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HomeMy WebLinkAbout2009-00420 - fuel removal CIT OF ORONO PERMIT NO.: 2009-00420 2750 LLEY PARKWAY OR NO,MN 55356- DATE ISSUED: 07/22/2009 952 249-46 0 FAX: 952 249-4616 ADDRESS : 405 OLD CRYSTAL BAY RD N PIN : 33-118-23-24-0007 LEGAL DESC : DUMAS ORCHARDS : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FUEL REMOVAL VALUATION : $ 700.00 NOTE: REMOVE UNDERGROUND FUELOIL TANK - 560 G LONS NOTE: CALL JAMES VAN EYLL AT 952-473-9701 FOR INSPEC ON PRIOR TO BACKFILLING APPLICANT MECHANICAL 50.00 MID AMERICA STATE SURCHARGE(VALUATION) 0.50 6989 55 STREET N SUITE C TOTAL 50.50 OAKDALE,MN 55128 PAID WITH CASH 50.50 (651)779-1900 OWNER MN DOT/STATE OF MN MN,MN DOT/STATE OF DIRECT OLD CRYSTAL BAY RD N ST.,MN 55155 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested i nformance with the State Building Code.This permit may be I revoke t an time for due cause. 1 Appli 15ermitee Signature Date cz-,>a Is ed By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. JUL-20-?009 11:07A FROM:MIDAMERICA 6517799786 T0:9522494616 P.2/4 FOR CM USE ONLY City of Orono Date Received:' P,O.Box 66 rvcd; / Permit 2750 Kelley Parkway 'H Crystal Boy,MN 55323 ApprovedBy- Amount$;' 1 (952)249-4600 t CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits mug be approved by the Building OlTicial or Inspector and/or Fire Wshall) 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 RF,GIN UNTIL.THE PERMIT CARD IS POSTED ON THE JOR SITE, 3. Mechanical Desigis—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/hest 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 Al That Apply) Q Residential ❑Commercial(Approval Required) ❑New 0 Additional ❑Repairs ❑ Repince Job Site /Owner Information: Site Address: 405 N. Old Crystal Raad, Orono, MN 55356 Owner: Site to be Demolished Mailing Address: City: Zip. Home Phone: Alternate Phone: Contractor Information: Contractor: MidAmerica, Inc. Contact Person: Jim Harms Address: 6989 N. 55th St. Suite C2 State Bond#: MPCA Tank Supervior8 Fr'3q� City: Oakdale Zip: 55128 Expiration Date: 07/01/12 Phone: (651)779-1900 Alternate Phone: (612)812-1455 Q Insurance—Current: 1 -t/I'Ync j VAN G`�CL `152 - Y73- 9� of NsPec,�� en-101- -�o (�,qcfc- ijf/.n ipL-20- 009 11:08A FROM:MIDAMERICA X6517799786 TO:9522494616 P.3/4 N F.EliANICAL STEMS BEING INNTkLL)I a Note:All Geothermal Systema will now uire a Site P n&Review by our Building G,mcial. IS TRIS GEOTHERMAL? ❑Yes No I EATING SYSTEMS Quantity; Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons; H.Power EMPLACES O Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace © Wood Stove .Model No.: ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchen Exhausts' duct recirculating cfm ❑ No. Bath Exhaust(m have duct outside) _cfm 0 No. ether Fans: Lac tions _ , gfhl FUEL STORAGE (Must be approved by FYre a►sball j/propadng to abandon lank ln place) ® Installation ❑ Rom val Fuel Oil: 560 gallons ® Underground ®-Inside ®Outside LP Gas: gallons Other: ONIX- 13 IY Outdoor Grill 0 Others/List What&Where: 2 JUL-202009 11:08A FROM:MIDAMERICA 16517799786 TO:9522494616 P.4/4 PERMIT FEE CALCULATION(S) BASED,QF -2002 STATE STATUE 13 Yes«this section applies The replacement of a Residential flo i that meets all three of the following requirements: 1- Does not require modification to lecarlcal or gas service. 2. Has a total ooh of$500.00 or 1 .- —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 $ "(5.00 State Surcharge $ .50 Mail-In Fee(IfApplicable) $ 2.00 Total Permit Fee S�^ PERMIT PEE CALC TION(S)—JOBS OVER$500.00 If above does not apply;follow guidelines bolo : 1. COC'',-PRICE •is 1.25%of contract price with a(Minimu �F]�o SS0.00) �0C x.0125$ -00 te•nund Price) (minimum$50,00) 2. UAZ SURCHARGE **Adda State Bldg Code Div,Surcharge(Minimum free of 5.90) Wr r X.0005 $ 'Y ' (�n'mct price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on ail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add tines i-3 Above) S '77-To • • CONTRACT PRICE or JOB COST mean's the actual or estimated dollar amount charged for the permitted work including materials,labor,pr fig and other fixed casts. It is the amount to be charged- to the customer for the work done: If anyterial,equipment +labor or installations are furnished by the owner,tenant or any other party,the rens nable market value of such items must be.added to the estimated cost or contract price for permit f 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 uliding Department at(952)249-4600 for the price. MF.CHANICAI.PERMIT PPLICATION "AM REEMENT The undersigned hereby applies to the City fa issuance of a Mechanical Permit,agrees to do$It work in strict accordance with the ordinance of the City and the regulations of the State of Minnesota, and certifies that all state ents ado on this application are complete. true and correct. Applicant's Signature: Date: —7" 3 JUL-20-&009 11:06A FROM:MIDAMERICA 517799766 TO:9522494616 P.1/4 MI DAMERI _ TECHNICAL& ENVIRON WAL SERVICES, INC. 6989 N. 556 Si..sure C2 Oakdale,NW 551211 FAx To: OF v Y o FROM: _ `1A is �..J FAX#• a?!K 2 T (4 �D LP PAGES; PHONE#• DATE: RE: i�th5 ��.� 1 0 W oo t� b. c -vQ CA- I.-) Ar2 C �F T L v 5l a1 1C CC; Urgent, For R ew _Please Reply Please Recycle Brlaging technical expertis to.your.environmental neidg." ' •'I :. - . I����I .. - • ;...' .. , n. gip•,•i."' t phone(651)779-1900 Fax(651)779-9786 .�.:.�li A 1:.: .:f N•I,, e 1 �� - 1•'Nn