HomeMy WebLinkAbout2011 - 00257 - adv plan review CITY OF ORONO PERMIT NO.: 2011-00257
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 04/29/2011
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1930 WEST FARM RD
PIN : 27-118-23-43-0021
LEGAL DESC : THE FARM AT LONG LAKE
: LOT 022 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 135,000.00
APPLICANT ADVANCED PLAN REVIEW 823.39
LAKE COUNTRY BUILDERS, LTD TOTAL 823.39
339 2ND STREET
EXCELSIOR,MN 55331 PAID WITH CC# 4185
(952)474-7121
Minnesota State License#: 20349679
OWNER
LYONS,MICHAEL&DEBRA
1930 WEST FARM RD
LONG LAKE,MN 55356
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 governing 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.
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Se4--
— ( DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE /1SCHEDULED 1/ a•'��
PERMIT NO ad I I -DSK COMPLETED
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ADDRESS / 3 L ad
OWNER �� TELEP NE NO.
CONTRACTOR0eAk
DESCRIPTION PI bI►� /
W ❑ FOOTING ❑ LU BING FINAL ❑ EXCAV/GRADING/FILLING
ti ❑ POURED WALL ❑ HANICAL RI ❑ LAKESHORE/WETLANDS
❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
• ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS
• ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
❑ DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COM TS:
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CC
W
CC
I ❑WORK SATISFACTORY:PROCEED KROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
El CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN
INSPECTOR WILL RETURN
ElSTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site: ��
Inspector. (J_—_�
White Copy/Inspector's File Canary Copy/Site Notice