HomeMy WebLinkAbout2011-00099 - adv plan review � w CITY OF ORONO PERMIT NO.: 2011-00099
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE iSSUEu: 02/15/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 120 CREEK RIDGE PASS
�� PIIY : 03-i l 7-23-12-0014
LEGAL UESC : CREEKSIDE 1N ORONO
: LOT 003 BLOCK 001
� PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 385,000.00
NOTE: PLLASE FILI,IN THE FOI,LOWING:
VALUATION OP YLRMIT: $ 385000.00
TYPG OP PERMIT'I`HIS PAYMENT IS 1 OR: NEW 1IOMG
PGRMIT#TI��IS NRF,-PAYMENT IS 1'ILD TO:201 1-00100
APPLICANT ADVANCED PLAN REVIEW 1,798.39
RICHARD J. ELSEN CONSTRUCTION INC. TOTAL 1,798.39
I 1317 TOLEDO AVE. N.
CHAMPLIN, MN 55316-
(612)759-2826
Minnesota State License#: 4510
OWNER c'riU flu)i�
Cr��,r�o +t�s. ,__,._ .... _,.
GUSTAFSON, MICHAEL& SUSAN �
1000 SHELARD PKWY #300 �.�tJi�t �"t`: �.4�'���� " � '
MINNEAPOLIS, MN 55426- - _ ,
AGREEMENT AND SWORN STATEMENT
I'he�o�ork for���hich this permit is issued shall bc performed according to r= �'=���
the approved plans and specifications,applicable City approvals,and Uie ��1 ���
State[3uilding Code. T'his pemiit is for only the�vork described and does ���r� =
not grant permission for additional or related work�vhich requires separate .����� �� .--
permits. All provisions of laws and ordinances governing this type of work �'�
� shall be compied with�vhether or not specilied herein.This permit�vill � ��
:.,'::r•i.'k
expire and become null and void ii�construction authorized is not � t;,� � •r•.:,_
.,.e,k Nc�: i::,74� 1,� ,
commenced within 180 days ot�the date oYissuance,or it�construction is ;^����:�
suspended for a period of 180 days at any time atter�vork has commenced. �•-:�g�+;-j j [Je�ri �pp�,�;�u�U lC�!'r
l he applicant is responsible for assuring all required inspections are �j�,�'i�:,� � 7
requcsted in confo nance witl B£at�f3uilding Code.This permit may be �
revoked at�t�n, ',r du��c�x(
I , �-�'
� �_= - � �/S � // / /
plicant Perimit�e Signature Uate Issued By S' ature Date
' SEPARATE PERMITS RGQU[RED FOR WORK OTHER THAN DESCRIBED ABOU .