HomeMy WebLinkAbout2015-01288 - adv plan review CITY OF ORONO *I z 11 I I S II I O I I 2111/11 I*I
2750 KELLEY PARKWAY DATE ISSUED: 10/06/2015
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
ACTIVITY
VALUATION : $ 84,500.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$84,500.00
TYPE OF PERMIT THIS PAYMENT IS FOR: PORCH ADDITION
PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-01289
APPLICANT ADVANCED PLAN REVIEW 644.57
TOTAL 644.57
FREES,KEATON&HANS Payment(s)
820 OLD CRYSTAL BAY RD S CHECK 5089 644.57
WAYZATA,MN 55391-
OWNER :,;,i;,0 952.?z19-4600
FREES,KEATON&HANS Receipt No: 3.014375 Oct 6. 2015
820 OLD CRYSTAL BAY RD S
WAYZATA,MN 55391- Keaton Frees
Previous Balance: .00
Permits
2015-01288 820 old 644.57
crystal bay rd s
AGREEMENT AND SWORN STATEMENT 101-34410
Plan Check/Site Exam Fees
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the Total: 644.57
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate Check
permits. All provisions of laws and ordinances governing this type of work Check No: 5089 644.57
shall be compied with whether or not specified herein.This permit will Payor:
expire and become null and void if construction authorized is not Keaton Frees
commenced within 180 days of the date of issuance,or if construction is Total Applied: 644.57
suspended for a period of 180 days at any time after work has commenced. .00
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