HomeMy WebLinkAbout2012-00963 - adv plan review CITY OF ORONO * 2 0 1 Z - 0 0 9 6 3 *
� -` � 2750 KELLEY PARKWAY DATE ISSUED: 09/27/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 80 CREEK RIDGE PASS
PIN : 03-117-23-12-0018
LEGAL DESC : CREEKSIDE IN ORONO
: LOT 007 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 435,000.00
NOTE: YLEASE PILL IN THG FOLLOWING:
VALUATION OF PERMIT: $ 435,000.00 � � -��- ,��
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fYPE OF PERM[T TH[S PAYMGNT[S FOR: NEW HOUSE:
PI'RMI"I�#THIS PRE-NAYMF,NT[S TIED TO:2012-00964
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APPL[CANT ADVANCED PLAN REVIEW 1,993.39
HOMETIME V[DEO PUBLISHING, INC. TOTAL 1,99339
4355 PEAVEY ROAD
CHASKA, MN 55318-
(952)856-461 1
Minnesota State License#:20456399
OWNER
Hometime Video Publishing Inc
4355 PEAVY RD
CHASKA, MN 55318-
AGREEMENT AND SWORN STATEMENT
I�he work for which this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant pennission for additional or related work which requires separate
pennits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit��°ill
cxpire 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.
/ / / /
Applicant Permitee Signature Date Issued 13y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.