HomeMy WebLinkAbout2014-00063 - adv plan review CITY OF ORONO * 2 0 1 4 - 0 0 0 6 3 *
2750 KELLEY PARKWAY DATE ISSUED: OU22/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 258 CYGNET PL
PIN : 04-117-23-23-0019
LEGAL DESC : SWAN LAKE ADDN
: LOT O10 BLOCK 003
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 6,400.00
NOTF,: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT: $ $6400.00
TYPE OF PERMIT T}IIS PAYMENT IS FOR: BUILDING PI;RMI"I'
PERMIT#"I'HIS PRE-PAYMF.NT [S"I'I�D T0:2014-00064
APPLICANT ADVANCED PLAN REVIEW 95.88
TOTAL 95.88
DOUG LARSON CONSTRUCTION Payment(s)
16102 TEMPLE LANE CREDIT CARD 2064 95.88
MINNETONKA, MN 55345
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Minnesota State License#: BUIL-BC06418
OWNER
HUBBARD, ANNIE
258 CYGNET PL
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
I�he work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and thc
State[3uilding Code. This permit is for only the work described and does
not grant permission 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.'I�his permi[will
expire and become null and void if construc[ion authorired is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of l80 days at any time after 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 any time for due cause.
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Applicant Per 't SignatUre Date Issued E3 S nature e