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HomeMy WebLinkAbout2013-00079 - mechanical , � CITY OF ORONO * Z 0 1 3 — 0 0 0 7 9 * 2750 KELLEY PARKWAY UATE ISSUED: O1/31/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4745 CREEKWOOD TR PIN : 30-118-23-33-0008 LEGAL DESC : PAINTERS WOODS : LOT 006 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULT[PLE VALUATION : $ 10,000.00 NO"TE: (1)L3RYANT I II;AT[NG SYSTEM-986TA-NATURnL GAS-3" �VC I'l,UE- 100.000 INNUT.9Z000 OUI�PU"I�BTU'S 1400 CFM'S (1)BRYANT COOL[NG SYSTEM- 126BNA-3.�1'ONS APPL[CANT MECHANICAL 125.00 COUNTRYSIDE SERVICES 6511 HWY 12 STATE SURCHARGE MECH (VALUATION) 5.00 MAPLE PLAIN, MN 55359 TOTAL 130.00 (763)479-I 600 OWNER YOCKEY, STEVGN &CLOLLEEN 4745 CREEKWOOD TR MAPLE PLAIN, MN 55359 AGREEMENT AND SWORN STATF.MENT I'hc work for which this permit is issued shall bc performed according to the approved plans and specifications,applicable City approvals,and the State[3uilding Code. This permit is for only the work dcscribed and does not grant permission for additional or related work which requires scparate permits. All provisions of�la�vs and ordinances governing this type of work shall be compied with�chether or not specitied herein.This permit will expirc and becomc null and void if construction aulhorized is not commenced within 180 days of the datc of issuance,or if construction is suspcnded for a period of 180 days at any time after work has commenced. The applicant is responsible for assurine all required inspections are requcst�d in conformance with the State Building Code.This permit ma��be revok at any tii� r ue cause. � I dv___�°' ��� � l � j l I � � l.k=v7i L GL �t � /3 ( l /� Applicant Permilee Signalure Date Issuc l3y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . - FO CIT USE ONLY ,¢�� City of Orono / �/ /� � O O., P.O.Box 66 Date Received: �l �rmit# [/� � QvD � 2750 Kelley Parkway �� � a r`'�� h�� Crystal[3ay,MN 55323 Approved By. Amount$:� ��yt� '''����-r�o'� Phone(952)249-4600 Fax(952)249-4616 �t�o� CITY OF ORONO—MECHANICAL PERMIT (All Commercial pennits must be approved by the Building Official or Inspector and/or Fire Marshall) 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 Desi�ns—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 ❑C'ommercial (Approval Required) ❑ New ❑Additional ❑ Repairs ❑Replace Job Site/Owner Information: slte Address: 4745 CREEKWOOD TRAIL STEVE YOCKEY 4745 CREEKWOOD TRAIL Owner: Mailing Address: ciri: MAPLE PLAIN Zip: 55359 Home Phone: �952� 747-3273 Alternate Phone: Contractor Information: COUNTRYSIDE SERVICES I R I NA LEV I N Contractor: Contact Person: Aaaress: 6511 HWY12 state Bona #: MB005313 MAPLE PLAIN 55359 06/30/14 City: Zip: Expiration Date: Phone: �763� 479-1600 Alternate Phone: ❑ MILWAUKEE CASUALTY X Insurance—Current: 1 . � MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑■ No HEATING SYSTEMS Quantity: 1 _ Make: BRYANT Mode�: 986TA FUe�: N.G. F�ue s�Ze: 3" PVC Input B.r��: 100,000 oucpuc BTus: 97,000 cFM: 1400 COOLING SYSTEMS Quantity: 1 Make: B RYAN T Moael: 126BNA To„S: 3.5 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 Fire 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 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) 10,000.00 X .o12s $ 125.00 (convact price) (minimum$50.00) 2. STATE SURCHARGE �O,OOO.00 �J.00 x .0005 $ (contract price) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 132.�� ■ * 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 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. 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: ! �� Reset Form 3 DATE TIME CITY OF ORONO CALLED IN �— INSPECTION NOTICE SCHEDULED �' PERMIT NO.�c=�-�'L��/�'' COMPLETED -�T— ADDRESS ��S'� �'c�e�C�.t%cx��� ,l /` , ��i OWNER TELEPHONE NO. CONTRACTOR ��u .2�v�., s�c�C S��r r�.����, �: DESCRIPTION � ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q O FRAMING �MECHANICAL FINAL p TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. LOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � ; .. a c�✓Vlt�'�= ���r— �t,lc� ?� ��'� // �,✓ � O ��v1�t� /r/S�c�'C��--1 � ��✓nr,�.,� re,0/• — P�,� ��if�/l� .!'i�LS �`rl v �° ��'�� �wt6 4s z`�o n - ve�,�i _ W � Q - �[V��r �l�-4�i e✓ !"�� ' ei�t St'Li T'ts 4�f'eS �i�l e � � r1�ur�L ��� ��,.s y�s.-��� Z W �.�G re��' ����:�i't�l� �''e f�rr Kcc� � �!L � �+'t� ������ — �e��.� a � '�•�I r� � ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ��� I SUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. �►�--- � White Copyllnspector's File Cenary CopylSite Notice