HomeMy WebLinkAbout2012-01202 - adv plan review • � � CITY OF ORONO * 2 0 1 z - 0 1 z 0 2 *
' ' 2750 KELLEY PARKWAY DATE ISSUED: 1U28/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1205 DICKENSON ST
PIN : 02-117-23-31-0040
LEGAL DESC : MINNETONKA BLUFFS � ,
: LOT 000 BLOCK 016
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL •
CONSTRUCTIOIV TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 8,400.00
NO'1'F,: PLEASE FILL IN T}IE FOLLOWING:
VALUATION OF PERMIT: $ $ 8400.00
TYPE OF PERMIT THIS PAYMENT[S POR: BUILD[NG PGRMI"I'
PGRMIT#"I�HIS PRE-PAYMENT IS"1'IGD TO:2012-01203
APPL[CANT ADVANCED PLAN REVIEW I 15.05
VAN HEEL CONSTRUCTION, INC. TOTAL 1 15.05
2375 ORKLA DR.
GOLDEN VALLEY, MN 55427
(763)438-9920
Minnesota State License#: BC001592
OWNER
WOTIPKA, LINDA A& LEE A
9908 N W 20TH ST
PEMBROKE PINES, FL 33024-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issucd shall be performed according to
the approved plans and specifications,applicable City approvals,and the
Statc l3uilding Code. This permit is for only the work described and does
not grant permission for additional or related�vork 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 pennit will
expire and become null and void if construction authorized is not
commenced�vithin 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time aftcr work has commenced.
I�he applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked t any time for d e causc.
� / i Z8 i Z01Z � �
A plicant �rmitee S gnature Date Issued By �nature Date
SEPARA�I'F, PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
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m 20�t Grube Architects
�'� WOTIPKA
� o Z � Grube Architects, P.A., Stillwater,Minnesota (
� W RESIDENCE P� 651351�1y�31 ��V: www.grube-azchitects.com
C: 6 5 1.3 0 3.8 1 5 5 E: k lgru be@gru be-arc hitects.com A R
(J.� Z '-' ORONO, MINNESOTA
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