HomeMy WebLinkAbout2014-00642 - adv plan review CITY OF ORONO * Z 0 1 4 - 0 0 6 4 2 *
i 2750 KELLEY PARKWAY DATE ISSUED: 06/23/2014
' ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDR S� : 3115 SUSSEX RD
PIN : 04-117-23-32-0015
LEGAL I?ES : FOX BEND
: LOT 004 BLOCK 002
PERMI TY : ADVANCED PLAN REVIEW
PROPE TY PE : RESIDENTIAL
CONST UC N TYPE : ADVANCED PLAN REVIEW
ACTIVI Y .
VALUA IION : $ 115,000.00
NOTE: �AS FILL IN THE FOLLOWING:
VALUAT 01�1 O PERMIT:$ 115,000.00
TYPE OF ERM THIS PAYMENT IS FOR: REMODEL
PERMIT#THIS -PAYMENT IS TIED T0:2015-00643
APPLICANT ADVANCED PLAN REVIEW 745.39
TOTAL 745.39
M. A. PE �S DESIGNBUILD Payment(s)
6161 WO D�A AVE. S CREDIT CARD 7738 745.39
EDINA, 55 4
(952)925- 455
Minnesota t�te cense#: BUIL-BC006704
OWNER
MARY RA KO , DANIEL DELMORE&
3115 SUSS X
LONG LA E, M 55356-
AGR �M T AND SWORN STATEMENT
The work for hich t i permit is issued shall be performed according to
the approved lams an pecifications,applicable City approvals,and the
State Buildin Cqde. is permit is for only the work described and does
not grant pe 'ssion additional or related work which requires separate
pertnits. All p ovisio of laws and ordinances governing this type of work
shall be compi d with hether or not specified herein.This permit will
expire and bec mle nu d void if construction authorized is not
commenced w hun 18 ays of the date of issuance,or if construction is
suspended for p�riod f 180 days at any time after work has commenced.
The applicant i r�spo 'ble for assuring all required inspections are
requested in co f4rma e with the State Building Code.This permit may be
revoked at any irme fo ue cause.
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Applicant Pe i'tee nature Date Issued By Signature Date