HomeMy WebLinkAbout2009-00910 - adv plan review , • CITY OF ORONO PERMIT NO.: 2009-00910
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE �ssuE�: 12/2U2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 3205 CRYSTAL BAY RD
PIN : 17-117-23-41-0011
LEGAL DESC : TOWNSITE OF LANGDON PARK
: LOT 001 BLOCK 002
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 175,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT: $ 175000.00
"t'YPE OF PERMIT THIS PAYMENT IS FOR L3UILDING
PERM["1�#TH[S PRE-PAYMENT IS TIED TO:2009- Dp�j��
APPLICANT ADVANCED PLAN REVIEW 97939
ANDERSON, RICHARD TOTAL 979.39
3205 CRYSTAL BAY RD
WAYZATA,MN 55391-
OWNER
ANDERSON, RICHARD
3205 CRYSTAL BAY RD
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 thc
State Building Codc. This permit is for only the work described and docs
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this typc 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 appiicant is responsible Yor assuring all required inspections are
requested in conformance with the State Building Codc.This permit may be
r voked at any time for due cause.
C�;�.�C�.- � a. / (� / /
Applicant Permitee Signature Date Issued By gnature D
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO