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Home My WebLink About2015-00180-permit voided •� CITY OF ORONO * z � 1 5 - 0 m 1 8 0 * 2750 KELLEY PARKWAY DATE ISSUED: 02/1U2015 ORONO, MN 55356- (952) 249-4600 FAX: (952 249-4616 ADDRESS : 945 FOREST ARMS LA PIN : 07-117-23-12-0019 LEGAL DESC : FOREST ARMS COUNTRY CLUB ADDN : LOT 000 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 11,065.00 NOTE: 1 HEATING SYSTEM, 1 COOLING SYSTEM, 1 KITCHEN EXHAUST,3 BATH F,XFIAUST 1 GAS LINE TO GARAGE XJ Y v�'� V sf* APPLICANT MECHANICAL 138.31 STATE SURCHARGE MECH(VALUATION) 5.53 WEST METRO MECHANICAL 220 FRANKLIN ST TOTAL 143.84 NORWOOD YOiJNG AMERICA, MN 368- Payment(s) CREDIT CARD 8702 143.84 Minnesota State License#: mech-68493 OWNER IVERSEN TRUSTEE, ROSEMARY C 2835 CASCO PT RD WAYZATA, MN 55391- 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 perrrtission for additional or related work which requires separate permi[s. All provisions of laws and ordinances govcrning 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 applican[is responsib(e for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � L L�-�-`vv�C,�/� 2� j � � . , , �� - App(icant ermitee Signature Date Issued By Signature Date . , _ �. � FOR CITY USE ONLY � , City of Orono i� ��0� P.O.Box 66 Da[e Received: Permit# \ 2750 Kelley Parkway '' Crystal Bay,MN 55323 Approved By: Amaunt$: � � � ! Phone(952)249-4600 Fax(952)249-4616 � �% �, ;r � : �'' � " CITY OF ORONO—MECHANICAL PERMIT \��h f��_�`' / (All Commercial permits must be approved by[he Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION l. You may apply for mechanical pernuts 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 PERMTT CARD LS POSTED ON THE JOB SITE. 3. Mechanical Desiens—Complete calculatioos,details and specifications are required for each hea[ing,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 6na1. TYPE OF PERMIT (Check All That A 1 ) �((Residential ❑Commercial(Approval Required) T` ❑ New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: �� 5 FD(Q�� A�MS �--q n� Owner: E�}'��n Mailing Address: City: ��c7�'1G Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: W�S} �Q� �r��^��n�� Contact Person: ��''eW ��tyx k Address: �a'� ��If-��n S'�, State Bond#: �P�g�q 3q �iry: N er�,,��d Zip:S53��Expiration Date: ��- � ' �� Phone: 9 5�-a`\S- 4u I�� Alternate Phone: 3 a� �'3�0�-�3055 � Insurance—Cunent: �'� ' �.5 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 I-�ATING SYSTEMS Quantity: � Make: i'QY v�� Model: ��1ri as�Cj�-1$0$0 Fuel: Nca{'4rc,� �j►c�� Flue Size: a" P�C, InputBTUs: ��i�� Output BTUs: 7�. �a C CFM: I 0 J� COOLING SYSTEMS Quantity: ' Make: 1"0.�l�� Model: ��1,��03�' Tons: � H.Power \�c� FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTII.ATION �� ,� No. __�___ KitchenEachaust � duct recirculating �� cfm � No. � Bath Eachaust(must have duct outside) $C7 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:��t-'- 2 • - s, PERMIT FEE CALCULATION(S) BASED OFF-2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance tY�at meets all three of the following requirements: ]. Does not require modification Co electrical or gas service. 2. Has a total cost of$500.00 or less;excludin�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$50.00) � �� x.0125$ (wntract price) (miuimum$50.00) 2. STATE SURCHARGE I'� ,r�6��- V x.0005 $ (c:ontract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or 70B COST means the actual or estimated dollar amount charged for the permitted wark 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 con[ract price for pernut 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, tcve and correct. ApplicanY s Signature: �� Date: I `�— � S _ 3 ��NO � � ti � �. �, l9kfSHv�� July 27, 2015 Peter, Attached is a refund request from West Metro Mechanical, for permit#2015-00180 located at 945 Forest Arms La. Per the attached letter they will not be doing the work on this project. They would like a refund. Roger has agreed to refund the cost of the permit, minus the State Surcharge and Mail-In Fees. Please refund West Metro Mechanical$138.31 for the cost of the permit only. Thank you, 2acheL'Uo�d�� Rachel Dodge Administrative Assistant Send refund check to: West Metro Mechanical 220 Franklin St Norwood Young America, MN 55368 � To whom it may concern, V I pulied a mechanical permit for 945 Forest Arms Lane, Orono Mn on 2-11-2015, permit#2015-00180. The general contractor told me that they were going to go ahead with the remodel of the house so I pulled a permit for a remodel.After a few weeks the homeowners decided to tear down the house and have a new house built. I would like to get get refunded for the permit I pulled on 2-11-2015 and pull my permit for a new construction home. Thank you and have a great day. If you have any questions you can contact me at: Andrew Franck West Metro Mechanical 952-215-8174 ��% ��v �-�� - ►� ,� r1 , , � � � ;-r��j�i:�V�C � . CITY OF ORONO * z 0 1 5 - � 0 1 8 0 * . 2750 KELLEY PARKWAY DATE ISSUED: 02/1 U2015 • ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 945 FOREST ARMS LA PIN : 07-117-23-12-0019 LEGAL DESC : FOREST ARMS COUNTRY CLUB ADDN : LOT 000 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 11,065.00 NOTE: 1 HEATING SYSTEM, 1 COOLING SYSTEM, 1 KITCHEN EXHAUST,3 BATH EXHAUST 1 GAS LINE TO GARAGE APPLICANT MECHANICAL 13831 WEST METRO MECHANICAL STATE SURCHARGE MECH(VALUATION) 5.53 TOTAL 143.84 220 FRANKLIN ST Payment(s) NORWOOD YOLJNG AMERICA, MN 55368- CREDIT CARD 8702 143.84 Minnesota State License#: mech-684939 OWNER IVERSEN TRUSTEE, ROSEMARY C 2835 CASCO PT RD WAYZATA,MN 55391- 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 sepazate permits. All 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 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. /��J� %' � �'Y�,�� 2 �/r � �5 Applicant Permitee Signature Date Issued Signature Date