HomeMy WebLinkAbout2016-00154 - advance plan review fee for 2015-00155 CITY OF ORONO * 2 0 1 6 - 0 0 1 5 4 *
2750 KELLEY PARKWAY DATE ISSUED: 02/1U2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 1025 SPRING HILL RD "
PIN : 26-118-23-43-0005
LEGAL DESC : LJNPLATTED 26 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 25,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 25,000
TYPE OF PERMIT THIS PAYMENT IS FOR: IN-GROUND POOL
PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00155
APPLICANT ADVANCED PLAN REVIEW 281.89
PRESTIGE POOLS TOTAL 281.89
87 COUNTY ROAD C WEST Payment(s)
CHECK 16485 281.89
ST.PAUL,MN 55117-
OWI�IER
BOWLSBY,JOHN&CYNDY
1025 SPRING HILL ROAD
WAYZATA,MN 55391-
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 separate
permits. AII 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 consmtction 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 Signature Date