HomeMy WebLinkAbout2010-01175 - adv plan review CITY OF ORONO PERMIT NO.: 2010-01175
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 12/02/2010
952 249-4600 FAX: 952 249-4616
ADDRESS 200 TRUFFULA TR
PIN 33-118-23-44-0039
LEGAL DESC MEADOW WOOD POND
LOT 005 BLOCK 001
PERMIT TYPE ADVANCED PLAN REVIEW
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ADVANCED PLAN REVIEW
VALUATION $ 40,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 40,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: REMODEL PERMIT
PERMIT#THIS PRE-PAYMENT IS TIED TO:BUILDING PERMIT 2010-01176
APPLICANT ADVANCED PLAN REVIEW 373.26
LECY BROS CONSTRUCTION TOTAL 373.26
15012 HWY 7
MINNETONKA,MN 55345
(952)746-3783
Minnesota State License#: 20325555
OWNER
ADAMS,MR.&MRS.
200 TRUFFULA TR
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.
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Applicant Permitee Signature Date Is d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.