HomeMy WebLinkAbout2001-P04183 - remove oil/fuel tank PERMIT
CIT�OF ORONO Permit Number:
2750 K� � y Parkway - PO Box 66 P04183
Cry�cal Bay, Minnesota 55323 P@fCtllt Typ2: Mechanical Permits
(952) 249-4600 Date Issued: gi13�2ooi
SITE AQDRESS: 2655 Pheasant Rd
Excelsior,MN 55331
PID: 21-117-23-23-0005
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:
Oil Tank Removal- Underground-Outside
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 200.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: 7oseph Forrer OWNER: Mr. &Mrs.Forrer
MN 2655 Pheasant Rd
Excelsiar MN 55331
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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PPLICANTPERMITE SIGNATURE ISSUEDBYSIGNATURE
Conies: 1-File(Sienitures Repuired). 1-Apolicant, 1-Monthlv Reoorts. 1-Assessine, 1-Finance Page 1
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_ C TY 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 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 installation including heat loss/heat gain
calculation, design temperatures, equipment ratings and identification 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. 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 249-4600. 24-hour notice required.
7. 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 249-4600.
Please check one: New Addition Repair Replace
� Residential Commercial
JOB SITE:����S �/?F����Ol�,p� Zip: �s�3 /
Owner's Name: �j.s�� � �����,/,Q� Telephone Number: _���—�,T�/—��j 9
l�Iailing Address: _ �� City:,�X��;�LZs�-p,� Zip: .;��'.g 3 J
Contractcr•'s Name: � � Telephone Number:
Mailing Address: City: Zip:
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel: %��1�U i x9q� �� �ce�2i�,C7 r9��, �--
Flue Size: /
Input BTUs:
Output BTUs: ��
CFM: `�
COOLING SYSTEMS
Quantity:
N1ake:
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 BE APPROVED BY FIRE MARSHAL)
Installation � .Removal
Fuel oil: gallons � underground inside � outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.001
p��� 6ti x .0125 $
(contract price) Y`
2. State Surcharge. ** 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 party 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.
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. � Date: /,s Q�
Approved By: Date: � "/3 ��
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 3 0 `?�ov �'Pkr
PERMIT N0. COMPLETED 8/3 0� �a:30 �l,�.t
ADDRESS_ � 6 Ss /`��.c-c.. S�-wf /�o�1.v-I
OWNERSoe. FoYv�e,r CONTR.
TELEPHONENO. ���2 � y 7/ - 9 // 9
� DESCRIPTION u KG�e.N 9 r o•.�.�,, � -f c�, .�, k v�c w.o�ta.�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD• 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUM8ING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLETE
W �CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN p CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46�0
Owner/Contractor on site:
Inspector. ��O�"-
White Copyllnspector's File Canary CopylSite Notice