HomeMy WebLinkAbout2016-00132 - adv plan review CITY OF ORONO * Z 0 1 6 - 0 0 1 3 2 *
2750 KELLEY PARKWAY DATE ISSUED: 02/10/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1220 BRACKETTS POINT RD
PIN : 11-117-23-32-0018
LEGAL DESC : RGT ORONO POINT
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTIOIY TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 3,000,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$3,000,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE
PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00133
APPLICANT ADVANCED PLAN REVIEW 9,525.70
WELCH FORSMAN ASSOC[ATION TOTAL 9,525.70
6026 PILLSBURY AVE S Payment(s)
CHECK 32984 9,525.70
MINNEAPOLIS,MN 55402-
(612)827-4455
Minnesota State License#: BUIL-BC005890
OWNER
HANNAFORD,JULE&ELIZABETH
1220 BRACKETTS PT RD
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
S[ate 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.
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Applicant Permitee Signature Date Issued By Signature Date