HomeMy WebLinkAbout2006-P09689 - remove oil/fuel tank � PERMIT
CITY OF ORONO - �.�����
27t50 Kell?y Parkway- PO Box 66 Permit Number: P09689 ���
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Perrru s�"``-��.,,�_
(952) 249-4600 Date Issued:
3/23/2006
SITE ADDRESS: 1450 Bracketts Pt Rd Unit#
Wayzata, MN 55391
P��� 11-117-23-33-0004
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Remove Oil/Fuel Tank
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 2,250.00
State Surcharge Fee: $ 1.13
TOTAL FEE: $ 36.13
APPLICANT: Dean's Tank Inc. OWNER: Al&Martha Reed
P.O. Box 22515 1450 Bracketts Pt Rd
Robbinsdale, MN 55422 Wayzata MN 55391
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.
� / i �� � .�� ( j� �,;—�
�� ���/-�. �/l./,/.-/�l_�� ���`
APPLICANT MITEE SIGNATURE -T ISSUED BY SIGNATURE
Copies: 1-File(Sig�zatures Required), l-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page I
I �` '
� FOR CITY USE ONLY
%!�� City of Orono
��/���\ P.O.Box 66 Date xeceived: `.� a3 U ' Permit# (.'�� "
��„,�„ � 2750 Kelley Parkway �
�a ;�j"��:�,�� �� Crystal Bay,MN�5323 Approved By: Amount$:
�a��y^,'vr;uM��o` (952)249-4600
`\YENH�fl
CITY OF ORONO -MECHANICAL PERMIT
(All Commercial pennits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL 1NFORMATION
1. You may apply for mechanical peinuts 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 SITE.
3. Mechanical Designs—Complete calculations, details and specifications are required for each
heating,ventilation,hunudification-dehumidification, and air conditioiling 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.
4. When any new construction or remodeling is involved, a separate building permit must be
obtair.ed.
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 subinitted before final.
TYPE OF PERMIT
(Check All That Apply) ,
t Residential ❑ Con�mercial(Approval Reatiiired)
❑ New ❑ Additional ❑ Repairs ❑Replace
� Job Site/ Owner Information:
Site Address: �, � ��- ��� ��-� ��v�'� ��
Owner: ��.��c,�,� �� Mailing Address:
City: �`rJ� Zip:
Home Phone:���Z� ���.�- yzC�� Alternate Phone: ��52� Z�- �3��
Contractar Information:
Contractor: �.�_�c�✓t,�. l w�, Contact Person: �E'.cMn
Address: �.�. �� 2�5 lS State Bond #: �� �S
City: T�1+� �^�- Zip:�<Z Expiration Date: � d�
Phone: ���� S3S- ���`� Altenlate Phone: ���Z� �� ����f��
� Insurance- Current:
1
' � i
�
MECHANICAL SYSTEMS BEING INSTALLED
HEATING SYSTEMS
Quantity:
Make:
Model:
FueL• ;s�� ��_ �
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantiry:
Make:
Model:
Tons:
H. Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace I
❑ 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: - � c9(.7U gallons [�Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
� � .
1
�
� PERMIT FEE CALCLJLATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all tluee of the following requirements:
1. Does not require modification to elechical or gas service.
2. Has a total cost of$500.00 or less;excludin�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 Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit 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^ `) x.0125 $ �j J. c?`�
� ��� �
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
X.000s $ �, l3
(contract price) (minimum� .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ �_
�
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ _.>�%, � ��
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pernutted 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 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 tlie Building Department at(952)249-4600 for the price.
� MECHANICAL PERMIT APPLICATION AGREEMEI�'T
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accardance 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.
1
flpplicant's Signatu e: Date; -3 23 C��
3