2013-00411 - adv plan review - Laserfiche WebLink

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CITY OF ORONO * Z Q� 1 3 - Pl 0 4� 2750 KELLEY PARKWAY DATE ISSUED: OS/28/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2215 BAYVIEW PL PIN : 17-117-23-44-0026 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT 000 BLOCK 000 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW ACTIVITY : 434-RESIDENTIAL VALUATION : $ 9,500.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT: $ 9500.00 TYPE OF PERMIT THIS PAYMENT IS FOR: DECK PERMIT#THIS PRE-PAYMENT 1S TIED TO:2013-00412 APPLICANT ADVANCED PLAN REVIEW 124.64 SOLID FOUNDATION CONSTRUCTION TOTAL 124.64 4326 7TH STREET NE COLUMBIA HEIGHTS, MN 55421- PAID WITH CC# 5250 Minnesota State License#: BC646691 OWNER DUNN,TIMOTHY 3010 BROOKS LANE WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT Thc 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 docs not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shali 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 cons[ruction 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.