HomeMy WebLinkAbout2009-00277 - remove oil/fuel tank � - . CITY OF ORONO PERMIT NO.: 2009-002��
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 06/04/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 2700 KELLY AVE
PIN : 21-117-23-23-0033
LEGAL DESC : VERN-MAR MANOR
: LOT 008 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : REMOVE OIL/FUEL TANK
VALUATION : $ 1,750.00
NOTE: REMOVEL OF AN UNDERGROUND STORAGE TANK- 1,000 GALLONS
APPLICANT MECHANICAL 50.00
DEAN'S TANK INC. STATE SURCHARGE MECH(VALUATION) 0.88
P.O.BOX 22515 TOTAL 50.88
ROBBINSDALE,MN 55422
(763)535-0194
Minnesota State License#:475
OWNER
RICE,RICHARD&DEBORAH
2700 KELLY AVE
EXCELSIOR,MN 55331-
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 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 aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for dfie cause.
�� �0 9 l�, , o
Applic Permitee Signature D te I ed By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
• s ,
w • � � � =I+(3R:Ci' �'�U�++O�1Lx "
�1�� City of Orono ^� �7
�� `�� P.O.Box 66 �'�� Date 12�ceived:� � � Permit�,# � ��"'d�d� / 7
2750 Kelley Parkway
� � ,.,.� Crystal Bay,MN 55323 � I Approued By: Amount$:�' �
��4y (952)249-4600 ; �� '_� �' �
CITY OF ORONO—MECHANICAL PE IT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall)
C'rENER�I,TNFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Appiications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by retum 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 Desi�—Complete calcularions,details and specificarions are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installarion including
heat loss/heat gain calculation,design temperahues,equipment ratings and idenrification 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.
T�'PE DF:�EI�II'�
�he�k A�II That A ' 1
�Residential ❑ Commercial(Approval Required)
❑ New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Inforrnation:
Site Address: � � 0 �_ �
�
Owner: ��11�.-C� Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ���N �5 ��N1� �'�� Contact Person: �EAn) �F TN�'�/l'
Address: �"r�� � Q� �-.S1 � State Bond#:
City: � 0 ��'�.�s �,a L e Zip: $��2 Expiration Date:
Phone: ��-� 3 S - o � 9� Alternate Phone:
❑ Insurance—Current: �I�,,.
1
. 1 •
a • i
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes [�No
, �
�IEATING 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
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations ��
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation � Removal
Fuel Oil: � r� 0 gallons [�Underground ❑Inside �Outside
LP Gas: gallons
Other.
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
� . ,
❑ Yes,this section applies
The replacement of a Residential fixture or ap lip ance 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;excludins the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next secrion,if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
�� � �Q.� � x A125$
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Sttrcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * 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 fumished by
the owner, tenant ar any other party, the reasonable market value of such items must be added to the
esrimated cost or contract price for pernut 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 Building Department at(952)249-4600 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 State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: Date: �
3