HomeMy WebLinkAbout2009-00767 - fuel removal i
` i� CITY OF ORONO PERMIT NO.: 2do�-oo�6�
,, 2750 KELLEY PARKWAY I
ORONO, MN 55356- DATE ISSUED: �0/29/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 3175 JAMESTOWN RD
PIN : 28-118-23-33-0014
LEGAL DESC : LIBERTY ACRES 2ND ADDN
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FUEL REMOVAL
VALUATION : $ 0.00
NOTE: REMOVE 1000 GAL UNDERGROUND FUEL TANK
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APPLICANT MECHANICAL 50.00
DEAN'S TANK INC. STATE SURCHARGE MECH(VALUATION) I 0.50
P.O.BOX 22515
ROBBINSDALE,MN 55422 MAIL-IN FEE 2.00
(763)535-0194 MISC FEE I 0.00
Minnesota State License#:475 TOTAL I 52.50
PAID WITH CC# 8858 I
�WNER
OSTENDORF, SCOTT& ELISSA
3175 JAMESTOWN RD
LONG LAKE,MN 55356
AGREEMENT AN SWORN STATEMENT
1'he work for which ihis permit i issued shall be performed according to
the approved plans and specifica ions,applicable City approvals,and the
State Building Code. This perm is for only the work described and does
not grant permission for additio al or related work which requires sepazate
pern►its. All provisions of laws d ordinances goveming this type of work
shall be compied with whether o not specified herein.This permit will I
expire and become null and voidl if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 da�s at any time after work has commenced.
The applicant is responsible for$ssuring all required inspections are I
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cau�e.
/n"�"'/ / / �I �
Applicant Permitee Sign ture Date Issued By ature te
SE�ARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. i
10 28/20 9 14:13 7635311861 DEANS TANK INC PAGE 02
oc �2a-2oo o�:aap� Rrom-ci1�r oF ORONo +a62t4e4e�s T-eee P.00�/aoe Ftes
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CYT'Y OF ORONO-�ECHANICAI.PERMxT
(�UI Crnammairl pen+dm cm�ae 6e appmved by�he BuAdlea Oflleid or tnapecwr anNor rf ire M:n9ha11)
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1. You may apply f�mecbaa�cal p�its by mail c�r in petson at tDe Ciry oPFices. Applications v�n71
be ieviswed a�ad A ptemu arill be isaued wir�n rvo wor]aag daya-
2. Peimit Catds W'fll be 9ent by return msll after a c�:vje�vv�8 cosl�le�ed. PERMTTS ARE NOT
VA►LID UNTIL YOU RBCBX'VS A PSRMII'. �L►QRK��f4��C�1N Y.M'CkL�i�
�R�T e�n is rc�T�D ON TEtU�QB_!�TE.:
3. Me�hantc�l i)es�iuna—Complex ealrnlanons�deoa�s aad spccific�uns are recryind�each
hea�g.vaatilsDoa,h�idif�cati�v�dehwrridifzec►tion�atld air eondivamng matallatian iflcludit�g
he$t 1qseThoet gain calcule�on,desiga rcmpezatu:es,cquipment satlag�aQd idencificarion as�o
tyye,manu#�ctures sltd model. Dara shall be pre scaud on facm pr�vu9ed.
4, What aay aew coas�ruaaoa nr zenmdelmg,is mv olvc�n separaxe bu9ldfn�pemut musc be
obtaiatd
5. All work uwst bo dane ip acco:daace wlxh cho Uaifban Mecheaical GbdelStace I�uildiag Code
sequizeuses�.
6. All work mousr b�iasperced(rmigtt-ia aad fr�naI). Call(95Z)?h9-4600.
(24�4a hour notloe requfred)
- 7. Hotsse Fisatin�Test Reeo:d must ba submit�ed b efo�e�L
ry� .iIN• "'S� '�J'a M . . ��:�..�. ' w���y �i� �1��`, � y��' r`��.rA �. , "�.!��•"'i��i��'�e�f�
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]�Resideatlal ❑Cbmmoerclal(Approval Req�ir�d)
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Site Address: � � 7 S ��
Qw�ier:-8Lv'� M�aling Add�'eae: ��.
