Loading...
HomeMy WebLinkAbout2016-00301 - fuel storage tank removal CITY OF ORONO * Z 0 1 6 - 0 0 3 0 1 * � 2750 KELLEY PARKWAY DATE ISSUED: 04/OU2016 ' ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 140 BROWN RD S PIN : 03-117-23-12-0011 LEGAL DESC : KALLESTAD ACRES : LOT 002 BLOCK 001 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. 1,000 GALLON TANK REMOVAL. PRE-BACKFILL INSPECTION REQUIRED. APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.98 DEAN'S TANK INC. MAIL-IN FEE 2.00 P.O. BOX 22515 ROBB[NSDALE,MN 55422 TOTAL 52.98 (763)535-0194 Payment(s) Minnesota State License#: BUIL-475 CREDIT CARD 7140 52.98 OWNER COLEMAN, MR.&MRS.DOUGLAS 140 BROWN RD S 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 I80 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. � �J _� _�-- L , _ --I�� � � � z � � � � __. � L; i t, L-_�' � � Applicant rmitee Signature Date Issued Signature Date ' �C�SE ONLY City of Orono / � , �ONO P.O.Box 66 Date Recei ` Permit# ���0� / 2750 Kelley Parkway � r Crystal Bay,MN 55323 Approved By: Amount$:� � Phone(952)249-4600 Fa�c(952)249-4616 � , ��, i � / F� � ,�KE_������`' CITY OF ORONO—MECHANICAL PERMIT ___ (All Commercial pennits must be approved by[he Building Official or Inspector and/or Fire Marshall) 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 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 PERM[T. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�—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. 4. When any new construction or remodeling 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 submitted before final. TYPE OF PERMIT Check All That A 1 � Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site / Owner Information: Site Address: 140 South Brown Rd Owner: Doug Coleman Mailing Address: dcolmn2@gmail.com City: Zip: Home Phone: Alternate Phone: 612-810-0873 Contractor Information: � Contractor: Dean's Tank, Inc. Contact Person: Doug Nething Address: PO Box 22515 State Bond#: 0475 City: Robbinsdale Zip; 55422 Expiration Date: 3/25/17 Phone: 763-535-0194 A_lternate Phone: ❑ Insurance—Current: �es 1 MECHANICAL SYSTEMS BE1NG INSTALLED � � Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes � No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENT[LATION ❑ No. Kitchen E�aust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfm FUEL STORAG E (Must be approved by Fire Marsha!!rf proposing to abandon tank in place.) ❑ Installation 0 Removal Fuel Oil: 1,000 gallons � Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excluding 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 $ 5.00 Mail-[n Fee(IfApplicable) $ 2.00 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$50.00) 1950.00 x .0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 y� '` �f � 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ -J `1 ' ` �� ■ * 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 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. MECHANICAL PERMIT APPLICATION AGREEMENT 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: �� �-/� Date: 3/30/1� � ,� � , ���� � � ��� �-�� � , � 3 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS /�/� � . �ddress: �7 C/ �/�hfit lit. �� b����� Permit No.: Description of work: Date Rec'd: Septic review by: Date Approved: Zoning review by: Date Approved: � Building review by: Date Approved: � Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot C erage: SF % Survey Submitted: ❑ Yes � No Date of Survey: Revised date(?): Landscape plan submitted? ❑ Yes � No Landscaper• Proposed Setbacks: Front (Lake) Rear{Street) ( N E W ) ( N S E W ) Other Buildings Wetland ide Side � Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour Perimeter(linear feet) = 0 0 = L.F. below grade Basement? � Yes 0 No, S ories FOR A BUILDING WITH A BASEMENT OR CRA SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distan between the lowes proposed Slab at or above grade— START W ITH floor(of t basement or crawl s ace)and measure from hiahest existina the high st point of the roof. START WITH rq ade to the highest point of the roof even if fi�l was brought in to elevate home. If y have a... SUBTRACTION GABLE OR HIPPED ROO (no Slab below grade—measure (BASED ON windows): Subtract half th distance from highest existing grade to the ROOF TYPE) between the highest point f the roof hi hest oint of the roof. to the low point of the corr sponding If you have a... gable or hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF '` • GABLE OR HIPPED ROO (with (BASED ON (no windows): Subtract half windows): Subtract half th distance ROOF TYPE) the distance between the highest point of the roof to between the top of the hig est the low point of the window and the highest po nt of the corresponding gable or roof hipped roof • ALL OTHER ROOF TYPE (flat, • GABLE OR HIPPED ROOF mansard,etc):No subtracti n. (with windows): Subtract SUBT ION Subtract the distance between th half the distance between (BASED ON basement/crawl space floor and t the top of the highest s` EXISTING highest existing grade adjacent to e window and the highest � GRADES) fou�dation OR 10 feet(whichever is ss). point of the roof 'i�� • ALL OTHER ROOF TYPES (flat,mansard,etc)�No EQUALS Defined building height subtraction. Defined building height EQUALS Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Shorelend District MCWD Permit Av�rage La�s�h?re Se#back B�� t7 Yes � No P$rmit Number: L7 Yes � No � N!A � YQ No � ❑ N/A—see attached Setback: Stormwater t�uality Exist�ng Proposed Ov�'lay District Tier Hardcover Hardcover Variance Required CUP Required circie or�e % and s % and s t7 Yes 0 No C7 Yes 0 No 1 2 3 4 5 TYi�s)� '�yPs(S�� r fees to be Char ed YES NO �ermit � Plan Review State Surcharge � lnvestigation Fee . � ., SAG—t�umber of SAC Units : Other(specify) Square Foo#a e $ er S uare Foota e Basement X = $ � 1�' Floor x = $ 2'� F1oor X = $ Garage X = $ Estimated Construction Value: $ Orono Inspec#ions Required WoNc R�quiring 3eparate Permfits � Footing ❑ Site O Plumbing 0 Gradir�g/Filling � � Poured Watl C7 Silt FencelErosion Controt � MEC#18l11C8I ❑ Fire i � Foundation 3urvey ❑ Hardcover Removai t] Septic C7 Water Connection 't � Foundation Waterproofing 0 Other(specifyj � Fireplace ❑ Sewer Cannection D Framing ❑ Masonry 0 Lawn irrigation ❑ lnsulation � Mfig. ❑ Landscaping � As-Built Survey [3 Other(specify) C] Final ❑ Lathe ,� / f/ Required State Permits O#her(specifiy) /r�'-�u�fC�!C ❑ WeA 0 Elec�rical REMARKS (fn-housej: OFFICtAt REMARKS-TO BE NOTED ON PERMIT AND INITIALLED: � See Buiider Acknowtedgemen��orm 0 Prior to�etease of escrow money an as-built survey and hardcover catcuiations m+ast be submitted and approved. �� Updated; October 2015 � . . \nlran raviaw charkliat'lf1.9(11.ri(inrv . . . . � . . rlfnrmc _