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Home My WebLink About2011-01423 - wood burning FP insert CITY OF ORONO PERMIT NO.: 2011-01423 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE ISSUED: 1U09/2011 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 2620 FOX ST PIN : 04-117-23-42-0010 LEGAL DESC : REG. LAND SURVEY NO. 1249 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 3,400.00 NOTE: 1 QUADRA FIRE VOYAGEUR WOOD BURNING FP INSERT APPLICANT MECHANICAL 50.00 FIRESIDE HEARTH & HOME STATE SURCHARGE MECH (VALUATION) 1.70 2700 FAIRVIEW AVE ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (651)633-2561 MISC FEE 0.00 Minnesota State License#:20512060 TOTAL 53.70 OWNER JAFFRAY, MR. & MRS. 2620 FOX ST WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shali be performed according to [he 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 separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied 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 l80 days at any time after work has commenced. The applican[is responsible for assuring all required inspections are requested in conformance wi[h the State Building Code.This permit may be revoked at any time for due cause. �_'�Z""''l. (/� / / C�� / / Applicant Permitee Signature Date Issued By g ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . FOR CITY USE ONLY A` City of Orono O¢O`rO, P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway a , 'p� ;;' Crystal Bay,MN 55323 Approved By: Amount$: ��`��+ ''' ' �� o Phone(952)249-4600 Fax(952)249-4616 ��*�tsaxo�'� CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits 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[S POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each heating,ventitation,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: Site Address: o��a v �'o�[ �-� . � Owner:�tapper Ja-I�.�/�a y Mailing Address: �le�o �'v�.S 1• City: W�� d�w M N Zip: �S�f/ Home Phone: �/sa-�/7�-�3S Alternate Phone: Contractor Information: Contractor: Contact Person: HEARTH & HOME TECARTH &GHOMENC. dba Address: State Bond#: Lic. BC0512060 �� *o•�TG+�! AVENUE N ROSEVILLE, MN 55113 City: Zip: Expiration Date: 651.633.2561 Phone: Alternate Phone: ❑ Insurance—Current: 1 �� `" ' D TE TIME " CITY OF ORONO CALLED IN � / INSPECTION OTICE L.� SCHEDULED � � � PERMIT NO. D � I { MPLETED ADDRESS OWNER TELEPHONE NO. - � '� � �� CONTRACTOR >; DESCRIPTADN��`'��l.- (�t/D�� (��'��/IS �/�` � lt� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ IAKESHORENVETLANDS � 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 tNSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W � o �. t-1.e �t-��3- � �4 rS¢�1 � N t .A r�} �. r � +�.�c�,c c� 0 � W � Q � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETUFN ❑CITATION ISSUED ❑ STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site• Inspector. � White Copyllnspector's File Canary CopylSite Notice