HomeMy WebLinkAbout2011-00797 - adv plan review ti
t CITY OF ORONO PERMIT NO.: 2011-00797
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 08/04/2011
952 249-4600 FAX: 952 249-4616
ADDRESS 1030 TONKAWA RD
PIN 08-117-23-13-0015
LEGAL DESC REG.LAND SURVEY NO.0617 City of Orono
LOT 000 BLOCK 000 2750 Kelley Parkway
Orono NN 55356 952-249- 600
PERMIT TYPE ADVANCED PLAN REVIEW
Receipt No: 3.005119 Aug 4, 2011
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW Keith Water & Associates
VALUATION : $ 74,000.00 Previous Balance: .00
NOTE: PLEASE FILL IN THE FOLLOWING: Permits
2011-00797 1030 Tonkawa 560.14
VALUATION OF PERMIT:$ 74,000 Rd
101-34410
TYPE OF PERMIT THIS PAYMENT IS FOR:REMODEL Plan Check/Site Exam Fees
Total: 560,14
PERMIT#THIS PRE-PAYMENT IS TIED TO:2011-00798 New Balance: 560.14-
Check
Check No: 67390 560.14
Payor:
Keith Water i Associates
Total Applied: 560.14
Change Tendered: _ .00
08/04/2011 09:32AN
APPLICANT ADVANeED PLAN REVIEW 560.14
KEITH WATERS&ASSOCIATES TOTAL 560.14
6216 BAKER ROAD
SUITE 110
EDEN PRAIRIE,MN 55346-
Minnesota State License#: 1508
OWNER
BREMER,DENNIS&CYNTHIA
1030 TONKAWA RD
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 separate
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.
Applicant Permitee Signature Date
Issued0y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.