HomeMy WebLinkAbout2013-00262 - plumbing � CITY OF ORONO
� 2750 KELLEY PARKWAY * 2 P1 1 3 - 0 PJ 2 6 2 *
DATE ISSUED: 04/18/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3460 BIRCH LA
PIN : 08-117-23-43-0027
LEGAL DESC : LYDIARDS PARK LAKE MTKA
: LOT 019 BLOCK 000
PERMIT TYPE : PLUMBING (>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURE
NOTE: KITCHEN SINK
VALUATION OF PLUMBING 500
APPLICANT PLUMBING FIXTURE FEE 50.00
LISLE, STEVE&ANGELA
3460 BIRCH LA STATE SURCHARGE PLBG (VALUATION) 025
WAYZATA, MN 55391- TOTAL 50.25
PAID WITH CASH 50.25
OWNER
LISLE, STEVE&ANGELA
3460 BIRCH LA
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according[o
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not gran[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 JG�
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 f'or a period of 180 days at any time after work has commenced.
"I'he applicant is responsible for assuring all required inspections are �
requested in conformance with the State Building Code.This permit may be QtQ
revoked at any time for due cause.
/ / / /
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
DATE TIME ✓
CITY OF ORONO CALLED IN
INSPECTION NOTICE / SCHEDULED S-ZZ-/3 �
PERMIT N0.22�1�OD�L�� COMPLETED
ADDRESS ��`�D �.�� �U
OWNER TELEPHONE NO. 95Z ��3 ✓`�'S�
CONTRACTOR � TUuC�4
�: DESCRIPTION �/ �"'`�
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ 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 INSTALL O HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
�
O
a
�
O
�
W
�
Q
�
2
W
�
W
�
�
a
W� ❑WORK SATISFACTORY:PROCEED /�1�PRD.lECT COMPLETE
W ❑ CORRECT WORK&PROCEED u ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on site:
Inspector. �
White Copyllnspector's File Canary Copy/Site Notice
�� �� DATE TIME V
CITY OF ORONO �a CALLED IN ��
INSPECTION NOTICE�Oa HEDULED �-T"J- � � �
PERMIT NO.��. PLETED �
ADDRESS
OWNEF����� � �..�,� � TELEPHONE NO.
CONTRACTOR
�; DESCRIPTION
�
� ❑ FOOTING ;,��PLUMB G F AL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL �CI I�ECH NIC RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ 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 INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
a ��� C � ��
o �� �� 7�1 ��� �. .-�-- T� � 1 c..'�M� r^� _
� �-� � � L�•`�' L��v� :� . C.�-'� �
0
�
� �,'!,�" ��,t�-��
Q �
�
z
W
�
W
�
�
� �4A8`ATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
�NSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-4600
OwnerlContractor on site:
Inspector. � ' � ��
White Copyllnspector's File Canary CopylSite Notice