HomeMy WebLinkAbout2010-01041 - adv plan review CITY OF ORONO PERMIT NO.: 2010-01041
2750 KELLEY PARKWAY ,
ORONO, MN 55356- DATE ISSUED: 10/2U2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 1980 SIXTH AVE N
PIN : 27-118-23-42-0004
LEGAL DESC : UNPLATTED 27 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 100,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 100,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION/REMODEL
PERMIT#THIS PRE-PAYMENT IS TIED TO:2010-01042
APPLICANT ADVANCED PLAN REVIEW 686.89
BRIAN STEPHENSON CONST. INC. TOTAL 686.89
2025 PAWNEE RD
MEDINA,MN PAID WITH CC# 4583
(612)889-0477
Minnesota State License#: 20222459
OWNER
PIERPONT,JUDY&JIM
1980 SIXTH AVE N
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 does
not grant permission for additional or related work which requires sepazate
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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Iss y Signatu Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.