HomeMy WebLinkAbout2008-00422 - removal of fuel oil tank CITY OF ORONO PERMIT NO.: 2oos-oo422
� � 2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 12/OS/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 2620 KELLY AVE
PIN : 20-117-23-14-0018
LEGAL DESC : TOWNSITE OF LANGDON PARK
: LOT 006 BLOCK 004
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FUEL STORAGE
VALUATION : $ 1,950.00
NOTE: REMOVAL OF 550 GALLON FUEL OIL TANK
INSPECTION BY FIRE MARSHALL:BILL MEYER 612-490-2307
APPLICANT MECHANICAL 3 5.00
DEANS TANK INC. STATE SURCHARGE MECH(VALUATION) 0.98
P.O.BOX 22515
ROBBINSDALE,MN 55422 MAIL-IN FEE 1.50
(763)535-0194 MISC FEE 0.00
Minnesota State License#:475 TOTAL 37.48
OWNER
SCOTT,GINGER
2620 KELLY AVE
EXCELSIOR,MN 55331
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shali 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 sepazate
permits. All provisions of laws and ordinances goveming 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 180 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.
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Applicant Permitee Signature Date Issued B ignature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRI D ABOVE.
Dec-01-2008 02:50am Fron-CITY OF ORONO +9522494616 T-OT8 P.002/004 F-482
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(952)7.49-4604 _:,,.?�,,�; �y� •;�, ��.,r,,•. :�,�' ,:
CYT'Y O�'ORONO—ME.C�ANYCAL PEYtMTT
(All Cwtan�rcial pernd��rwsc be approvcd by the B�ilding Official or ficpxoor and/ar fin:MArst�ll)
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1. You may npply far mechanical pe�its by mail or in persou at the G�ry office4. Applications will
be reviewed and a pernoit will be issued withit i two worlang days.
�. Parcnit casds will be scnt by rcturn mail a�er a.review is compleroed. PERMI7'S ARE N07'
VALID UNTII.YOU RBCfiIVE A PBRMTf. 'WOYtY�MCJST N'OT B�G�V UNTQ.THE
���j�'CARD iS POSTED ON TFIE 3013 S�.
3. Mechaaical Desi�—Complete calruladons,detaile and specificaaons are mquired foc each
heating,venalation,humidi�caaon-dehumidification,and air conditioaing in�canaaon includmg
�1C8i iQ88n1G8T�'AiII CS1C11IflE10�dC6is11 ZC!'G�CYF.nn�es,equipment=arings a�ad id4�tificarion as�o
rype�manuf�►cturer and madel. Data shall be p�ted an fortn provided.
4. When eny new consQuction or r�odeling is involved,a separau bvildi�perniit must be
obtained.
5. All work must bc donc in aecordance with thc Uniform Mecbauical Code/Staue Building Code
requirecnents.
6. All work RutsT be inspecud(rough in and�'ina 1). Call(952)249-4600.
(24-48 hour nodee required)
7. Hoase Headng Test Record must be submimd before final.
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�Residenasl ❑Commcrcial(Approval Requirod) -
❑New ❑additional ❑Repairs [,�Replace .
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Site Address: � �2� G '+-Q _
Ovv�ex: A�tailing Address:
City: i:ip: ,
Home Phone: E�lternate Phona
�.�Q��Or�'�OIm�i1.QI�'a h'� „�. �::; ,�
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Contractor. ��aN� �..v lf��r✓C Contact Person: . 5�i�Z�:dr...,r�,
Address: �� �i � 2��j ��tate Bond#: ��'1 �C � � '� -s
Ci n Zip.� xp' 9
iy: � 'S��� �rarion Date: _�Z?'2s� �a o
Phone: �f G 3-�3�-o► 9� Eilte,rnate Phoae• ,`��3 �S3�- n J 9 y�
❑ Insurance—Gurremt:
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D�c-01-2008 02:50r�n FrarCITY OF ORONO +9522494818 T-0T8 P.003/004 F-462
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Note:All Geothermal Systans will now require a ite & ievv by our Btu'ldiag Offcial.
