
NOTE: INSPECTIONS ARE DONE BY FIRE MARSHALL,JAMES VAN EYLL.
PLEASE CALL JAMES VAN EYLL DIRECTLY AT:(952)473-9701 TO SET UP AN INSPECTION.
ABANDON(1)UNDERGROUND 1,000 GALLON PROPANE TANK
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.98
DEAN'S TANK INC. MAIL-IN FEE 2.00
P.O. BOX 22515
ROBBINSDALE, MN 55422 TOTAL 52.98
(763)535-0194 Payment(s)
Minnesota State License#: BUIL-475 CREDIT CARD 8979 52.98
OWNER
ALT, JAMES&MARIE
4165 BAYSIDE RD
MAPLE PLAIN, MN 55359-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and speci�cations,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 l80 days of the date of issuance,or if construction is
suspended for a period of l AO days at any time atter work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permi[may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Is ued By Signature Date
� 91/11/2015 13:68 7635312881 DEANS TAhK IhIC PAGE 61
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P6pna(45�2d9-460D Fcc(9S2}249�4dt6
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y��'r6S H O'�6`` CI'TY OF OR�NO—1!'�EG'AAMCAL PERMT,C
(Atl Cotnla�ial pqnqi4 rr�ho,pp„wcd by thc Huitdhtg Oa'taiai er ln�ector sodkrFtn M�tailj
GE1V'ERAZ,TNk'(3R�A'�"i0�
1. You may apPly for mechanical Qermits by mai!or in p�saon at thc Cit,y of�as. Applic�tions will
b�ravtewed and a permft wili bc issued within t�ao working days,
2. P�mit c�rds wlp bo satt by tetum m�il after a review is complefied. PEILMRS AR$NOT
VA,I,1�1 UM't�.Y4L1 R�GBNL A P$RMJT. �'ORK�1 [IST 1vOT BEt3IN UNrit.,'(' E
PERMFF CARD IS FQ:,���'Y���O�SITF,�
�. ��j.cal basi�ns—Campleie calaulatio�s,detatls and�peciS�tions aro required for eaGh
heshfng,vcmti�loa,dumidiflcadoa-dehumidiftcatton,and air conditior,ing installa�tion including
hps#IossTheat gain t�lculstion,cksign tcmperaw�+ns,W u3lsmart ratin�s attd 9der�ti�cation as to
type,mattufaGkurtr and mo�ei. L�ta shalt be pcesented on ft>rm providcd.
4. ���new consavction or t�emadeting is imolved,a sopatato builditt&pantit must he
S. All work mt�st be dana fn acx�w'd�ce►vith the 1Jnifnrm Meahanical Code/StaYe Bui{dh�$CAde
r�uircmcnts.
6- All wprk mv�be�n�(rongh-in and fir►at). Call(952)249-4440.
(74-48 huur aotice requtred)
7. Flowe k(oeking Tast Rocard muat be submitted bef01'e�inal.
TYP�O�PEk.MTT'
�k All•That A I
(�Residettliel []C4mme[eial(Approval Reqwred)
[J New ❑Additlottsl �Rapsirs �Reptacn
Job Site 1 Owner Infornsation:
Site Ad�reas: +�1�5 62iyskle Rd
Qwner: Marie A1t MailftMg Addtess: - - .....
City: Zip: - , r...
Home 1'horia: 952-483-U437 T, Altcrnate�'hane,
Can.tracfor Informatian:
Contracfor. Dean's Tank, Inc. Conta�t Petsva: Doug Nething
Address: p0 C�ox 2�57 5 5tate Bphd#; 0475
City: Robbinsdale �;p: 55422 �iTatiap.Date: �51��
Phone; 76�-53b-Q794 A,ltcrnate Phone:
[] ir�sw�aAcc—Current
1
uirii. c�i� 1J.uV fOJJJ110G1 �tHNS IHNK jN� PAGE 02
1VtEC�it3,NICAL SX�'u�'Ei�tS B�ING IN�TALLE�3
Notec All Gcot�ermal Systems wil!now require a it l,�,i& evicw}ry our Buildin�0£�'icia�.
IS'�'��S GECITHERMAL? Q Yes �No
1�[EATiNG SYSTEM3
��mY� _�_.�..__..___ _.�_
M�lcc:
Model:
Fuci:
Flua Size:
Input ATUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quant�ry.
