HomeMy WebLinkAbout2013-00769 - adv plan review CITY OF ORONO �
2750 KELLEY PARKWAY * Z 0 1 3 - 0 PJ 7 6 9 *
DATE ISSUED: 08/06/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS ; 2102 SUGARWOOD DR
PIN : 34-118-23-21-0021
LEGAL DESC : SUGAR WOODS
: LOT 002 BLOCK 004
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 15,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$15,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: SWIMMING POOL PERMIT
PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-00767
APPLICANT ADVANCED PLAN REVIEW 172.58
CUSTOM POOLS TOTAL 172.58
8960 EXCELSIOR BLVD
HOPKINS, MN 55343 PAID WITH CC# 2674
(612)933-2255
Minnesota State License#: 5023
OWNER
JASPER,THOMAS F&JENNIFER J
2102 SUGARWOOD DR
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 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 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
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.