Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
CITY OF ORONO PERMIT NO.: 2011-00301 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: OS/10/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 395 SUSSEX LA <br /> PIN : 04-117-23-24-0007 <br /> LEGAL DESC : FOX BEND <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> - PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 44,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ $44,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO: 20 1 1-003 02 <br /> APPLICANT ADVANCED PLAN REVIEW 401.21 <br /> MANTIS DESIGN&BUILD TOTAL 401.21 <br /> 465 NEWTON AVE S <br /> MINNEAPOLIS,MN 55405- PAID WITH CC# 1537 <br /> (612)377-0123 <br /> Minnesota State License#:20470400 <br /> OWNER <br /> CAMPBELL,JON&SUSAN <br /> 395 SUSSEX LA <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time aRer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued B ' ature e <br /> t SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . <br /> � �. <br />