HomeMy WebLinkAbout2010-00138 - adv plan review ►
, ' � CITY OF ORONO PERMIT NO.: 2010-00138
� ' 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE �SSUEn: 03/12/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2650 COUNTRYSIDE DR W
PIN : 04-117-23-12-0014
LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN
: LOT 006 BLOCK 002
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 24,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT: $ 24000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: BLDG. PERMI"I' ,
PERMIT#THIS PRE-PAYMEN"I'1S'1'IED TO:2010-00139 �
APPLICANT ADVANCED PLAN REVIEW 258.86
SPORT COURT OF MINNEAPOLIS
1301 E. CLIFF ROAD SUITE 104 iuT4?� ?58.86
BURNSVILLE, MN 55337-
OWNER
JORGENSON, ROBERT '`�G �'''����'
2650 COUNTRYS[DE DR W
LONG LAKE, MN 55356
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according[o :�f,'��y
the approved plans and specifications,applicable City approvals,and the �r .:,
r�rt.�i
State Building Code. This permit is for only the work described and does �;t�ef;/,�;?1.?? G�wq! i
not grant permission for additional or related work which requires separate
permits. Ail provisions of laws and ordinances goveming this type of work �}� �
shall be compied with whether or not speciYied herein.This permit will �__ `'i
expire and become null and void if construction authorized is not --k
commenced within 180 days of the date of issuance,or if construction is ;aa�,: :
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 a[any[ime for due cause.
/ / / /
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� � (� DATE TIME V
CITY OF ORONO CALLED IN z-'7 �
INSPECTION N200`�"OD I�j� SCHEDULED ���_�fc���v .�6
PERMIT NO. COMPLETED
ADDRESS .Z� �� ��-I�1�"!'Lls 1 �� �1�-�, '
rQWNER TELEPHONE NO. �Sa�����
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CONTRACTOR �-�C'D�r't COur�"
>; DESCRIPTION �� �� � �P�'�t ��_�
�
ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
�
O ❑ 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 ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SE FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOH TO MEET YOU�YES_NO
� COMMENTS:
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WORK SATISFACTORY:PROCEED ��,i£C'rL`DMPLETE
W ❑ CT WORK&PROCEED '- ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CQRRECTUNSAFECONDITIONWITNIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WlLL RETURN
!7 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-460�
OwnerlContractor on site: �
Inspector. �---�
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