HomeMy WebLinkAbout2012 - 00583 - adv plan review • - � CITY OF ORONO I II I Il 111113 II I 11111111111111111111
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2750 KELLEY PARKWAY DATE ISSUED: 06/22/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2875 WEAR CIR
PIN : 33-118-23-34-0004
LEGAL DESC : UNPLATTED 33 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
City of Orono
PROPERTY TYPE : RESIDENTIAL 2750 Kelley Parkway
MN 356
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW Orono 4` -249-4600
VALUATION : $ 1,500.00 Receipt No: 3.007100 Jun 22, 2012
NOTE: PLEASE FILL IN THE FOLLOWING:
Nicole Van Patten
VALUATION OF PERMIT:$ 1,500.00 previous Balance: •00
TYPE OF PERMIT THIS PAYMENT IS FOR: ATTACHED DECK
Permits
PERMIT#THIS PRE-PAYMENT IS TIED TO: 2012-00582 2875 Hear Cir 37.38
101-34410
Plan Check/Site Exam Fees
__Y_____Y____
Total: 37.38
Check
Check No: 1079 37.38
Payor:
Nicole Van Patten 37.38
Total Applied: --8
Change Tendered: .0_
06/22/2012 08:04AM
APPLICANT ADVANCED PLAN REVIEW 37.38
VANPATTEN, MICHEAL&NICOLE
2875 WEAR CIR TOTAL 37.38
LONG LAKE, MN 55356-
OWNER
GUIMOND ET AL, SHARON R
2875 WEAR CIR
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. ,Q y
Applicant Permitee Signature Date Issued BySiDate
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SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.