HomeMy WebLinkAbout1992-004539 - tank removal PERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: vIGAL
Crystal Bay, Minnesota 55323 Date Issued: c_8/04/`l
(612) 473-7357
,'E ADDRESS:
965 OLD LONG LAKE RD
LSV
P. I .N. : 35-11''— 3-41-000
DESCRIPTION:
TANK REMOVAL
1 REMOVE OIL TANK
� x n
REMARKS: •
FEE SUMMARY:
Base Fee 31+. Q
. 00
Surcharge
Total Fee $30.50
CITY OF ORONO
1313300000OFFICE #
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CHECK41 34p.3�t
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CONTRACTOR: - Applicant - OWNER:
JOHNSON JERRY EXC: 547:34361 CARLSON LARRY
2445 Mt=+RN I NGS I DE RD 965 +r+LD LONG LAKE RD
LONG LAKE MPJ 55356 ORONO MN 55:3'31
(612) 473-4361
T ;= ttt![iER'� Ch�sEC:+ HEREBY FEi,i_iF I 'F. ;°t�il'_:'._:IOt .-
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ORONO ► , : � �d�E'�� {°h:C �_ , E: ::i�� !`'[ �}.�-:•_. ..TA E I T aC � �E F I h �E �1
/PERMITEE SIGNATURF ISSUED BY:SIGNATURE
S39 `'4;h4
CITY OF ORONO e, r
APPLICATION FOR MECHANICAL PERMIT
ENERAL INFORMATION
You may apply for mechanical permits by mail or in person at the City
offices. Mailed-in permits are subject to the postage and handling fees
shown below.
2. Permit cards will be sent by return mail the same day the application is
received. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT
BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE.
3 . When any new construction or remodeling is involved, a separate building
permit must be obtained.
4 . All work must be done in accordance with State Building Code requirements.
5. All work must be inspected (rough-in and final). Call 473-7357. 24-hour
notice required.
6. House Heating Test Record must be submitted before final.
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 473-7357.
WALK-IN PERMITS apply at City Offices, 1335 South Brown Road (Cty. Rd 146)
MAIL-IN PERMITS enclose fee - Mail to: P.O. Box 66 , Crystal Bay, MN 55323
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Please check one: New Addition Repair Replace %���.,l .:
JOB SITE: j �! [ � .� t�L. / Cn Zip:
Owner' s Name : 2„ Telephone Number:
Mailing Address : City: Zip:
Contractor ' s Name:--1.,,,,-/-e Telephone Number:4173
Mailing Address " S Are . ' e c' City:4y,;,7 J4Kz, Zip=.5Ss S
*************************** **********************4****************************
MINIMUM FEE ( $30 . 00 per project)
********************************************************************************
SYSTEM DESCRIPTION: $15. 00 each unit
Heating Systems :
Quantity:
Make:
Model:
Fuel:
Flue Size :
Input BTUs :
Output BTUs :
CFM:
********************************************************************************
Cooling Systems :
Quantity:
Make :
Model:
Tons :
H.Power:
********************************************************************************
*WOOD BURNING EQUIPMENT $15. 00 each unit
Wood stove with flue
Wood combination or add-on unit
Factory fireplace with flue
Factor Fireplace (s ) freestanding Masonry
Wood Stove (s ) franklin, other
BrandName Model No.
Mfgr' s Min. , Clearances, side , rear , min. flue dia.
Total
******************************************************************************,1
VENTILATION $15. 00 each project
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
************************************************** **************************,
FUEL STORAGE (must be approved by fire marshal ) A.--//Yl
$30 . 00 Permanent/Temp. ary
U .
Fuel •
oil, < gallonsunderground inside ' outside 1
LP Gas, gallons
Other Gas opening
******************************************************************************.
GAS LINE INSPECTION
High/Low Pressure $15 . 00
******************************************************************************1
PERMIT FEE CALCULATION
1 . Total of above Installations or Minimum Fee ($30.00 ) $
2 . State Surcharge. Add the State Building Code Division
Surcharge to each permit $ . 50
3 . Postage and Handling on all mailed-in applications , S 1 . 50
4 . TOTAL PERMIT FEE add lines 1-3 above $
The undersigned hereby applies to the City of issuance of a Mechanical Permit
agrees to do all work in strict accordance with the ordinances of the City ar
the regulations of the Minnesota State Building Code, and certifies that al
statements made on this appli ion are complete, true and correct.
Applicant' s Signature: - - Date: -",7 -9
V
DTE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. ="-3 i COMPLETED
`-
ADDRESS Q _S• D.-bb' s !75 G -
OWNER 6 ( W ,-nom CONTR.
TELEPHONE NO. 5` 7 3 - 3�
DESCRIPTION , L `- --
4, 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
• 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
LW 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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d▪ ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
o BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. L PHOTO TAKEN
INSPECTOR WILL RETURN
ri
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner!Contr r o ite:
Inspector. -
White Copy/Inspector File Canary Copy/Site Notice