HomeMy WebLinkAbout2016-01441 - gas line only ` � ` CITY OF ORONO * Z 0 1 6 - 0 1 4 4 1 �k
2750 KELLEY PARKWAY DATE ISSUED: 1ll16/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2040 SPATES AVE
PIN : 10-ll 7-23-31-0090
LEGAL DESC : ORA PARK ON LAKE MTKA
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : GAS LINE ONLY
VALUATION : $ 1,125.00
NOTE: GASLINE TO FIREPLACE,COOKTOP AND DRYER
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.56
NORTH CENTRAL PLUMBING INC. MAIL-IN FEE 2.00
28177 146TH ST NW
ZIMMERMAN,MN 55398- TOTAL 52.56
(763)856-4832 Payment(s)
Minnesota State License#:plbg-PC644436 CREDIT CARD 7541 52.56
OWIYER
DAMMEN, SUSAN
2040 SPATES AVE
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 separate
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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By gnature Date
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DATE TIME
CITY OF ORONO CALLED IN
INBPECTION O�I E 6`�� SCHEDULED • T/� .
PERMR NO. U� COMPLETED
ADDRESS a0
O�WNER LEPH NO.
CONTRACTOR �
� DESCRIPTION ` ��
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Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAVRiRADIN(iIFILUN(3
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Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
� ❑ FRAMING �ECHANICAL FINAL ❑ RATED WALLS
� 0 INSULATION ❑ OOD BURNER/FIREPLACE ❑COMPWNT
Q � FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL
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W o oo�cr wo�c a�oc�n ❑issue carn�►rE oF occuwurcr
o D OORRECT WORK,CALL FOR i�INSPECTION TBiAPORARY
�j BEFORE CWERINO PERMANB�IT
❑(�pqF1EC'T UM$AFE CONDI710N WITHIN HOUR3. ❑pHpTO TAKEN
IHSPECT'OR WILL RETURN
D 8TOP ORDER P08TED.CALL INSPECTOR ❑pTATION ISSUED
O INSPECTION REQUIRED.C/1LL TO ARRMIOE ACCESS.
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