HomeMy WebLinkAbout2001-P04653 - remove oil/fuel tank * �.: ,
� PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P04653
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: t i�2v2ooi
SI�TE ADDRESS: 4775 North Shore Dr
MOUND,MN 55364
PID: 07-117-23-32-0022
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Remove Oil/Fuel Tank
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 800.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Mayer Dist. OWNER: D E BOLL& S E BOLL
PO Box 624 4775 NORTH SHORE DR
Wayzata, MN 55391 MOUND MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISS[ON 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 BU DING CODE REQUIREMENTS.
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PLICANTPERM EESIGNATURE [SSUEDBYSIGNATURE
Covies: 1-File(Sienitures Reauired). I-Apolicant, 1-Monthlv Reqorts, 1-Assessin¢. 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 by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within 2 working days.
2. Permit cards will be 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 Desiens - 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, equipment ratings and identitication as to type, manufacturer and model.
Data shall be 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 permit must be obtained.
5. A �vork 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 249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted before fmal.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600.
Please check one: New Addition Repair Replace
� Residential Commercial
JOB SITE: �7� � � � ���{����'�F' 7��'_. . Zip: ��5� �/
Owner's Name: ,�,�,� �30(/ Telephone Number:
Mailing Address: 5•�.��• City: prr,,"o Zip: .��-��y
Contractor's Name: �r �-,�. ���s� Telephone Number:
Mailing Address: �G. �o,c 6ZY City: K.�-�'z.r�z Zip: 5s�9/
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
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FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BF APPROVED BY FIRE MARSHAL)
Installation c/Removal
�Fuel oil: gallons underground inside outside
LP Gas: gallons
Other ,�,,,,�„-, �--,y,,,� ,,,,, �/.v� . Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee 35.00
�C�� x .0125 $
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
or $.50, whichever is greater (contract price)
3. Postaae and Handlin� (Only mail-in applications) $ 1.50
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 installation are furnished by the owner, tenant or
any other parry the reasonable market value of such items must be added to the estimated cost or contract
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.
** 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.
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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 Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct.
Applicant's Signature: �i� ���s� �•, Date: ��-z�-`�/
Approved By: Date:
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INSPECT N NOT SCHEDULED ��/�`�
PERMIT � COMPLETED �� r ''���
ADDRESS �' �775 /'Vc. S h.c��r ; l� �c�c�.
OWNER ���� �3��� CONTR. ��+g �v' ,�� s�:
TELEPHONE NO. `J d � �� V"?c�y�=r�- " Y 73'— -5��/8�
� DESCRIPTION ��wl(' ,�c��.ca,� i�,., ,cs / ct.c c
LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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d �WORK SATISFACTORY:PROCEED �; PROJECT COMPLETE
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� ❑ CORRECT WORK&PROCEED C= ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. — PHOTO TAKEN
INSPECTOR WILL RETURN
f CITATION ISSUED
❑ STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContractor on site:
Inspector. ��"a—�'
White Copyllnspector's File Canary CopylSite Notice