I$'j�S�F,QTAFRMsi-� ❑Y�S �No
�A7'IIVG SYSTEMS
Q�n'� �
Malce: '
Modei:
FueL
Fiue Size:
� Iupnt BTUs: '
..-�._T
Outi�ut BTUs: '
CFM:
COOLYNG SYSTEMS
Quantity:
Mal:�e:
Model:
TOas: .
H_Pawer •
F'fREPY.ACES
❑ G�s Factary Pireplace B:and Name:
[,� Wood Burniag Fu�cplace
❑ Wood Stove Model No.:
❑ . Wood Stove With Fiue �'""
'�NTYLATION
❑ Na. Kitcben Exhanst duct recircutasing �c�n
❑ No. Bath Exhaust(must��ve duct ou�side) cfm
[� No. Other Fans: I.ocation� cfin
LF �L STORA�C�„(Mnsr be approvcd by Fi�e Marsh aQ ijproposi�g ta aban�o�t m�nk i�plac�)
❑ Iastsllatioa � Removal
FUe1 Oil: S,�0 Sallons ❑ Undersrouud ❑I�uide 0 Ontaide
LP Gas: gaIIans
Other:
Sl�.S LINE ONY.Y
Q Outdoor GriU �] Oiher/Lu;t What&Where:
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D�c-Oi-2008 OZ:61p� FrarCITY OF ORONO +p5224�4616 T-O76 P.004/004 F-482
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❑ Yas,this section appIies
17�e repliccmeat of a R:esids�tial fixc�e or applianco t��meets all t�nroe of tlbe follow�ng requiremea�s:
. 1. �require modiSca�on to elccuical ar gas seivice.
2. Has a�t of$SQ0.00 or less;e ud�g the cos�of the fi�ure or appliance:and
3. Is im�roved,ins�alled or replaced by�e b.omeowner or licenscd conQac�:►r.
Skip next section,if this applies; C osc of p�rmic $ 15.00
sr��su��g� a .so
Niail-Ya�'ee(Yf Applicabls) S 1•50
TotAl Permit�ce S
If above dvcs aoc�pply;follow guideliaes below:
1. GANTRACT PRICE •is 1.25%of co�uzact price with a(Mioimum Fre of 535.00)
� �'SD� °�' X.oi2s s 3�, °=--
�co�n�aa arice� ;mi�m�s.00� �
2. STATE SURCHARGE '"*Add thz SrsU:Bldg Codr Div.Surch�rge(Mlofmam Fee oi S.SO)
1 �ja. °- X.�S � a � a
cco�uroc�,a;ce) —'tmn,ii„ums .SU,
3. POSTAGE&HANDLING(Only on Mail-In Applicatioas) $_. 1.50 „_,..
4. TOTAY.F�RMIT FEE(Add Lines 1-3 Above) S� �- � $
■ * CON�RAC!'PRICE ar JOB COST means the actual a� estim�tted dol]�r�mount ciuu�ed for the
prnnitted work iAcluding materials,labar,profit,fuid othor fixed eosrs. Ic is rhe amoimt to be cba:gad
ta the cussomtr for thz work done. If any me[eris;� equipmtnt,}aba�or irx�nllations axe flarnished by
the owaer,tep$ai or any o�r party,t�e reasonable marlcet value of such itiems ,nu.az be addsd to thc
estimaud cost or conuract price for perniit fee ptrposes. rn the ev�nt rbai there is a disputie on tho
amauat of the job cost,the City may request the submissioa of a si�ned eopy of the actunl couuack
■ **The STATE SURCFiA1tQ�E is.40U5 of the Building Deparm�eat at(952)249jt60Q for the price.
The undersigned hereby applies to the Ciry for is,�uanee of a Mceharrical Perrnit,ag�ees to do all
work in s�icc accardance with thc ordinances of the City and che regulati�ms of the Star.� of
Minnesoia, and oertifies tbat all �taumerits ma�� an this applicatian are �omplete, r�n,e and
correc�
Applicant's Signature: ��• �� tI �
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