HomeMy WebLinkAbout2017 - 00196 - adv plan review H I.1 III 11. 11111111111111 11
1 . 275C0 OF ORONO * 2017 - 00196 *
2750 KELLEY PARKWAY DATE ISSUED: 03/03/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1099 WILLOW DR S
PIN : 10-117-23-24-0016
LEGAL DESC : UNPLATTED 10 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 75,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$75,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: INTERIOR REMODEL
PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-00197
APPLICANT ADVANCED PLAN REVIEW 593.40
DOWNING,KATHERINE TOTAL 593.40
Payment(s)
1099 WILLOW DR S
WAYZATA, MN 55391- CREDIT CARD 9750 593.40
OWNER
DOWNING, KATHERINE
1099 WILLOW DR S
WAYZATA,MN 55391-
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.
,.) 4----{—
ArrI ant Perin're Signature Date �Issued 1StZr
7
Date
rry
City of Orono
Building Permit Application for Maintenance I Repla - Remodel — Residential ONLY
(i.e. windows, doors, siding, re-roof, etc. '0 STRUC.. , RAL EXPANSION)
A, Mailing Address: Pe it number: d
�O�VO PO Box 66 � ) 03[71 1-0 l 97
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Street Address: Re . .-p _
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