HomeMy WebLinkAbout1995-007478 - remove oil tank PERMIT
� �� OF ORONO PERMIT TYPE:
�elley Parkway - P.O. Box 66 Permit Number:
i;rystal Bay, Minnesota 55323 - _ - :
(612)473-7357 Date issued: _ _
SITE ADDRESS:
•E _�i S''l��i'_�t'�-.��=�?... _ o ... ... . . E�....
DESCRIPTION:
. .:._�:..-.: ,._ _ _. _ __. .. . _. - - .. . _. ._.._.. ._
i �.t_;°f=_f�,_ _ _.._ `r;�•j��::
r r-��� -- --.- -
�a. . -
_.� �.L
. ! L-.V. __i
?� �� r'v:>�:� it
1+-'S Jr.'L ti'L'.1'ii 11
\f!� p,�{:
L:'UI .�.-a VL�
7___...`_:.::�.: t�
li.LL�t'�'t'�!:'
�:! "'s t
_._ ....11 �!V
.���,%. ... -- i r
L.i lLL:' . i'�
jc-
REMARKS: "`:�"` _
FEE SUMMARY:
.. � _---.. _ -
_, � r
,. .. . . . . : .:,
{�:;��:�� . ..:_ . =�_. ��� I
-'l:?":.1',`;f''_`�- —_---------�._ ,�`-: I
�'�-�;_cl =_��i - - - • �'�- �
CONTRACTOR: '-�- - � _. __-. , OWNER:
: : ;:: , ,,: - - _ -
::�..-:
_. .... `J..�. .:� ;�--
,.._... _ �,:;-'_. . __":�':"`: ._._.. . . _ _ _. _ . _ =-i'i!��`_y:���_- _ _'��:_. . : . ..:.i
(, :��_� f :� - - -��-� y,•,-.� - -
!�:f".. .___ . .�*! .. � _.i.x�.j .. . ."�4`!'_ , . . .. . _ .
t
.. . .� . .. ..�_r..t•
. '- . ' �:.s.:_ � . _
? 'i.. `.,. .�,...�._' � . �. i= s : 4. ". �'�� .. .. .._. .. ... .. . . . ._ . . . ._. . ._ ._ .
. . .�._. . . . . .... .. _. . . . .
..'��� _-.. �_.:^ _J...'..�` " ... .�. .��....,�•.'� + . .� _ . ..._._ . _ . . .. . � . ._ . ... _. __ .. ... .... - «. . . . .......... _ _ . . _.
�{ ��i ' b :S. ?�:t . ( _ �..''3 at� �.. ,� ''i '
� .e
:.... :,.,' : ' `: '. , :... , cY:�,� _: ) r � �. z>i T�k..i. C
_ ;. -__..... , ..
_ ' �. � � - � �r 3 :�
� � _ . __ _ . .,__. _ . . _.� _ __ . ._ � . ._. _ . . _. . �
� E'- - � �
APP ICANT�PERMITEE SIGNATURE � ISSUED BY:SIGNATURE
� � ��
CITY OF ORONO APPLICATION I'OR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENI�RAL IM�ORMATION
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 VAL[D
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Designs - Complete calculations, dctails and specifications are required for each heating,
vcntilation, humidification-dehumidification, and air conditioning installation including heat loss/hcat gain
calculation, design temperatures, equipment ratings and identification as to type, manufacturer and modcl.
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 permit must be obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
rcquircmcnts.
6. All work must be inspected (rough-in a��d final). Call 473-7357. 24-hour notice required.
7. llouse I{cating Test Record mus[ be submitted before final.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NO'C BE PROCESSED. If you have questions, call 473-7357.
Please check one: New Addition Repair Replace
C Residential Commercial
JOB SITE: '�`I 3 f �.�: � v� b� �= s�-, 1�� �� ; Zip:
Owner's Name: ,�c�.� a��,� ,� � ; ,,;� � Teleph peNumber:
Mailing Address: q 1 �, � e rh�e - City• (��-��i 1 �� Zip:
Contractor'sName:Se-�c •� �>'�.���s-�� � Te ephoneNumber: � 75,� -Z��2�
MailingAddress: Z. � Z �., C-�� .',��w�, ��/ City: � Zip: ;s� ��
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
ruel:
Flue Size:
Input BTUs: _
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
1` . �
WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Naine Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
ri1�L STORAGE (MUST �E APPROVED BY FIRE MARSHAL)
Installation J� Removal
�� Fuel oil: gallons � underground inside �outside
LP Gas: S�:�n gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
� � � 00 x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means the ac[ual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged ro 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 estima[ed 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 correct. �
�
Applicant's Signature _/ Date: D `� 9`5 _
Approved By: Date: