HomeMy WebLinkAbout2012-00808 - screen porch CITY OF ORONO * z 0 1 2 - 0 0 8 0 8 *
2750 KELLEY PARKWAY DATE ISSUED: 08✓17/2012
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 2900 DEER RUN TR
PIN : 04-117-23-24-0013
LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN
: LOT 008 BLOCK 004
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVI�W
VALUATION : $ 120,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 120,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: SCREEN PORCH
PERMIT#THIS PRE-PAYMENT IS TIED TO:2012-00809
APPLICANT ADVANCED PLAN REVIEW 764.89
MITTELSTAEDT INC TOTAL 764.89
P O BOX 454
WATERTOWN,MN 55388-
(612)716-9595
Minnesota State License#:20012394
OWNER
KACZKE,ROBERT&JILL
2900 DEER RUN TR
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 dces
not grant 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
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 aze
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 S�gnature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.