HomeMy WebLinkAbout2012-00383 - adv plan review CITY OF ORONO ��
2750 KELLEY PARKWAY * � 0 1 2 — 0 fd 3 8 3 *
DATE ISSUED: OS/09/2012
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3205 GRAHAM HILL RD
PIN : OS-117-23-14-0065
LEGAL DESC : GRAHAM HILL PRESERVE
: LOT 1 BLOCK 1
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RES[DENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 784,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 784,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE
PERMIT#TFIIS PRE-PAYMENT IS TIED TO:2012-00384
APPLICANT ADVANCED PLAN REVIEW 3,169.89
STONEWOOD,LLC TOTAL 3,169.89
7407 WAYZATA BLVD
MINNEAPOLIS, MN 55426- PAID WITH CC# 1083
(952)697-5590
Minnesota State License#: 20594315
OWNER
KISSNER, MATT&NEENA
505 S l OTH STREET
MINNEAPOLIS, MN 55404-
AGREEMENT AND SWORN STATEMENT
The work for which this permi[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 goveming 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.
l l GLi�C,, l � l /
Applicant Permitee Signature Date Iss By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.