HomeMy WebLinkAbout2012-00242 - adv plan review CITY OF ORONO * 2 0 1 z - 0 0 z 4 2 *
2750 KELLEY PARKWAY DATE ISSUED: 04/02/2012
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 75 STUBBS BAY RD N
PIN : 32-118-23-34-0014
LEGAL DESC : UNPLATTED 32 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 12,880.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 12880.00
TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING
PERMIT#THIS PRE-PAYMENT IS TIED TO:2012-00243
APPLICANT ADVANCED PLAN REVIEW 153.40
GATES GENERAL CONTRACTORS
3500 VICKSBURG LANE N TOTAL 153.40
PLYMOUTH,MN 55447- PAID WITH CC# 7533
Minnesota State License#: 6793
OWNER
MALBY,DONALD
75 STUBBS BAY RD N
MAPLE PLAIN,MN 55359-
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 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 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
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.