HomeMy WebLinkAbout2005-P08513 - fuel storage ITY � F RONO PERMIT
(' � O Permit Number:
2750 Kelley Parkway - PO Box 66 Possi3
Crystal Bay, Minnesota 55323 Per'mit Type: Mechanical Permits
(952) 249-4600 Date Issued: 3�i��2oos
SITE ADDRESS: 3970 North Shore Dr
Mound,MN 55364
PID: 08-117-23-33-0068
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Fuel Storage
DETAILS:
Approved per resolution#:
Separate perniits required:
NOTICES/REMARKS:
Remove Fuel Storage Tank
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 4.50
TOTAL FEE: $ 40.00
APPLICANT: Owner/Self OWNER: Timothy Zwart
� 3970 Narth Shore Dr
Mound MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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� APPL[CANT PERMITEE SIGNATURE 1SSUED BY SIGNATURE �
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
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FOR CITY USE ONLY
' � City of Orono '�?
4 � P.O.Box 66 Date Received: 3 /� f Permit#���sv
�;� 2750 Kelley Parkway ��'
?7�,�� Crysta]Bay,MN 55323 Approved By: -�� Amount$: "���
* y �a�������o� (952)249-4600
• CITY OF ORONO —MECHANICAL PERMIT
(All Commercial permits must Ue approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL 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. Pern-ut 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 IS POSTED ON THE JOB SITE.
3. Mechanical Designs—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification, and air conditioning installarion including
heat loss/heat gain calculation, design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on forni provided.
4. When any new construction or remodeling is involved,a separate build'uig pernut must be
obtained. �
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requu-ements.
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)
�f Residential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs ❑Replace
Job Site/ Owner Information:
Site Address: � � � ���.. � �C/ ��
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Owner: /' � �1r°+ � /,-qcti� % Mailing Address: 3 � �u ✓�of��, S�prc ,��2,�
City: �!� �z�'f�0 Zip: � � .�� �/
Home Phone: �� � � y � �� � 5�Cj Alternate Phone: �/ � - �� 7 ���.C,
Contractor Information:
Contractor: ��,�,� �, ,,._� �t- Contact Person:
Address: 3��!/, G I}"� ,S/�� t�ond#:
City: �lG�-�, Zip:��3�Expiration Date:
Phone: G��, , 7l� 2�.\��1 Alternate Phone: �/2 �S U7 � _/ 2 L/
❑ Insurance—Current:
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' • MECHANICAL SYSTEMS BE1NG INSTALLED
� HEATING SYSTEMS
Quantity:
A
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Ouiput BTUs: �
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation � Removal
Fuel Oi1:.�U 1'O �Sgallons � Underground ❑Inside ❑ Outside
, ��� LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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PERMIT FEE CALCULATION(S)
,e,r BASED OFF - 2002 STATE STATUE
[�] Yes,this section applies N� D.
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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;excluding 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 $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
� PERMIT FEE CALCULATION(S)—JOBS OVER$500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
x.0125$ �.�(�v
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x .0005 $ ��-�'�
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1�6�
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �^�� ��-
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pemutted 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 fiunished by
the owner, tenant or any other party, the reasonable market value of such items must be added to the
estimated cost or coniract 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 Deparrinent 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.
Applicant's Signature: �, � Date: � " �� � (J�
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