HomeMy WebLinkAbout2009 - 00726 - adv plan review CITY OF ORONO PERMIT NO.: 2009-00726
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 10/19/2009
(952) 249-4600 FAX: (952) 249-4616
REPRINTED ON 11/5/2009
ADDRESS : 2720 WHITE OAK CIR
PIN : 04-117-23-42-0020
LEGAL DESC : REG. LAND SURVEY NO. 1447
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$150,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT FOR ADDITION
PERMIT#THIS PRE-PAYMENT IS TIED TO:2009-00726
APPLICANT ADVANCED PLAN REVIEW 881.89
BRIAN STEPHENSON CONSTRUCTION INC.
2025 PAWNEE RD. TOTAL 881.89
MEDINA,MN 55340 PAID WITH CC# 4583
(612)889-0477
Minnesota State License#: 20222459
OWNER
KELLEY,CHARLES
2720 WHITE OAK 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.
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.