HomeMy WebLinkAbout2016-01574 - advance plan review fee CITY OF ORONO * 2 pJ 1 6 - 0 1 5 7 4 *
2750 KELLEY PARKWAY DATE ISSUED: 12/28/2016
ORONO,MN 55356-
(952)249-4600 FAX: 952)249-4616
ADDRESS : 1280 SPRUCE PL
PIN : 08-117-23-32-0027
LEGAL DESC : N/A
: LOT MB BLOCK O10
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 200,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$200,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION
PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-01575
APPLICANT ADVANCED PLAN REVIEW 1,130.95
TOTAL 1,130.95
REVISION LLC Payment(s)
153 E LAKE STREET CHECK 12919 1,130.95
WAYZATA,MN 55391-
(952)540-7150
Minnesota State License#:BUIL-BC639027
OWI�IER •
RYAN,JOHN
1280 SPRUCE PL
MOiJND,MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this pertnit 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
permiu. 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 Issued By Signature Date