Makc:
1�Sodek
TQns:
H.Powcr
IRE CES
❑ Gas Factary�'ireplace Hrand Name:
❑ 'V►'oad�um[ng Fircptacc y` ��'�"`
❑ �'�S� Model No.:
❑ Wood Siove witi►Flue/Masonry
YE�VTILA'�lOf�
� Na T_^,__ Kit�h¢n F,xhaust dnct recirculeting cfm
❑ Na �'+' B�th�Xhaust(must have ctuct outside) " efm
❑ No. �_ �thcr Pans: Laca�t;orss _� cfm
TUEL$TORAGE (Mwar be appro�ed+b,v FYre A�'arshull ifPrqpo�i►rg En�ba�rdnn tank!n place.)
� installa#ion ❑ Removal X�be�r�darirnent vf prppane tartk
Tuel Oil: gallons �x] Und�rground Q�nside 0 Outside
LA Gas� �.000 gailans
Othcr:
GAS X.ITVT ONL•�
❑ Ouulool'Grill ❑ OthCt/LiSt What 8t Where:
2
Uil11/ GU10 lo:�o /b3�311�n1 llt�NS TANK iNC PA�E 93
+ �-
� � . ��'�`�C�ILCYJLA']�t'7N(S)
L�.e�EI�t?��'-2��TATE ST�ITUE ,
Q Yes,thia s�cxian appiies
The replaccimens of a Acsidc�ntiat fixq�re or appliance that me�ets at1 three of the following requiromcnts:
1. DOCS 1fOt i't�vi1�modifiCatian tq eleGiTlCfll 8i gas SCNice.
2- klas a�of�500.00 or Ics�;� c 'n the oost ofthe fixture ox appliance:and
3. Is improved,instafied or replaced by the hrnneowncr or licensed corrtractor.
Skip next section,it'this appli�s; Cost of Permit $ I 5.00
State Surch�ge $ 5.00
Maia-In Fce(If Appiicabie) $ 2.40
Total Pcrmit l�c� �
��v�z���c�,cui.A�r�ar�s -ro�s av���soo.a�
If�bove does not s�pPfiy;follow guidelines below:
t. CO�R� T�� •is 1.259�b ofcoMract price with a{Mi�imAm Fec otS5Qa1�
��,�so,ao X.o�zs a
t��Pn�) (minlmnm S30.o0)
z. sTA�sv�c�a�,c�
-- �1,950.Q0 x.0U0S $
{conasct pnce} '"
3. POS'1'ACiE dt HANDLING tQnty pp�il-Iri Applicetions) $ 2.p0
4. 'I'OTAL PERMTT F��(Add Lines 1-3 Abov+e) $
• * C4Ni'1Z.4.CT FRTCE or J0� �pgT megrts the actual or estimated dvilar amount ch�ed fnr�G
permitted work including matcrials,tabp�r profit,and orher fixed vasts. It is the amouni to be chsrged
ta she cusio,mer fnr t�e work dono. If atry material,ecluipmcm, labvr ar lnstatlacions arc furnishod by
thc owner,tenra+t oir ariy other party,t�e reasottsbte m�rket valuc of su�h items m.ust be$dded to the
e.stimared cost or contr�ct pxicc for pemnit fee purpns�s. 1n the event t3sat the� fs o dispute on ttie
amourn of ths job cost,tt�Ciry r�ay request the Futmaission of s si�ncd copy of the actual co�nuaet.
',�Chf�42V'tC�.,P��il'�iiT AF�'S.ICATIC7N AG1�E� �
7"he eitidersigned her�eby applies ta tlte C�ty for i.tsuance of a Mechar►ica.l Permit,agrees to do af�
work in strict aeeordaxtce with tlsc ordinancev of tb.e Cit,y and the regulations qf the St�te p�
Minne.a�ta, areci ecreifies that al! StBtenrients made on this applic�ttion are complete, irue and
correct.
l�,pplicant's 3igmature: �i�iT�c..�./!,�¢�7�ia1� t?ate• ,
a�m�uj�_
3
DATE TIME /
CITY OF ORONO CALLED IN _�_
INSPECTION NOTICE SCHEDULED __o���
PERMIT NO. 'y -�� COMPLETED
ADDRESS 1�s � s `�t-
OWNER TELEPHONE NO.
CONTRACTOR ���.�-�-. S %�-•-�
� DESCRIPTION `/ �_.� �-��.•�-���-�-�
tl1 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINA� ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-4600
OwnerfConVactor on site:
Inspector.�'�c���-� v / � L-�Y l l
White Copyllnspector's Ffle Canary CopylSite Notice