HomeMy WebLinkAbout2005-P08806 - remove fuel storage � � ' PERMIT
CITY��F ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p08806
Crysfal Bay, Minnesota 55323 Permit Type: 1v�echanical Permits
(952) 249-4600 Date Issued:
6/6/2005
SITE ADDRESS: 2385 North Shore Dr Unit#
Wayzata,MN 55391
P��� 10-117-23-33-0001
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Pernvt Type: Mechanical Permits Pernut Sub-type(s): Fuel Storage
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Remove 1000 gal.fuel storage tank-OK'd by Lyle Oman
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 1,850.00
State Surcharge Fee: $ 0.93
TOTAL FEE: $ 35.93
APPLICANT: Dean's Tank Inc. OWNER: D H TENNEY ET AL TRUSTEES
P.O.Box 22S 15 2385 NORTH SHORE DR
Robbinsdale,MN 55422 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMI SI ATURE SSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR CITY USE ONLY
,� � ,��� City of Orono
P.O.Box 66 Date Received: Permit#
�t;,,,,, � 2'I50 Kelley Parkway
, a ;�j`''Y,;�'; �. Crystal 13ay,MN 55323 Approved By: Amount$:
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CITY OF ORONO —MECHANICAL PERMIT
(All Commercial pennits must Ue approved by the Building Ofticial or[nspector and/or Fire Marshall)
GENER.AL INFORMATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Pemut cards will be sent by retuin mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK NIUST NOT BEGIN iJNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations, detaiis and specifications are required for each
heating, ventilation, huiZudification-dehumidification, and air conditioning installation includiilg
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. W'nen any new construction or remodeling is involved, a separate building pernut 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 A ly)
`�Residential ❑ Coinmercial(Approval Required)
/ �
❑ New ❑ Additional ❑ Repairs ❑Replace
Job Site/ Owner Information:
Site Address: :� 3 � J ��.�t'�-�� ...-c� ����
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Inforniation:
Contractor: ��!4�° �S �r}�f � �n� � Contact Person: � � �J f'Y < : UV�%��� �1/��
Address: � U ; !� A'X �� � � � � State Bond #: C� �� '?� /�t�`�'� /�
City: ��-v U'�'�''t�-nC0 Z1p:'�J �'��xpiration Date: ��..� Q �/
��c.�- J;� .:� ..._CJ � 9'c�
Phone: Alternate Phone:
❑ Insurance— Cun-ent:
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MECHANICAL SYSTEMS BEING INSTALLED
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HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
,;y�
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
�:, ❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
s�:
VENTILATION
" ❑ No. Kitchen Exhaust duct recirculating cfm
:f�
�;,.- ❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
�;�.,
.�_ FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation � Removal
Fuel Oil: (9� � U gallons �.Underground ❑ Inside [�Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
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PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all tluee of the following requirements:
1. Does not require modification to elecri�ical or gas service.
2. Has a total cost of$500.00 or less; eYcludin�the cost of the fixture or appiiance: and
3. Is improved,installed or replaced by the homeowner or licensed conh�actor.
Skip next section, if this applies; Cost of Pernut $ 15.00
� State Surcharge $ .50
� � � � Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCULATION(S) —J�BS OVER $500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of conn-act price with a(Minimum Fee of$35.00)
,�� t.�-. C;��
� � �� x.0125 $
(contract price) (minimum S3�.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the achial or estimated dollar amount charged for the
pernutted 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 sucl� items must be added to the
estimated cost or contract price for pernut fee purposes. In the event that there is a dispute on the
amouiit 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.
MECHANICAL PERMIT APPLICATION AGREEMENT ��
;�
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.
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Applicant's Signature: v-� Date: C�-� (� j
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