HomeMy WebLinkAbout2009-00512 - adv plan review � ' CITY OF ORONO PERMIT NO.: 2009-00512
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 08/25/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 200 BEDERWOOD DR
PIN : OS-117-23-12-0027
LEGAL DESC : AUDITOR'S SUBD.NO. 203
: LOT MB BLOCK MB
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 293600.00
TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING
PERMIT#THIS PRE-PAYMENT IS TIED TO: 2009-00513
APPLICANT
ADVANCED PLAN REVIEW 1,443.49
ROLLINGBROOK HOMES TOTAL 1,443.49
7378 WHITEHALL RD
SHAKOPEE, MN 55379
(763)227-0700
Minnesota State License#: 20296303 ;:'��, l,�s��e; �. :,
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OWNER `.�.�i�i�} N��: ;i�;i(��;�`.-` rat;::, ;:_., c:.i{j'.
AZAD,ALISHAH -
200 BEDERWOOD DR ',�li:r� ;_,,,,-, .�:-,;r<,.. • .
LONG LAKE, MN 55356-
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AGREEMENT AND SWORN STATEMENT :,r; �.rtc�M,'Si�a Exar� FFe.
The work for which this permit is issued shall be perfo�med according to
the a roved lans and s ecifications,a licable Cit a rovals,and the 't��� '
pp P p pp Y PP 1�7YS. �
Sta[e Building Code. This permit is for only the work described and does =-=r.:r.��_:.
not gran[permission for additional or related work which requires separate " `
permits. All provisions of laws and ordinances governing[his type of work ''=k �� ���'+ i.4^.
shall be compied with whether or not specified herein.This permit will ''°
expire and become null and void if construction authorized is not '`'r���irCC�; t�-''�'S ��
commenced within 180 days of the date of issuance,or if construction is `��N��'�' :���'
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.
/ / / /
Applicant Permitee Signature Date
lssued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.