HomeMy WebLinkAbout2013 - 01064 - adv plan review CITY OF ORONO 1111111111111111111111111111111111111111111111
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2750 KELLEY PARKWAY DATE ISSUED: 10/10/2013
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 985 WILLOW VIEW DR
PIN : 28-118-23-44-0011
LEGAL DESC : WILLOW VIEW
: LOT 010 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 21,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ $21000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT
PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-01065
APPLICANT ADVANCED PLAN REVIEW 230.10
FINISHED BASEMENT CO. TOTAL 230.10
1380 DUCKWOOD DRIVE
EAGAN,MN 55123- PAID WITH CC# 6395
(612)710-0391
Minnesota State License#:20460771
OWNER
BROCKMAN,JENNY&GERRY
985 WILLOW VIEW DR
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 he
revoked at any time for due cause.
Applicant Permitee Signature Date Issue• y nature ` e
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.