HomeMy WebLinkAbout2012-01105 - pergola CITY OF ORONO * z � 1 z - 0 1 1 0 5 *
2750 KELLEY PARKWAY DATE ISSUED: 10/3U2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2850 SOMERSET LA
PIN : 04-117-23-21-0013
LEGAL DESC : OLD CRYSTAL BAY ROAD 2ND ADDN
: LOT 006 BLOCK 003
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 62,000.00
NOTE: PLEASE FILI_ IN THE FOLLOWING:
VALUATION OF PERMIT: $ 62,000.00
'1'YPE OF PERMIT THIS PAYMENT IS FOR: PERGOLA
PERMIT#THIS PRE-PAYMENT IS TIED TO:2012-01 104
APPLICANT ADVANCED PLAN REVIEW 501.64
BARKLEYLANDSCAPES,LLC TOTAL 501.64
10820 46TH PLACE NORTH
PLYMOUTH, MN 55442- PAID WITH CC# 0495
OWNER
TRANGSRUD&TERRY RASMUSSEN,JON
2850 SOMERSET LA
LONG LAKE, MN 55356-
ACREEMENT AND SWORN STATEMEIVT
The work for which this permit is issucd shall be perYormed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only[he work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing 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 a(1 required inspections are
requested in conformance with the State Building Code.This permit may be q _
revoked at a� � or due cause. j ,Lf�
.. - ( ° '3( ' � � ��/!, ��;3� -�Z
Applican itee Signature Date Issued I3y Sig atur � Date
SEPARATE PERMITS REQUIREI�FOR WORK OTHER THAN DESCRIBED ABOVE.