HomeMy WebLinkAbout2009-00477 - adv plan review � CITY OF ORONO PERMIT NO.: 2009-00477
� 2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE �ssuEn: 08/1U2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 110 CREEK RIDGE PASS
PIN : 03-117-23-12-0015
LEGAL DESC : CREEKSIDE IN ORONO
: LOT 004 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
NOTE: PLEASE FILL IN THE FOLLOW[NG:
VALUATION OF PERMIT: $ 460,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: ADVANCED PLAN REVIEW FOR NEW STRUCTURE
PERMIT#THIS PRE-PAYMENT IS TIED TO: I3UILDING PERMII�#2009-00475
APPLICANT ADVANCED PLAN REVIEW 2,090.89
HOMET[ME VIDEO PUBLISHING, INC. TOTAL 2,090.89
4355 PEAVEY ROAD
CHASKA, MN 55318-
(952) 856-4611
Minnesota State License#: 20456399
OWNER
Hometime Video Publishing ���� !�i��`�
HOMETIME VIDEO PUBLISHING ,, ,,�_.,
AGREEMENT AIYD 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 �>�!4i:!
State Building Code. This permit is for only the work described and does �„ , �-
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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 �,.:�i, r��� ��j� �_��c,
suspended for a period of 180 days at any time atter work has commenced. j.�;•�
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.
/ / �'/ !// � 7c�
Applicant Permitee Signature Date I ed By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.