HomeMy WebLinkAbout2013-00192 - adv plan review CITY OF ORONO � 0l1LWullll31l1111� � 1 9 2 *
2750 KELLEY PARKWAY �ATE �SsuEu: 03/2U2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3460 BIRCH LA
PIN : 08-117-23-43-0027
LEGAL DESC : LYDIARDS PARK LAKE MTKA
: LOT 019 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 55,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT: $ 55000.00
TYPE OF PERMIT THIS PAYMENT IS POR: BUII,DING PERM[T
PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-00193
APPLICANT ADVANCED PLAN REVIEW 467.51
M& M HOME CONTRACTORS
TOTAL 467.51
205 WINKLER TRAIL
COLOGNE, MN 55322- PAID WITH CC# 1137
(612)554-2556
Minnesota State License#: BC560376
OWNER
LISLE, STEVEB&ANGELA
3460 BIRCH LA
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 E3uilding Code. This permit is for only the work described and does
not grant permission Yor 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 permi[may be
revoked at any time for due cause.
/ / / /
Applicant Permitee Signature Date Issued By nature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED AB E.