HomeMy WebLinkAbout2014-00427 - fuel storage tank removal � CITY OF ORONO * 2 0 1 4 - PJ 0 4 2 7 *
2750 KELLEY PARKWAY DATE [SSUED: OS/09/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 300 SIXTI-I AVE N
PIN : 25-118-23-41-0001
LEGAL DESC : UNPLATTED 25 1 18 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FUEL STORAGE TANK REMOVAL
VALUATION : $ 3,500.00
NOTE: INSPEC"['IONS ARE DONE BY FIRE MARSHALL,JAMES VAN EYLL.
PLE�SE CALL.IAMES VAN F.YLL DIRECTLY AT:(952)473-9701 TO SET UP AN INSPECTION.
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) ].75
DEAN'S TANK INC. TOTAL 51.75
P.O. BOX 22515
ROBBINSDALE, MN 55422 Payment(s)
(763)535-0194 CHECK 15093 51.75
Minnesota State License#: BUIL-475
OWNER
DAYTON, DOUGLAS
300 SIXTH AVE N
WAYZATA, MN 55391-
AGREEMENT AND SWORIY STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and [he
S[ate Building Code. This permit is for only the work described and does
not gran[permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specitied herein.This permit will
expire and become null and void if construction authorized is not
commcnced widiin 180 days of the date of issuance,or if consuuction is
suspended for a period of 180 days at any time after work has commenced.
1'he 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 By i ature Date
.
FOR CITY USE ONLY � ✓v Y �
` City of Orono
� �-O�O P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:
Phone(952)249-4600 Fax(952)249-4616
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�q �,`� CITY OF ORONO —MECHANICAL PERMIT
KES H O� �All Commercial permi[s must be appruved by the 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 PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD 1S POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations, details and specifications are required for each
heating, ventilation, humidification-dehumidification,and air conditioning installation inctuding
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 Apply)
�Residential ❑ Commercial (Approval Required)
� \
❑ New ❑ Additional ❑ Repairs ❑ Replace
Job Site / Owner Information:
Site Address: �� U C �'y 2 � �P
Owner: �,(J ��1 z���G�-�-'0{� Mailing Address:
City: ����1 (� , ,/��/ Zip: .�����—
Home Phone: Alternate Phone:
Contractor Information:
Contractor: p Q_ct� 's ��n IC, �vlC, Contact Person: �d�t� n12�'�'1���'►�'
Address: ��o -�3ox za5�� State Bond #: C�L� 7 �_
City: � 6 hS e Zip:�Sy22 Expiration Date: c7 � 2a,L_
Phone: �I�3 - .,5�5--0��/ �J Alternate Phone:
❑ Insurance — Current:
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Note: All Geothermal Systems will now require a Sit 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:
,I
Model: {
i
Tons:
H. Power
FIREPLACES '
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry '
VENTILATION
❑ No. Kitchen Exhaust_�duct recirculating cfin
❑ No. Bath Exhaust(must have Qiuct outside) cfin
❑ No. Other Fans: Locations I cfrn
FUEL STORAGE (Must be approved by Fire Marshall proposing to abandon tank in place.)
❑ Installation � Removal dq�lc�0�1
� Fuel Oil: >> O 0(J gallons �Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List Vl�hat&Where:
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p A'r� „�}��. � �'d",� r�p.,ih,�uw �; ���a' '.- , �'" o-�n , �,� `$g x�,�� ,S, �.*�w+�.,��'�'{ � *'a,
M�.� ,�����.'6' ��gf! o� a,.t�`!s°� � _ . _ "�s"r ��ji'�'�S`2.sua&����,'„� �' ? Y.
f:ir���-�.�•r.r`;�� �x "� � B ti .,f^r1 „a` x,„�rt�R 'E` ?.'A*' h x�'9 �25 i . t ���+ �t�� k �, �'.
���:'10��6�,a i,a'�'� ��,''^ �`� �a'� �� ����i��� �� � � , t.�� e: i�': �,�`� .�'?� ^,;€ ai�:,c , £'�x��a���.
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❑ 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;excludin�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-In Fee(If Applicable) $ 2.00
Total Permit Fee $
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�`1z4��r�.n'�,.�`�'.�^�` aA:,�" ,aE���.,.. ?""' ��d � .mk+r.� �,� `a�..R<t�a��5s`.�,��,*r�# t
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
3,. �(� � x.0125$
(contract price) (minimum$50.00)
2. STATE SURCHARGE
x.0005 $
(conVact price)
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 furnished by
the owner, tenant or any other party, the reasonable market value of such items must be added to the
estimated cost or contracf 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.
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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: _�/,��/L-cti�s���"� Date: �.s� GS 9� �/
3