HomeMy WebLinkAbout2011-01498 - remodel CITY OF ORONO PERMIT NO.: 2011-01498
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 12/OU2011
952 249-4600 FAX: 952 249-4616
A DRESS : 3190 SUSSEX RD
P : 04-117-23-32-0007
L GAL DESC : FOX BEND
: LOT 001 BLOCK 001
P RMIT TYPE : ADVANCED PLAN REVIEW
P OPERTY TYPE : RESIDENTIAL
C NSTRUCTION TYPE : ADVANCED PLAN REVIEW
V LUATION : $ 150,000.00
N E: PLEASE FILL IN THE FOLLOWING:
V UATION OF PERMIT:$ 150000.00
TY E OF PERMIT THIS PAYMENT IS FOR: REMODEL
PE IT#THIS PRE-PAYMENT IS TIED TO:2011-01499
APPLICANT ADVANCED PLAN REVIEW 881.89
M PETERSON DESIGN BUILD INC. TOTAL 881.89
616 WOODALE AVE S
ED A,MN 55424 PAID WITH CC# 0222
(952 925-9455
M' esota State License#:6704
OWNER
KE Y,JOHN&MARY
3190 SUSSEX RD
LON LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The ork for which this permit is issued shall be performed according to
the a roved plans and specifications,applicable Ciry approvals,and the
State uilding Code. This permit is for only the work described and dces
not gr t permission for additional or related work which requires separate
pertni . All provisions of laws and ordinances governing this type of work
shall e compied with whether or not specified herein.This permit will
expire and become null and void if construction suthorized is not
comm nced within 180 days of the date of issuance,or if construction is
suspe ded for a period of 180 days at any time after work has commenced.
The a plicant is responsible for assuring all required inspections are
reques ed in conformance with the State Building Code.This permit may be
revok at any time for due cause.
/ / / /
Appli ant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.