HomeMy WebLinkAbout2012-01097 - adv plan review CITY OF ORONO �
2750 KELLEY PARKWAY * � 0 1 Z - P1 1 0 9 7 *
DATE ISSUED: 10/3U2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 325 CRESTVIEW AVE
PIN : OS-117-23-14-0031
LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK
: LOT 000 BLOCK 005
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 525,000.00
NOTE: PLF,ASE FILL IN THE FOLLOWING:
VALUATION OF PERM[T:$ $525,OOQ00
TYPE OF PGRMIT THiS PAYMEN"I'IS FOR: NEW IiOME;
PERMIT#THIS PRE-PAYMEN"['IS"I'IED TO:2012-01099
APPLICANT
ADVANCED PLAN REVIEW 2,328.14
SULLIVAN, WENDY TOTAL 2,328.14
3409 26TH. AVE. S
MINNEAPOLIS, MN 55406- PAID W[TH CC# 0979
OWNER
SULLIVAN, WENDY
3409 26TH. AVE. S
MINNEAPOLIS, MN 55406-
AGREEMENT AND SWORN STATEMENT
i�he��vrk for which this permit is issucd shall be performed according ro
the approved plans and specif ications,applicable City approvals,and the
Statc[3uilding Code. 'I�his permit is for only the work described and does
nut grant permission for additional or related work which requires separate
permits. All provisions ot laws and ordinances governing this rype of work
shall be compied with whether or not specitied 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 arc
requested in confonnance with the State Building Code.This permit may be
revoked at any time for due cause.
, , j.� ���uu � iv,�i , ,�
Applicant Permitee Signature Date Issu B��Signature Datc
SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE.