HomeMy WebLinkAbout2013-00882 - adv plan review CITY OF ORONO * 2013 - 00892 *
2750 KELLEY PARKWAY DATE ISSUED: 08/28/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS 450 WILLOW DR S
PIN : 03-117-23-32-0012
LEGAL DESC UNPLATTED 03 117 23
LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ADVANCED PLAN REVIEW
VALUATION $ 3,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ $3000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT
PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-00883
APPLICANT ADVANCED PLAN REVIEW 57.53
BOWMAN,WILLIAM&CYNTHIA TOTAL 57.53
450 WILLOW DR S
LONG LAKE,MN 55356- PAID WITH CC# 4187
OWNER
BOWMAN, WILLIAM&CYNTHIA
450 WILLOW DR S
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
commenceg within 180 days of the date of issuance,or if construction is
susp ded�nntr a period0 days at any time after work has commenced.
he pp c is res -"Si, assuring all required inspections are
req est con rm h the State Building Code.This permit may be
re ke a
Ap icant Permitee Signature Date Issued By Si ture Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED ABOVE.