City: Zip: S� 3 � (p
Iiome Phone: b l� - �lo'rC- 111� A1a emate Phone: , �
�Con'c�a(cw�Trifd#i�ia�tao�f: ' -.{. •��. .
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Connaccor. ��A�'�" TAN� S�J C Co�ntact Persor�: A�/�nf �E-T/�,'rV G
Aaaross: �v Ba x ��s�s , sta.te Bond#: � ll.�'
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City: �0 6,ii s d a LE Zip: P.acpuation Date: C �S Jz o �/
Pbano: 7�v,�-�3 S- o I 9�/ Ati emate Pl�one:
❑ Ins�canee-Ctiurent: ,
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16/28/20 9 14:13 7635311801 DEANS TANK INC PAGE 03
o��-ze-�o ot:taw Pra■-cinr o� �no +e6Zz�ae�e T-aee P.002loos F-�ee
l�Tot�:All Gaothamel Sy6t�9 wi11 now r+�quite a$�g�� v' w by our 8u�ldin�Officiel.
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No. _. Othec Fars� Lac�4mas_ cfm
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10 28/2009 14:13 7635311801 DEANS TANK INC I PAGE 04
0 Ze-2000 01:23p� F�o�-CI1Y OF q�01� t062Z414616 T-688 P-008/00$ F168
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T�e Yepbcamka�o!a s�n nneeo�fl eb¢ee of the tbllowin��q�emmu:
1. Q�„pp,�r�qni�e mo�fifi�don to elecRicel ta gas 5e:vlce.
Z. Ass s�of lS00.00 cz ieo;��d�co=e of�e Sxt�e at�pplisnoe:aad I
3. �s ia0p�v�ed,io�adtad ar repleoed by q�e�'aeo�wlner a�1fea�sed conaecto�
Siap ne�a secoo�y it'tbis oppli�: Co:x af Permir 8„�,�.QQ
3�Smshuga E .50
Mx�1-vali'ee(l'fAPPlicsbk) �� 1.50
To1al Peto�it�be s,�;,,� I
Ttab4ve dod nmoc opp�y;�Ila�v g�ideimes below:
l. �LbN1'rlAiCT PRYCS �i'1.2596 of aamnsctprice wo'�s(M�nm Fee v[S3?N00) I
- ._.1__�.���T,� x.O1TS S I
(oo+ntaetvdve) (eunhwm s35�oo)
� 2. ,$'IcwZ'�S�� "'Add tl�s�ace A1d,g Code Di,►.s�uch�ge(A�s�aam Fe��S.so) I
,,,�_, x.0005 =
(eano�c�peia) Qmntmnm5 �
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3. �OSTAQE&fiANQL��1G(O�ly oa Ma�1a�an') S I
a. �ror�r�cr�a�s�e�Aaa��3 wu��� s_„_,
� •CON'�'RAN�PRCCB a JOB QOs1'ma�os�aauel v��uiwted dollec ea�une ebsrged�r
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Pe�ico�d wo�k mcb�ding m�teele]s.labo�r,trirofi�m►t a�er Szed coeu. It n the�m�ot�a��o be
� m dx cl�sm�t foc il�wm�c doAe. )f,ua4Y aoaea�ial.eqmpptettt,labor ot in�e�io�u are flaui�l�ed�
�e ow�le�ta�ant oc s�y o8�a patqr��re re�s�oebk marlcet value vf sach f�rms must be 4dded to
atim�#d cost os owtaact priee fa�pe�t�e piuposm. Ia d�e eveut tl�ss tLece ia a dispute�
�c�of ine job co��he Ca3►map r�ua��e aubm�ssion aE e��ed coPY of�de aem�l
■ "'�e STA1B�URC�TA�fl ie.0005 oE tbe S�di D
o,g eFatanoas ai(952)244-4W0 for she qrfa. I
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� 'T6e vnde�i�ed 1tee�ebY apPlies tv t�ae Ciry for iss�aaee of s�A�oela�a�icai Pe�rmi�,agtees m do
work m s�ticT eccozdsrcc with � o�cas o� the C1ty �nd the �WedoaN of tbe 3�e �
Mirm�so� and cerd�cs � all s�ants �aade on this applicadv� are cmr�ple�ce, uue an�
I cozrecc.
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