HomeMy WebLinkAbout2004-P08109 - remove oil/fuel tank �
� PERMIT
C ITY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 Posio9
Crystal Bay, Minnesota 55323 Per'mit Type: Mechanical Permits
(952) 249-4600 Date Issued: io�2v2ooa
SITE ADDRESS: 2625 North Shore Dr
Wayzata,MN 55391
P I D: 09-117-23-42-0003
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: General
Permit Type: Mechanical Permits Pernut Sub-type(s): Remove Oil/Fuel Tank
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,450.00
State Surcharge Fee: $ 0.73
TOTAL FEE: $ 35.73
APPLICANT: Dean's Tank Inc. OWNER: Bartholomew&Elizabeth Butzer
P.O.Box 22515 2625 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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APPLICANTPERMITE GNATURE SSUEDBY GNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports. 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical permits Uy mail or in person at the City offices. Applications will Ue
reviewed and a pennit will be issued within two working days.
2. Permit cards will Ue sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi n�s -Complete calculations, details and specifications are required for each heating,
ventilation,humidification-dehumidification, and air conditioning installation including heat loss/heat
gain calculation, design temperatures, equiprnent ratings and identification as to type, manufacturer and
model. Data shall Ue presented on form provided. Identification of and specifications for water heating
equipment shall also be provided.
4. When any new construction or remodeling is involved, a separate building pennit must be obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All warl:must Ue inspected (rough-in and tinal). Call (952) 249-4600. 24-hour notice required.
7. House Heating Test Record must Ue submitted Uefore final.
Instructions
Complete all items on this application. Compute the pennit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one: ❑ New ❑ Addition ❑ Repair ❑ Replace�Residential ❑ Commercial
JOB SITE: � Cc,�� �—�i /�� Zip:
Owner's Name: � � .0 Phone Number:
Mailing Address: City: Zip:
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Contractor's Name: _.,�,c�',, ��ry�. Phone Number: (vJ'-S 3S —c� � 9�
Mailing Address:y� � .� ���'/S City: � Zip: ,:�.�y2 Z
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SYSTEM DESCRIPTION • z�
HEATING SYSTEMS '
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES GAS LINE ONLY
❑ Gas factory fireplace ❑ Installing a Gas Line Only
❑ Wood Uurning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ,� Removal
❑ Fuel oil:�OQ � gallons �underground ❑ inside �outside
❑ LP Gas: gallons
❑ Other Gas opening
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� PERMIT FEE CALCULATION S
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture or appliance that ineets 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 Uy the homeowner or licensed contractor.
Skip ne�:t section; Cost of Permit $ 1�.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If aUove does not apply, follow guidelines below:
1. Contract Price* is .0125% of joU with a Minimum Fee of($35.00)
j �� � X .o12s $
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
x .0005 $
(contract price) (mininnun$.50)
3. Posta�e and Handlin� (O�ily�nail-i�i applications) $ � 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 aUove) $ �s' �/
*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 installation is fiirnished by the owner,tenant or any other party the reasonable market value of such items •
must be added to the estimated cost or contract price for permit fee purposes. fn 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 che actual contracc.
**The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For valuations over
$1,000,000 call the Department of Inspectional Services 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 Minnesota State Buiiding Code,and certifies that all statements made on this
application are complete,true correct.
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Applicant's Signatur . , �''"� � Date: � � d �
Approved By: Date: ln " Z-�` �`�
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