HomeMy WebLinkAbout2014-00857 - adv plan review CITY OF ORONO * 2 0 1 4 — Pl 0 8 5 7 *
2750 KELLEY PARKWAY pATE �sSUE�: 08/1U2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3309 CRYSTAL BAY RD
PIN : 17-117-23-41-00(6
LEGAL DF.SC : WALLACES ADDN TO VIL OF MTKA B
: LOT 001 B LOC K 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENT�IAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
ACTI VITY : 434-RESIDENTIAL
VALUATION : $ 380,000.00
NO"I�l:: PLEASL:FILL IN"I'HF,NOLLOWING:
VALUA"I�ION OF� PERMI"I`. $ 380.000.00
"I�YPE OF PERMI"l�THIS PAYMEN"I'IS FOR: NEW I IOUSF,
PERMI'C#'CHIS PR&PAYMENT IS"1'IED TO: 2014-00858
APPLICANT ADVANCED PLAN REVIEW 1,778.89
TOTAL 1,778.89
BET'Z BUILUERS INC. Payment(s)
300 CRESTVIEW AVE. CHECK 19303 1,778.89
LONG LAKE, MN 55356
(612)221-2963
Minnesota State License#: BUIL-BC3515
OWNER
SCHMID, DAV[D
3309 CRYSTAL BAY RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
l�he work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. 'l�his permit is for only the work described and does
not grant pennission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing 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 widiin 180 days of the date of issuance,or if construction is
suspcnded for a period of 180 days at any time afler 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 anv time for due cause.
/ /
Applicant Permitee Signature Date Issued [3��Signature Date