HomeMy WebLinkAbout2013-01155 - adv plan review CITY OF ORONO * Z QJ 1 3 - 0 1 1 5 5 *
2750 KELLEY PARKWAY DATE ISSUED: 10/30/2013
ORONO, MN 55356-
(952 249-4600 FAX: (952) 249-4616
ADDRESS : 3515 SIXTH AVE N
PIN : 29-118-23-43-0002
LEGAL DESC : LJNPLATTED 29 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 40,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 40000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: REMODEL PERMIT
PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-01156
APPLICANT ADVANCED PLAN REVIEW 373.26
MITTELSTAEDT INC TOTAL 373.26
11730 BRADDOCK AVE SE
P O BOX 454
WATERTOWN,MN 55388- ��--
(612)716-9595
Minnesota State License#:20012394
OWNER
PETERSON,DALE&DIANE
3515 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 t any time after work has commenced.
The applicant is responsibl or t required inspections are
requested in c e B ' Code.This permit may be
revoke any ' or
'� i� i i
A t rmite atu Date Issued y i ature te
SEPARATE PERMITS REQUIRED FOR WORK OTHE HAN DESCRIBED ABO E.