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Home My WebLink About2012-00675 - mechanical , . - CITY OF ORONO * 2 0 1 2 - PJ 0 6 7 5 * 2750 KELLEY PARKWAY DATE ISSUED: 07/17/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4700 CREEKWOOD TR PIN : 30-118-23-33-0004 LEGAL DESC : PA[NTERS WOODS : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 3,932.00 NOTE: (1)BRYANT COOLING SYSTEM= 186BNA-2.5 TONS APPLICANT MECHANICAL 50.00 COUNTRYSIDE HEATING& COOLING 6511 HWY 12 STATE SURCHARGE MECH (VALUATION) 1.97 MAPLE PLAIN, MN 55359 TOTAL 51.97 (763)479-1600 OWNER ERB, TRACY&JEFF 4700 CREEKWOOD TR MAPLE PLAIN, MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Quilding Code. This permit is for only the work described and docs not grant permission for additional or related work which requires separate permits. AII provisions of laws and ordinances goveming 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 Ihe date of issuance,or if construction is suspendcd for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requcsted onformance i[h the State Building Code.This permit may be revoked t y time fo d use. � � 1 � �� r�- -7�/7 �/1- Applicant Permitee Signature Date [ss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR CITY l'SE ONLY � O¢D�O Ci of Orono P.O.Box 66 Date Received�/�7 ��nnit# ��/� �� 2750 Kelley Parkway � ��'�; r I Crystal Bay,MN 5_5323 Approved By: Amount$: ��.,.$.�o�-� Phone(952)249-4600 Fax(952)249-4616 _ aaxo�,'. CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall) 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 BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical DesiQns—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. 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 All That A 1 ❑■ Residential ❑Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs ❑ Replace Job Site/Owner Information: s�te aaaress: 4700 Creekwood Trail Trac Erb 4700 Creekwood Trail Owner: y Mailing Address: clri: Maple Plain Z;p: 55359 Home Phone: �952� 473-1609 Alternate Phone: Contractor Information: Countryside Services Irina Levin Contractor: Contact Person: aaaress: 6511 Hwy 12 state sond #: M B005313 Ciry: Maple Plain Zlp:55359 Expiration Date: 06�3O/�4 Phone: Alternate Phone: � Insurance—Current: mWC � ��69� 1 MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothennal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: 1 Make: Bryant Moae�: 186 B NA Tons: 2.5 H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry 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 Fere Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 J t PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies 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;excludinQ 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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 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$50.00) 3,932.00 x .o12s $ 50.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE 3,932.00 � .97 x .0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $51 .�� ■ * 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 installations 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 per►nit 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. 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: G�v Date: � /u _/�--� Reset Form 3 D TIM E � CITY OF ORONO CALLED W 7`� INSPECTION NOTICE CHEDULED — ' PERMIT NO.do�a -DD�7S�OMPLETED ADDRESS y7DD ��'��r��° / �' OWNER TELEPHONE NO. �� 4 `�� CONTRACTOR � � �t� �: DESCRIPTION ��C� �/�C`� �� tl� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILIING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � ti � Q � Z W � w � � GW ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � CJ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CQRRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN � CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-46�� Owner/Contractor on site: Inspector. _,8 � �Y� ( White Copyllnspector's File Canary CopylSite Notice