HomeMy WebLinkAbout2017-00713 - adv plan review CITY OF ORONO 111111111111110111111 I I I MINE
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2750 KELLEY PARKWAY * 20 1 7 - 0 0 7 1 3
DATE ISSUED: 06/27/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 820 OLD CRYSTAL BAY RD S
PIN : 04-117-23-43-0008
LEGAL DESC : AUDITOR'S SUBD.NO.229
: LOT 027 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 32,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$32,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: SWIMMING POOL
PERMIT#THIS PRE-PAYMENT IS TIED TO:2017--00714
APPLICANT ADVANCED PLAN REVIEW 333.26
TOTAL 333.26
OUTDOOR EXCAPES, INC. Payment(s)
2345 DANIELS STREET CREDIT CARD 4948 333.26
LONG LAKE,MN 55356-
(952)926-6899
Minnesota State License#:BUIL-20630819
OWNER
FREES,KEATON&HANS
820 OLD CRYSTAL BAY RD 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. f�
7�l S'C) � I,
Applicant Permitee Signature Date Issued B igna ure Date